Lancash 24 Questions Got Wrong Flashcards
Eclampsia treatment?
Labetalol
Nifedipine
Methyldopa
Which AntiHypertentsive drug to repeat Urea & Electrolytes in 7-14days?
Lisinopril
Which laxative reduces surface tension + increases penetration?
Bisacodyl
Trimaterene urine colour?
Greenish - BLUE
Red brownish urine colour?
Senna
Nitrofurantoin urine colour?
Yellow-brown
Red-orange colour contact tints?
Rifampacin
dark stools?
Ferrous sulphate
Ergocalciferol used in which deficiency?
Vit d
Increased Bone fracture risk anti diabetic?
Pioglitazone
Severe Acute pancreatitis?
GLP - 1 Agonist eg Dulaglutide
Abdomen radiating pain anti diabetic?
DPP-4i Eg Sitagliptan
What age guidance is neonate considered under?
Under 28 days
‘Neonate’ means ‘Newborn’
6 in 1 vaccine correct regimen?
8 weeks
12 weeks
16 weeks
Vincristine, Vinblastine,Vindesine side effects to know?
Broncho spasms
PERIPHERAL NEUROPATHY
Pseudephedrine max dose?
720mg
Ephedrine max dose?
180mg
Effervescent paracetamol max pack size?
NO RESTRICTIONS on effervescent
Powders, GRANULES OR LIQUIDS
use professional judgement
When to enter private cd?
Same day or next following day
Pom register retain for how long?
2 years
Weekend Emergency supply cannot be done by who?
Supplementary prescriber
CD destruction record containing Patient own CDs Retained for how long?
7 years
Normal CD register retained for how long?
2 years
Dipyridamole when to take?
30-60mins before food
Dipyridamole discard after opening after how long?
6 weeks
Keep out of reach and sight of children is legal requirement or good practice?
Good practice
Levonorgestrel vomiting/diarrhoea advice? When should another pill be taken?
If replacement pill not taken within how long? Or persistent vomiting/diarrhoea when should additional precautions be taken?
Take another pill within 2 hours
Replacement pill if not taken within 3hrs
Additional precautions for 2 days after recovery
After 5 days of cycle additional pre cautions duration needed?
2 days
Pregnant Women Nitrofurantoin dose?
7 days Treatment of 100MG BD
Isosorbide Mononitrate should be avoided in pt experience what effect?
Erectile Dysfunction
Which drug treats extrapyridal dysfunction side effects?
Procyclidine
Procyclidine side effects?
Blurred vision
Urinary incontinence
Difficult urinating
Drowsiness
Constipation
Not Acute pancreatitis
CYP450 Enzyme inducers?
CARBAMAZEPINE
RIFAMPACIN
ALCOHOL
PHENYTOIN
GRISEOFULVIN
PHENOBARBITAL
SULPHONYUREAS
3 of them are anti epileptic
Citalopram side effects?
Dry mouth
Constipation
Blurred vision
Urinary retention
Hypothyroxine Side effects?
***LOW THINK FEATHERWEIGHT BOXER
FATIGUE
Weight gain
Constipation
Menstrual irregularities
Intolerance to Cold
Depression
Dry skin
Hyperthyroxine side effects?
***Think Harry Potter Bird flies High
Hyperactivity @ Heat intolerance
Insomnia
Diarrhoea
Weight loss
Increased appetite
Goitre
Excessive metabolism of levothyroxine, what should pt do?
With hold dose for 1-2days and start again at lower dose
Mineralcorticosteroids cause what in sodium?
Sodium retention
Gentamycin mechanism of action?
Inhibits protein synthesis to 30s Ribosomes
Baby has reflux what to advise?
Keep upright while feeding and after
Avoid tight diaper
Which inhaler to avoid in Narrow wide angled Glaucoma?
Ipatropium Bromide
-increases ocular pressure
Which anti migraine med usually can cause tightness in chest?
Sumatriptan
Formeterol classified as what drug class?
LABA
Usual dose for Fostair (Beclometasone/Formeterol)?
1-2 Puffs up to Four times a day
8 PUFFS MAX
Mebendazole advice when recommending?
Over 2 years old
Whole family
Take for 2 weeks after if reinfection occurs
What is a Mart Inhaler?
Maintenance and Relieve
Combo of ICS & LABA
Symbicort (Budesonide/Formeterol) dosage in 12 year old?
2 puffs daily 1-2 divided doses
Increased to 2 puffs up to 12 Puffs for limited time!
Mirabegron advice?
Avoid in severe uncontrolled hypertension
>180mmhg or >110mmhg diastolic
Alfuzosin COMMON MUST REMEMBER SIDE Effect?
First dose Causes Hypotension
Which drug class cause Hypotension after First dose?
Alpha blockers
Fever In Children guidelines?
Child younger than 3 months with temp over 38 degrees or higher
are in a high risk group for serious illnesses
Outer ear infection recommendations?
- Avoid swimming or submerging in water
- Keep affected ear dry
- Use otc acetic acid to restore ph
- Avoid inserting anything
- Take otc ibuprofen/paracetamol
Carbimazole with mouth ulcer?
Agranulocytosis
Hycoscine Butylbromide side effect?
Constipation
Dry mouth
Urinary incontinence
Pupil dilation
Gout serum urate level?
360micromol/L
Which otc med should not be recommended in chicken pox?
IBUPROFEN