Greenlight 2024 Flashcards
Which vitamin is useful to take as a supplement during pregnancy
Vitamin D
Why does serum creatinine and urine output need to be measured when taking gentamycin while pregnant
to avoid toxicity
What are the symptoms of B12 deficiency
- tiredness
- pins and needles
- pale/yellow skin
What is the reason Pancreatin is indicated for Cystic fibrosis
increase in exocrine lipase secretion
How to swallow Pancreatin
swallow whole with milk or apple juice
What is the maximum dose of Tranexamic acid per day
4g
What is a red flag side effect of Tranexamic Acid
Colour Vision change
What analgesic to use if a patient is experiencing severe pain
morphine
What should you use to for venous thromboebolism prophylaxis for 7 days
1st Line:
LMWH (enoxeparin)
2nd Line:
Fondaparinus sodium
Can you supply a patient with OTC viagra if they are already on sildenafil on prescription
no (refer to doctor)
What group of patients should not take DOACs
people with mechanical heart valves
How long should someone use clotrimazole 1% cream for
apply daily until 4 weeks after lesions have gone
Which of the following side effects of hydrocortisone is caused by its mineralocorticoid activity?
A. Depression
B. Diabetes
C. Hypertension
D. Muscle wasting
E. Osteoporosis
C. Hypertension
A 76-year-old man presents to the ED with a tingling sensation in his hands and feet which gradually progresses to pain. On examination, the palms and soles are noted to be swollen and tender on palpation. The patient has recently completed his first cycle of chemotherapy 3 days ago.
Which of the following chemotherapy agents is most likely to be causing the patient’s symptoms?
A. Cyclophosphamide
B. Epirubicin
C. Fluorouracil
D. Paclitaxel
E. Trastuzumab
C. Fluorouracil
(hand foot syndrome)
Which blood thinners does Phenytoin react with heavily
- DOACs (rivaroxaban)
Which blood thinners does not interact with Phenytoin that much
- Warfarin
- Heparins
Which test is not conducted when starting lithium
hepatic function
Which of the following drugs should NOT be used in combination with methotrexate due to the increased risk of agranulocytosis?
A. Aspirin
B. Clomipramine
C. Olanzapine
D. Pioglitazone
E. Tramadol
C. Olanzapine
Which drugs have risk of agranulocytosis (low neutrophil count)
CCAAAAT
C clozapine
C carbimazole
A anticonvulsants
A antibiotics
A antimalarials
A anti-depressants/psychotics
T trimethoprim
What are Hyperthyroidism symptoms
- heat intolerance
- persistent thirst
- weight loss
What are the symptoms of Hypothyroidism
- intolerance to cold
- weight gain
- constipation
- loss of libido
What are inhalation instructions for a metered dose inhaler
- slowly
- deeply
What are inhalation instructions for an easyhaler
- strongly
- deeply
What are inhalation instructions for a powder inahaler
- quickly
- deeply
Treatment for diabetic ketoacidosis
IV Soluble insulin
Which of the following conditions is HRT LEAST likely to increase the risk of developing?
A. Coronary heart disease
B. Endometrial cancer
C. Osteoporosis
D. Stroke
E. Ovarian cancer
E. Ovarian cancer
What are symptoms of cauda equina syndrome?
- severe lower back pain
- motor weakness
- bladder dysfunction
- bowel incontinence
Sepsis signs
- Slurred speech or confusion
- Extreme shivering or muscle pain
- Passing no urine (in a day)
- Severe breathlessness
- It feels like you’re going to die - Skin mottled or discoloured
What are the 1st and 2nd Line treatments for Dementia with lewy bodies
1st Line:
- Donzepazil
- Rivastigmine
2nd Line:
- Galantamine
What OTC should you not use with chicken pox
Ibuprofen
When is a child allowed to go school with chicken pox
when all the spots have crusted over
learn orbit and chads
learn orbit and chads
What can tyramine rich foods do when eaten with MAOi
hypertensive crisis
What is a vancomycin loading dose
2g over 240 mins
Which antidiabetic medication can cause cystitis and vaginal thrush
dapagliflozin
What red flag symptom of Clindamycin
severe diarrhoea
What is the interaction between clarithromycin and quetiapine
QT prolongation
What can insulin glargine and pioglitazone cause
cardiac failure
