Doses

Question 1

Benzoyl peroxide dose

Answer 1

Wash face first
Apply thinly to affected area twice a day
6-8 weeks

Question 2

Contact dermatitis

Answer 2

Remove the irritant
Apply barrier cream
Emollient
Topical corticosteroids

Question 3

Eczema

Answer 3

Emollients- apply as regular as possible
Topical corticosteroids - hydrocortisone (10) clobetasone (12) twice a day for 7 days- not applied to the face anogenital Region, or broken skin
Not at the same time as emollients

Question 4

Tinea

Answer 4

Imidazole - clotrimazole - 4 weeks - 2/3 times a day

Terbinafine (16+) once daily for a week

Question 5

Otitis externa

Answer 5

Acute localised - hot flannel oral analgesics - if referral criterial is met then anti biotics needed - wide spread information of pinna discharge unsuccessful treatment impaired hearing

Actuate diffuse - earcalm - acetic acid

Question 6

Otitis media

Answer 6

Analgesics - calpol - 250mg every 4-6 hours
Inbuprofen - 150mg 3 times a day

80% get better in 3 days

Question 7

Ear wax

Answer 7

Olive oil drops - 2/3 drops into the ear and gently massage. Twice a day for 7 days

Otex - upto 5 drops into ear for 3/4 days

Warming drops may help. Lie on side with infected ear facing up. Insert drops and stay on side for 5 mins

Question 8

Conjunctivitis

Answer 8

Viral - self limiting so nothing - hygiene

Allergic - sodium cromoglicate - instil 2 drops into both eyes when required

Bacterial - brolene - 1/2 drops into affected eye 4 times a day - no improvement in 2 days see Gp

Chloramphenicol - 1 drop every 2 hours for 48H then every 4 hours for next 3 days - course is 5 days - no improvement then see Gp

Question 9

Dry eye

Answer 9

Hypermellose - 1/2 drops into eyes and blink 2/3 times when required

Lacrilube - into eye and blink when required

Question 10

Cold

Answer 10

Adequate fluids
Steam inhalants - add menthol and eucalyptus oil / vicks vapour rub
Analgesics - paracetamol / ibuprofen
Decongestants - Sudafed- 1 tab every 4-6 hours

Question 11

Sore throat

Answer 11

So many to chose from - ask patient preference

Question 12

Dry cough

Answer 12

Pholcodeine - 5-10ml every 4 hours

Demulcents

Question 13

Chesty cough

Answer 13

Fluids
Steam inhalation
Vicks vapour rub
Decongestants

Question 14

Sinusitis

Answer 14

Sinutab- 2 tabs every 4-6 hours

Question 15

Hay fever

Answer 15

Sodium cromoglicate - tilt head back - squeeze 1/2 drops into lower lid and blink QDS

Piriton - 1 tab every 4/6 hours max 6 a day

Loratadine - 1 tab daily

Beconase - 18+ nasal spray

Question 16

Insomnia

Answer 16

Diphenhydramine - nytol - take one 20 mins before going to bed

Sominex- one 1 hour after failing to sleep

Sleepy hygiene

Question 17

Motion sickness

Answer 17

Hyoscine - joyrides - 1 tab 20 mins before journey starts - 4 in 24 hours

Question 18

Cystitis

Answer 18

Paracetamol - 2 every 4 hours max 8

Cymalon- 1 sachet and 200ml of water three times a day for 2 days

Large fluid intake 
Sex trigger 
Wipe front to back 
Empty bladder fully 
Water based lube

Question 19

Thrush

Answer 19

Fluconazole 150mg - 1 capsule

Clotrimazole 2% cream - 2/3 tines to the affected area
10% intravenous cream - using prefilled applicator at night

500mg pessaries - into vagina at night

Question 20

Dysmenorrhoea

Answer 20

Naproxen 250mg - 2 tabs on first day - another 6-8 hours later if no better

Ibuprofen - 1-2 tabs every 4-6 hours

Buscopan - 2 4 times a day

Question 21

Heavy period

Answer 21

Tranexamic acid - 2 tabs three times a day for 4 days

Question 22

Peads fever

Answer 22

Paracetamol
Fluids
Appropriate clothing

Question 23

Nappy rash

Answer 23

Barrier cream

Emollients / clotrimazole

Question 24

Head lice

Answer 24

Hedrin- lotion - leave on for 8 hours ensuring you cover whole scalp- repeat 7 days later

Question 25

Thread worm

Answer 25

Mebendazole 100mg - one tablet for whole fam

Question 26

Colic

Answer 26

Lactase enzymes- Colief-

Simeticone - infacol - 1 dropper full before feeds.

Question 27

Oral thrush

Answer 27

Daktarin
4-24 months - 1.25ml QDS
2+- 2.5ml QDS

Question 28

Chicken pox

Answer 28

Antipyretics - paracetamol - 4-6 10 ml 4 times a day -
2-4 7.5ml QDS
6-24 months - 5ml
3 months - 2.5ml

Calmamine lotion - apply with a pad of cotton wool when required
Piriton - 1+

Question 29

Ulcers

Answer 29

Local analgesics - bonjela - apply every 3 hours
Anbesol- every 3 hours
Mouthwash - chlorhexidine- 10 ml bd for 1 min

Question 30

Cold sores

Answer 30

Antiviral - 5 times a day for 4 days

Question 31

Heart burn

Answer 31

Alginates - gavisocon double action
Tabs - 2-4 tabs after meals and at night QDS
Solution - 10-20ml after meals and at bed QDS

Zantac - 1 tab, 2nd 1 hour later

Question 32

Constipation

Answer 32

Stimulant laxative - senna - 2 tabs at night

Bulk - isapghula - 1 sachet mixed with water morning and evening after meals

Osmotic - lactulose

Suppository - immediate -

fluids / increase dietary fibre for example whole grain / wheat - weetabix and fruit and veg- avoid sedentary lifestyle

Question 33

Diarrhoea

Answer 33

Loperamide - 2X2mg capsules immediately followed by 1 capsule after every loose movement - max 6

Dioralyte - 1 sachet into 200 ml water - 5 sachets a day for 3/4 days

Question 34

Haemorrhoids

Answer 34

Anaesthetic - lidocaine / benzocaine - germoloids - at least twice a day after each bowel movement )3-4 hours

Anusol - apply at morning and night and preferably after each bowel movement - wash hands after doing so

Question 35

IBS

Answer 35

Buscopan IBS - 1 three times a day

Colpermin- 1 three times a day

Question 36

Headache

Answer 36

Paracetamol - 2 tabs every four hours

Question 37

Migraine

Answer 37

Migraleave - 2 pink tabs as soon as symptoms appear - no more than 2 in 24 hours for 3 days

Imigran - 1 tab - 2nd no less than 2h

Buccasteam M - 1/2 tabs twice a day - dissolve

Question 38

Sprains / strains

Answer 38

Paracetamol / ibuprofen oral or gel - theee times a day

Question 39

Back pain

Answer 39

Keep active
Analgesics
Hot compress