All Flashcards

1
Q

A combination product of betamethasone 0.1% with ______3% is known to stain clothing

A

Clioquinol

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2
Q

Which drug (usually used as an antibacterial) is a reversible non-selective MAOI

A

Linezolid

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3
Q

What skin condition typically appears as a red rash typically affecting the central regions of the face, eyebrows and scalp.

A

Seborrhoeic dermatitis

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4
Q

Sings of acute angle closure glaucoma

A

Abrupt onset of symptoms e.g.

Aching pain in eye that radiates to the forehead

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5
Q

True or false:

Acute angle closure glaucoma is more common in elderly patients who are long sited

A

TRUE

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6
Q

What is the medical terminology for “long sighted-ness”

A

Hyperopia

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7
Q

What is hypertrichosis

A

Excessive hair growth

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8
Q

True or false:

Iron tablets should generally be taken on an empty stomach

A

TRUE as this promotes absorption

But patients may take with food to reduce side effects if needed

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9
Q

What is classed as one portion in relation to fruit and veg?

4 points

A
  1. 80g of fresh/canned/frozen produce
  2. 30g of dried fruit
  3. 150 mL of fruit juice
  4. 1 apple, pear, banana or similar sized fruit
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10
Q

How often do eye exams need to be done in those taking hydroxychloroquine

A

Before starting then at least yearly (every 12 months)

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11
Q

Trough level (pre-dose) for vancomycin?

A

10-20 mg/L

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12
Q

Wet combing or dimeticone (Hedrin) are the preferred head lice treatments in which patient populations?
(3 points)

A
  1. Pregnant/breastfeeding women
  2. Children 6 months - 2 years
  3. Patients with eczema or asthma
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13
Q

True or false:

Topiramate causes bone marrow suppression

A

FALSE

The AEDs associated with bone marrow suppression are carbamazapine, phenytoin and valproate

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14
Q

Which AEDs are associated with bone marrow suppression

3 points

A

Carbamazapine
Valproate
Phenytoin

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15
Q

Apixaban can be dispersed in/mixed with _______ in patients with swallowing difficulties
(3 points)

A

Water
Apple juice
Apple puree

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16
Q

When are theophylline levels meant to be taken?

2 points

A

5 days after initiation

4-6 hours after the last dose

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17
Q

Symptoms of otitis media usually resolve in ______ days

A

3 - 7 days

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18
Q

True or false:

An 11 year old boy with constipation can be treated with OTC laxatives

A

FALSE

Children under 12 with constipation should be referred to their GP

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19
Q

1st line for constipation in children?

A

Macrogol and dietary advice

20
Q

“For the treatment of an animal or herd under my care” only needs to appear on a vet prescription for what class of medicines?

A

Schedule 2 and 3 controlled drugs only

21
Q

What is the NRLS and what is it for

A

National reporting and learning system

A database of patient safety incidence reports

22
Q

Symptoms of scarlet fever?

5 points

A
  1. Swollen (strawberry) tongue
  2. Rash (feels like sandpaper)
  3. Headache
  4. Fever
  5. Sore throat
23
Q

True or false:

Measles can cause eyes to become sensitive to light

A

TRUE

Eyes become red, sore and sensitive to light

24
Q

Describe a measles rash

A

Red-brown and slightly raised

25
Counselling for zonisamide (an AED)
Avoid dehydration
26
Which anti-emetics can be used for nausea and vomiting during pregnancy? (3 points)
Promethazine Metoclopramide or Prochlorperazine are alternatives
27
True or false: | In Addison's disease the dose of hydrocortisone should be increased if the person is unwell
TRUE They should increase the dose in times of physical stress such as illness/infection. In general the dose of hydrocortisone is doubled
28
What should be attempted in supraventricular tachycardia before drugs are given?
Valsalva manoeuvre It generates increased pressure in the chest cavity and aims to slow the heart rate (as SVT has a fast pulse). It may stop the abnormal rhythm
29
How does clopidorgel work?
It inhibits the binding of adenosine biphosphate Clopidogrel irreversibly inhibits platelet aggregation via P2Y12 class ADP receptors.
30
Which patients are eligible for the free NHS flu vaccine? | 4 points
1. Over 65s 2. BMI > 40 (obese) 3. Chronic cardiac/respiratory/kideny/liver disease 4. Pregnant women
31
What is the initial IV treatment in TCA overdose?
Sodium bicarbonate | To correct metabolic acidosis
32
What should be given to pregnant women who have not had chicken pox before but have come into contact with an infected person?
Varicella Zoster immunoglobulin NOTE: Not the varicella vaccine! This should NOT be given during pregnancy
33
What is an ABOSULUTE contraindication for the use of COC?
Migraine with aura | Due to increased risk of stroke
34
Which drug used to aid smoking cessation is cautioned in those with a history of pyschiatric illness
Varenicline | It may exacerbate underlying mental health conditions
35
How soon after treatment with permethrin for scabies is the second application?
1 week after
36
What is antiphospholipid syndrome ?
An immune disorder that increases the risk of developing blood clots
37
True or false: | DOACs can be used in someone with AF who has antiphospholipid syndrome
FALSE | They are not recommended. You would use warfarin
38
How many units in a large glass of wine?
3 units
39
How many units in: a) A pint of low strength beer/cider b) A pint of higher strength beer/cider
a) 2 units | b) 3 units
40
True or false: | Pomegranate juice increases INR
TRUE
41
All first generation antihistamines cause sedation except _______
Alimemazine
42
Repeat dose of mebendazole for threadworm after _____ weeks if re-infected
2 weeks
43
Why should you avoid prescribing buprenorphine with another opioid?
Increased risk of opioid withdrawal (as buprenorphine also has antagonist properties)
44
True or false: | Progestogen contraceptives can be used in women with a history of breast cancer
TRUE | It's oestrogens that need to be avoided
45
Triptans (5HT agonists) are contraindicated in _____ and history of ______
Ischaemic heart disease (including TIA) | Myocardial infarction
46
Allopurinol should be taken ______ meals
After meals