Common Treatments

Question 1

Tx of Acne (any severity)

Answer 1

Topical Adapalene with benzoyl peroxide
Topical tretinoin with clindamycin

Question 2

ACS Acute Tx

Answer 2

Morphine - 5mg slow IV injection (1mg/min)
Oxygen - depending on sats
GTN
Aspirin - 300mg chewed or in water
Ticagrelor - 180 mg PO (Clopidogrel - 300mg PO)

Question 3

What drug is needed if pt doing for PCI?

Answer 3

Unfractionated Heparin

Question 4

Secondary prevention of ACS?

Answer 4

ACEi - Ramipril 2.5mg PO OD for 2 weeks (before incr)
BB
CCB
Aspirin - 75mg PO
Ticagrelor - 90mg BD PO (Clopidrogrel 75 mg PO)
Statin - Atorvastatin 80mg PO

Question 5

What is given during an adrenal crisis?

Answer 5

Hydrocortisone blous - 100mg IV/IM followed by infusion of 200mg/24hrs
Crystalloid fluids (e.g. 0.9% NaCl)

Question 6

Addisons Tx

Answer 6

Hydrocortisone (10mg, 5mg, 5mg PO)
Fludrocortisone (50 - 300mcg PO)
Sometimes pred / dex are given

Question 7

What is given in alcohol withdrawal?

Answer 7

Long actins benzos (e.g. chlordiazepoxide hydrochloride - 10mg PO QDS / diazepam)

Question 8

Delirium Tremens Tx

Answer 8

Oral lorazepam (first line)
Parenteral loraz / haloperidol

Question 9

Pharmaceutical Alcohol Withdrawal

Answer 9

Acamprosate calcium / naltrexone hydrochloride

Question 10

Wernickes prevention

Answer 10

Thiamine / Pabrinex

Question 11

Suspected Wernickes Tx

Answer 11

Pabrinex

Question 12

Fe deficiency anaemia tx

Answer 12

Oral Fe (dried Fe Sulfate usually)
Often given with folic acid

Question 13

Tx to minimise Sickle Cell crisis

Answer 13

Hydroxycarbamide

Question 14

Vaginal Thrush Tx

Answer 14

PO Fluconazole 150mg
PV Clotrimazole cream 5g or pessary 200mg for 3 nights

Question 15

Oral Thrush Tx (kids and adults)

Answer 15

Fluconazole PO
< 11yrs - 3mg/kg for 7 days
> 12 - 50mg for 7 days

Question 16

Tinea Pedis / Corporis Tx

Answer 16

Fluconazole PO 50mg for 14 days

Question 17

Name 3 antihistamines

Answer 17

Cyclizine
Cinnarizine
promethazine teoclate

Question 18

Tx of slow AF of > 48 hours

Answer 18

Verapamil hydrochloride

Question 19

Tx of acute asthma attack

Answer 19

Oxygen
Salbutamol (+/- ipratropium bromide)
Prednisolone

Mg sulphate and aminophylline with senior input

Question 20

Tx of Chronic asthma in adults

Answer 20

1. SABA
2. SABA + ICS
3. SABA + ICS + LTRA
4. SABA + ICS + LABA (+/-LTRA)
5. SABA + MART with ICS

Question 21

Tx of Chronic asthma in children

Answer 21

1. SABA
2. SABA + low dose ICS
3. SABA + low dose ICS + LTRA
4. SABA + low dose ICS + LABA
5. SABA + MART with low dose ICS

Question 22

Tx of meningococcal septicaemia

Answer 22

Benzylpenicillin sodium
Cefotaxime if allergy

Question 23

Tx of acute hypocalcaemia / tetany

Answer 23

Calcium Gluconate injection 10%
Concurrent hypomg should be corrected with magnesium sulfate

Question 24

Tx of hypercalcaemia

Answer 24

Correct dehydration with 0.9% NaCl
Bisphosphantes (e.g. Pamidronate Disodium)
Stop Thiazides and VitD compounds which promote hypercalcaemia

Question 25

Tx of aspirin OD

Answer 25

Activated charcoal within 1 hr

Question 26

Tx of Opioid OD

Answer 26

Naloxone hydrochloride

Question 27

Tx of Paracetamol OD

Answer 27

Acetylcysteine within 24hrs (preferably 8hrs)

Question 28

Tx of UTI

Answer 28

Men / Women - Nitrofurantoin or Trimethoprim
Pregnant women - Nitrofurantoin

Question 29

Tx of Oral Candidas

Answer 29

Miconazole Oral gel

Question 30

Tx of skin candidas

Answer 30

Topical Clotrimazole +/- Hydrocortisone 1%
Oral Fluconazole

Question 31

Tx of Chlamydia

Answer 31

Non pregnant - Doxycycline 100mg BD / 7 days
Pregnant - Azithromycin 1g single dose then 500mg OD / 2 days (or erythromycin / amoxicillin)

Question 32

Tx of Gonorrhoea

Answer 32

Ceftriaxone 1g IM
(Ciprofloxacin 500mg oral if antimicrobial susceptibility known)

Question 33

Mild Eczema Flare Tx

Answer 33

Emollient (250 - 500g / week)
Mild topical corticosteroid (hydrocortisone 1%)

Question 34

Moderate Eczema Flare Tx

Answer 34

Emollient (250 - 500g / week)
Betamethasone valerate 0.025% or Clobetasone butyrate 0.05%
Sensitive areas - Hydrocortisone 1%

Question 35

Severe Eczema Flare Tx

Answer 35

Emollient (250 - 500g / week)
Potent topical steroid (Betamethasone valerate 0.1%)
Sensitive areas - Betamethasone valerate 0.025% or Clobetasone butyrate 0.05% max 5 days

Question 36

Mild to mod acne Tx

Answer 36

Topical benzoyl peroxide with topical clindamycin

Question 37

Mod to severe acne Tx

Answer 37

Topical adapalene with benzoyl peroxide + oral doxycycline

Question 38

Mild to mod allergic reaction tx (no systemic reaction)

Answer 38

Fast acting anti histamine e.g. chlorphenamine (can be given 4mg oral, IV or 10mg IM)

Question 39

Anaphylactic reation tx (skin, GI, resp, cardiovasc, neuro)

Answer 39

Over 12 yo
- 500mcg IM adrenaline
- 10mg chlorphenamine IM or slow IV
- 200mg hydrocortisone IM or slow IV

6 - 12 yo
- 300mcg IM adrenaline
- 5mg chlorphenamine IM or slow IV
- 100mg hydrocortisone IM or slow IV

Inhaled/IV bronchodilators can be used (e.g. salbutamol)