BPS mocks Flashcards
2 year old with harsh barking cough and mild stridor with association of recent UTI
likely diagnosis and management
croup (commonest case is parainfluenza virus)
appropriate treatment: dexamethasone oral solution (will need to work out dose based on weight)
severe morning sickness treatment
cyclizine 1st line: 50mg tablet TDS oral
2 prescriptions most likely to interact with simvastatin and caused increased risk of myopathy
amiodarone hydrochloride
diltiazem
1st line tx of HTN in patients older than 55 and those of afro carribean descent
CCB
when INR >8 but no bleeding what do you do
stop warfarin sodium
give phytomenadione by MOUTH, but use IV preparation
repeat phytomenadione if INR still high after 24 hours
restart warfarin when INR <5
what is required to monitor adverse effects of lithium
look at thyroid function
what should be measured 2 hours after insulin treatment in a patient with DKA
finger prick capillary ketones
most appropriate drug treatment to treat hypercalcaemia of malignancy
optimal answers:
Bisphosphonate like Ibandronic acid
Type in Hypercalcaemia in he BNF and it should come up
18 month baby
36 hour history runny nose and fever, slept poorly and vomited over night. crying and pulling at his ears.
pyrexic, red bulging tympanic membranes.
diagnosis and management
patient pen-allergic
Diagnosis: acute otitis media
Majority caused by: strep pneumoniae, moraxella catarrhalis and srep pyogenes
1st line: amoxicillin
2nd line: clarithromycin, erythromycin or azithromycin
https://bnfc.nice.org.uk/treatment-summaries/ear-infections-antibacterial-therapy/
medicines which are most likely to lead to altered appetite:
- etonogestrel
- fluoxetine
- ibuprofen
- mebeverine
- metformin
- paracetamol
- risperidone
fluoxetine
metformin
risperidone
most likely to interact with levothyroxine sodium:
- diclofnac
- dihydrocodeine
- ferrous fumarate
- levothyroxine sodium
- losartan potassium
- nifedipine
- paracetamol
ferrous fumarate reduces absorption of levothyroxine
must be taken at least 4 hours apart
thrombocytopenia is a common adverse effect of what class of drug drug
heparins
- measuring platelet count before treatment with close monitoring for the first 3 weeks of treatment
1st line treatment in patients with confirmed DVT or PE
apixaban or rivaroxaban
drugs commonly causing urinary retention
anticholinergics
general anaesthetics
alpha-andrenoreceptor agonists
benzodiazepines
NSAIDS
CCB
anti-histamines
alcohol
very common adverse effect of oral methotrexate which requires monitoring with regular FBC
LEUCOPENIA
