Clinical knowledge

Question 1

What should patients with vitamin D deficiency be prescribed? How many iUs for how long?

Answer 1

They should be prescribed a high dose supplement which is usually 280,000-300,000iU over 6-10 weeks.

Question 2

What should patients with vitamin D deficiency consider?

Answer 2

They should consider their calcium intake, esp. if it is <700mg per then diet should be adjusted to address this.

Question 3

Why is it not suitable to dispense opioid maintenance therapy e.g. methadone to patients who miss 3+ days?

Answer 3

They become at risk of overdose due to loss of tolerance

Question 4

How can you check for CKD?

Answer 4

Requesting urine albumin to creatinine ratio (ACR)

Question 5

How should diabetics’ medicines be managed during sick days?

Answer 5

Metformin should be stopped due to increased risk of lactic acidosis

Question 6

What is the max dose of simvastatin when given with amlodipine? Why?

Answer 6

20mg OD due to increased risk of myopathy

Question 7

What is the max dose of citalopram in patients >65 years old? Why?

Answer 7

20mg OD due to risk of QT prolongation