internal medicine

Question 1

ARBs

Answer 1

losartan 12,5 - 100mg / d

Question 2

ACEIs

Answer 2

ramipril 10mg/d at first

Question 3

Digoxin

Answer 3

0,125-0,250mg

Question 4

Betablocker for post STEMI

Answer 4

50mg metaprolol

Question 5

Betablocker for HF (EF<40%)

Answer 5

200mg

Question 6

Antithrombotic therapy

Answer 6

ASA 200mg (cont. with 100mg) 
and clopidogrel 500mg (cont. with 75mg)
and Heparin 5'000 - 10'000UI

Question 7

Nitrates in ACS

Answer 7

5mg sublingually os ISDN (isosorbide dinitrate)

Question 8

Thrombolysis

Answer 8

Alteplase 100mg

Question 9

Lowering LDL below 1,8mmol

Answer 9

atorvastatin, simvastatin 40-80mg

Question 10

CCB

Answer 10

verapamil 300mg/d
diltiazem 50mg/d
amlodipin 5-10mg/d

Question 11

ATBs MACROLIDE

Answer 11

CLARITHROMYCIN, AZITHROMYCIN 250-500mg/d

Question 12

loop diurectic

Answer 12

Furosemide 40-160mg/d

- (!hypoK,Ca,alkalosis)

Question 13

K sparing diuretic

Answer 13

Spironolactone 100-400mg/d (for CHF)

- (!hypermK, acidosis)

Question 14

Metformin

Answer 14

500mg-1000mg (develop tolerance so max 3000mg)

DS 1-1-1/0

Question 15

Noradrenaline

Answer 15

1microg/min

Question 16

Atropine

Answer 16

0,5-1,0mg IV

Question 17

Morphine

Answer 17

5-10mg IV (triple s.c.)

Question 18

PPI

Answer 18

10-40mg for dyspepsia

20-80mg for H.pylori eradication

Question 19

hydrocortisone

Answer 19

10-60mg and 100mg in shock

Question 20

prednisone

Answer 20

5-60mg daily

Question 21

amoxicillin

Answer 21

500mg-1000mg

DS 1-1-1

Question 22

ibuprophen

Answer 22

400mg every 4-6h

Question 23

diclofenac

Answer 23

max 150mg/d (so 25-50mg every 4-6h)

Question 24

salbutamol

Answer 24

0,1-0,2mg 3-4x daily (max1,6mg adult)

Question 25

tramadol

Answer 25

3-4x 50-100mg

Question 26

warfarin

Answer 26

according to PT
1st 10-15mg/d
maintain 2-10mg/d

Question 27

amiodarone

Answer 27

1mg per shot

Question 28

fluoroquinolone

Answer 28

400mg

Question 29

glitazone and otherantidiabetics

Answer 29

15mg x2

Question 30

antihistamins

Answer 30

loratidine 10mg (x3 if needed)

Question 31

low molecular weight heparin

Answer 31

fraxiparin 0.01mg/kg

Question 32

Stechova: prescribe for a UTI

Answer 32

Rp. Nitrofurantion 100mg
Exp orig unam
DS 1-1-1

Question 33

prescribe for a diabetic

Answer 33

glargine….