from PSA mocks

Question 1

VTE prophylaxis if using enoxaparin

Answer 1

enoxaparin sodium 100mg/ml injection - 40mg SC

Question 1

drug to relieve breahtlessnees and PO and cardiomegaly in HF

Answer 1

Furosemide - 10mg/ml injection IV

Question 2

hypoglycaemia treatment

Answer 2

glucose 10% IV - infusions are 100ml-200ml delivering around 10-20g of glucose.
infusion needs to be delivered within 20 mins - essentially this is stat so as quick as possible - so more like 10 mins

• if this not avialble glucoe 20% can be done -

Question 3

acne pt wants something oral after trying everythign topical - retinoid you have to have topical

sp oral

Answer 3

lymecycline 408mg PO daily

Question 4

three medications contributing to hyperkaelemia

Answer 4

dalteparin
ramipril
tacrolimus

Question 5

how long are antiplatelets like aspirin stopped prior surgery

Answer 5

1 week

Question 6

what drugs should not be allowed in AKI of these

allopurinol
amitrip
aspirin
BB
candesartan

Answer 6

candesaratan - ARB
allopruinol - can accumulate dose needs to be 100 or less

Question 7

cna prednisilone and glycopyrronium cause hypeglycaemia

Answer 7

yes - very uncommon in glyco

Question 8

low sodium

Answer 8

thiazide
citalopram

Question 9

levythroyine taken weekly or daily

Answer 9

daily

Question 10

should you use the same drug for regular and breakthrough pain

Answer 10

yes usually advised

Question 11

is pt recieving at least 25mcg of transdermal fentayl per hour what do you use for breakthrough

Answer 11

nasal fentanyl - max two sprays per - 4hr between

Question 12

if egfr 41 and allergic to amox and sensitive to trimethorpim what abx

Answer 12

trimethorpim

Question 13

pt on warfarin before surgery INR is low at 1.6 but still above 1.5 what do you do

Answer 13

Reversal of anticoagulation prior to elective surgery (after warfarin stopped)
for phytomenadione

if over 1.5 with IV vit K 2g po

Question 14

SSRI what needs to convey before you start

Answer 14

suidicidal ideation may worsen first in 4 weeks before getting better

things that dont matter at start are like about wthdrwaal sx

Question 15

should rivaroxaban be taken with food

Answer 15

yes

Question 16

if on topiramatae and contraception what should you do

Answer 16

change to another method of contraception until 4 weeks after she has ceased taking topiramate

Question 17

BB se - ive hd

Answer 17

ED

Question 18

flucloxacillin can cause

Answer 18

jundice after start

Question 19

what other depresive tx drug when combined with dabigatran can cause gi bleeding

Answer 19

citalopram

Question 20

is a small rise in creatinine expected when starting an ACEi

Answer 20

yes under 20% but not over 30

Question 21

how do we know if furosemide is working for HF

Answer 21

if weight reduces

Question 22

what marker would show that ACEi is working

and what marker would show that ACEi needs to be stopped

Answer 22

exercise tolerance will improve in HF on ACEi

creatinine will rise and therefore may need to be stopped

Question 23

most serious side effects of ciclopsporin

Answer 23

nephrotoxic - renal
hypertension
both mediated by vasoConstrictive effects on renal arterioles

renal function should be monitored every 2 weeks until stable

Question 24

if someone is admitted in hospital should their insulin regime be adjusted

Answer 24

not normall best to keep on exisiting regime

Question 25

transiet rise in blood glucose level - maybe due to steriods how should this be managed

Answer 25

an increase in inuslin by about 10%

Question 26

aim of statin tx and you know working when

Answer 26

over 40% reduction in not hdl cholesterol over 3 months

Question 27

when should you measure gent levels

Answer 27

6-14hr