Greenlight 2024 Flashcards

1
Q

Which vitamin is useful to take as a supplement during pregnancy

A

Vitamin D

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2
Q

Why does serum creatinine and urine output need to be measured when taking gentamycin while pregnant

A

to avoid toxicity

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3
Q

What are the symptoms of B12 deficiency

A
  • tiredness
  • pins and needles
  • pale/yellow skin
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4
Q

What is the reason Pancreatin is indicated for Cystic fibrosis

A

increase in exocrine lipase secretion

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5
Q

How to swallow Pancreatin

A

swallow whole with milk or apple juice

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6
Q

What is the maximum dose of Tranexamic acid per day

A

4g

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7
Q

What is a red flag side effect of Tranexamic Acid

A

Colour Vision change

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8
Q

What analgesic to use if a patient is experiencing severe pain

A

morphine

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9
Q

What should you use to for venous thromboebolism prophylaxis for 7 days

A

1st Line:
LMWH (enoxeparin)

2nd Line:
Fondaparinus sodium

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10
Q

Can you supply a patient with OTC viagra if they are already on sildenafil on prescription

A

no (refer to doctor)

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11
Q

What group of patients should not take DOACs

A

people with mechanical heart valves

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12
Q

How long should someone use clotrimazole 1% cream for

A

apply daily until 4 weeks after lesions have gone

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13
Q

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

A

C. Hypertension

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14
Q

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

A

C. Fluorouracil
(hand foot syndrome)

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15
Q

Which blood thinners does Phenytoin react with heavily

A
  • DOACs (rivaroxaban)
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16
Q

Which blood thinners does not interact with Phenytoin that much

A
  • Warfarin
  • Heparins
17
Q

Which test is not conducted when starting lithium

A

hepatic function

18
Q

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

A

C. Olanzapine

19
Q

Which drugs have risk of agranulocytosis (low neutrophil count)

CCAAAAT

A

C clozapine
C carbimazole
A anticonvulsants
A antibiotics
A antimalarials
A anti-depressants/psychotics
T trimethoprim

20
Q

What are Hyperthyroidism symptoms

A
  • heat intolerance
  • persistent thirst
  • weight loss
21
Q

What are the symptoms of Hypothyroidism

A
  • intolerance to cold
  • weight gain
  • constipation
  • loss of libido
22
Q

What are inhalation instructions for a metered dose inhaler

A
  • slowly
  • deeply
23
Q

What are inhalation instructions for an easyhaler

A
  • strongly
  • deeply
24
Q

What are inhalation instructions for a powder inahaler

A
  • quickly
  • deeply
25
Q

Treatment for diabetic ketoacidosis

A

IV Soluble insulin

26
Q

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

A

E. Ovarian cancer

27
Q

What are symptoms of cauda equina syndrome?

A
  • severe lower back pain
  • motor weakness
  • bladder dysfunction
  • bowel incontinence
28
Q

Sepsis signs

A
  • 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
29
Q

What are the 1st and 2nd Line treatments for Dementia with lewy bodies

A

1st Line:
- Donzepazil
- Rivastigmine

2nd Line:
- Galantamine

30
Q

What OTC should you not use with chicken pox

A

Ibuprofen

31
Q

When is a child allowed to go school with chicken pox

A

when all the spots have crusted over

32
Q

learn orbit and chads

A

learn orbit and chads

33
Q

What can tyramine rich foods do when eaten with MAOi

A

hypertensive crisis

34
Q

What is a vancomycin loading dose

A

2g over 240 mins

35
Q

Which antidiabetic medication can cause cystitis and vaginal thrush

A

dapagliflozin

36
Q

What red flag symptom of Clindamycin

A

severe diarrhoea

37
Q

What is the interaction between clarithromycin and quetiapine

A

QT prolongation

38
Q

What can insulin glargine and pioglitazone cause

A

cardiac failure