Facts

Question 1

when should COCP and HRT be stopped before surgery?

Answer 1

4 weeks prior

Question 2

when should Li be stopped before surgery?

Answer 2

day BEFORE

Question 3

when should ACE/K sparing diuretics be stopped before surgery?

Answer 3

day of

Question 4

when and why should metformin be stopped before surgery?

Answer 4

day of

lactic acidosis risk

Question 5

what Abx contain penicillins?

Answer 5

co amox

tazocin

Question 6

dose of cyclizine and metaclopramide?

Answer 6

cyclizine - 50mg 8hourly IV

metaclop - 10mg 8hourly IV

Question 7

what anti emetic is safe in parkinsons?

Answer 7

domperidone

Question 8

what two drugs used in heart failure can cause too much bradycardia?

Answer 8

verapamil

Bb

Question 9

what ABx should be avoided when taking MTX? why?

Answer 9

trimethoprim

bone marrow suppression

Question 10

what anti-epileptic is safest in pregnancy?

Answer 10

lamotrigine

Question 11

what blood result should metformin be avoided in?

Answer 11

creatinine >150

Question 12

what does flecanide do to the ECG?

Answer 12

prolongs QT interval

Question 13

if a patient has severe renal impairment, what opioid should be given?

Answer 13

oxycodone

Question 14

adverse effects of aspirin?

Answer 14

bleed
gastric ulcers
tinnitus

Question 15

adverse effects of amiodarone?

Answer 15

Thyroid
fibrosis
grey skin

Question 16

adverse effects of NSAIDs?

Answer 16

renal failure
worsens heart failure
asthma
indigestion
clotting problems

Question 17

what anti emetic should be used in HF? why?

Answer 17

metaclopramide

cyclizine causes fluid retention

Question 18

what is the dosing of codiene?

Answer 18

codeine 30mg QDS

Question 19

what is the dosing of co codamol?

Answer 19

co codamol 30/500 (30mg codeine, 500mg paracetamol)

2 tablets, QDS

Question 20

side effects of lamotrigine?

Answer 20

ras

SJS

Question 21

side effects of carbamazepine?

Answer 21

rash
ataxia
nystagmus
low Na

Question 22

side effects of phenytoin?

Answer 22

ataxia
peripheral neuropathy
LFTs deranged
gum hyperplasia

Question 23

Tx for diarrhoea?

Answer 23

loperamide 2mg 3hourly

codeine 30mg 6 hourly

Question 24

insomnia Tx?

Answer 24

zopiclone 7.5mg (3.75 in elderly)

Question 25

e.g of a stool softner?

Answer 25

docusate sodium (avoid in nut allergy)

Question 26

e.g of a bulking agent?

Answer 26

isphagula husk

Question 27

e.g of a stimulant laxative?

Answer 27

senna

Question 28

e.g of a osmotic laxative?

Answer 28

lactulose

phosphate enema