Ageing

Question 1

What should not be eaten / drank whilst taking a statin?

Answer 1

Grapefruit juice

Question 2

What should not be eaten/ drank whilst taking metronidazole?

Answer 2

Alcohol

Question 3

What should not be eaten/ drank whilst taking warfarin?

Answer 3

Cranberry

Question 4

What type of supplements should not be taken whilst on thyroxine?
Why?

Answer 4

Calcium

Causes decreased absorption of thyroxine from GI tract

Question 5

What pain killer should not be taken when on warfarin?

Why?

Answer 5

NSAID

Can lead to a serious bleed

Question 6

What can taking an ACEI and spironolactone together cause?

Answer 6

hyperkalaemia

Question 7

Taking digoxin and what drug can lead to digoxin toxicity?

Answer 7

Verapamil

Question 8

What can occur if fluoxetine and phenelzine are taken together?

Answer 8

Serotonin syndrome

Question 9

Name 3 symptoms of serotonin syndrome.

Answer 9

Hyperthermia
Tremor
Tachycardia

Question 10

What is caused by a vitamin B1 deficiency?

What is this usually the result of?

Answer 10

Wernicke’s encephalopathy

Alcohol abuse

Question 11

What is the diagnostic criteria for delirium?

Answer 11

Fluctuating mental state + inattention + disorganised thinking +/ or altered level of consciousness (1+2+ either 3 or 4 or both)

Question 12

Name 5 contra-indications to the use of triptans?

Answer 12

IHD
Uncontrolled hypertension
Concurrent use of SSRI, lithium or ergot derivative drugs e.g. cabergoline in PD