Lancash 24 Questions Got Wrong

Question 1

Eclampsia treatment?

Answer 1

Labetalol

Nifedipine

Methyldopa

Question 2

Which AntiHypertentsive drug to repeat Urea & Electrolytes in 7-14days?

Answer 2

Lisinopril

Question 3

Which laxative reduces surface tension + increases penetration?

Answer 3

Bisacodyl

Question 4

Trimaterene urine colour?

Answer 4

Greenish - BLUE

Question 5

Red brownish urine colour?

Answer 5

Senna

Question 6

Nitrofurantoin urine colour?

Answer 6

Yellow-brown

Question 7

Red-orange colour contact tints?

Answer 7

Rifampacin

Question 8

dark stools?

Answer 8

Ferrous sulphate

Question 9

Ergocalciferol used in which deficiency?

Answer 9

Vit d

Question 10

Increased Bone fracture risk anti diabetic?

Answer 10

Pioglitazone

Question 11

Severe Acute pancreatitis?

Answer 11

GLP - 1 Agonist eg Dulaglutide

Question 12

Abdomen radiating pain anti diabetic?

Answer 12

DPP-4i Eg Sitagliptan

Question 13

What age guidance is neonate considered under?

Answer 13

Under 28 days

‘Neonate’ means ‘Newborn’

Question 14

6 in 1 vaccine correct regimen?

Answer 14

8 weeks
12 weeks
16 weeks

Question 15

Vincristine, Vinblastine,Vindesine side effects to know?

Answer 15

Broncho spasms

PERIPHERAL NEUROPATHY

Question 16

Pseudephedrine max dose?

Answer 16

720mg

Question 17

Ephedrine max dose?

Answer 17

180mg

Question 18

Effervescent paracetamol max pack size?

Answer 18

NO RESTRICTIONS on effervescent
Powders, GRANULES OR LIQUIDS

use professional judgement

Question 19

When to enter private cd?

Answer 19

Same day or next following day

Question 20

Pom register retain for how long?

Answer 20

2 years

Question 21

Weekend Emergency supply cannot be done by who?

Answer 21

Supplementary prescriber

Question 22

CD destruction record containing Patient own CDs Retained for how long?

Answer 22

7 years

Question 23

Normal CD register retained for how long?

Answer 23

2 years

Question 24

Dipyridamole when to take?

Answer 24

30-60mins before food

Question 25

Dipyridamole discard after opening after how long?

Answer 25

6 weeks

Question 26

Keep out of reach and sight of children is legal requirement or good practice?

Answer 26

Good practice

Question 27

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?

Answer 27

Take another pill within 2 hours Replacement pill if not taken within 3hrs Additional precautions for 2 days after recovery

Question 28

After 5 days of cycle additional pre cautions duration needed?

Answer 28

2 days

Question 29

Pregnant Women Nitrofurantoin dose?

Answer 29

7 days Treatment of 100MG BD

Question 30

Isosorbide Mononitrate should be avoided in pt experience what effect?

Answer 30

Erectile Dysfunction

Question 31

Which drug treats extrapyridal dysfunction side effects?

Answer 31

Procyclidine

Question 32

Procyclidine side effects?

Answer 32

Blurred vision Urinary incontinence Difficult urinating Drowsiness Constipation Not Acute pancreatitis

Question 33

CYP450 Enzyme inducers?

Answer 33

CARBAMAZEPINE RIFAMPACIN ALCOHOL PHENYTOIN GRISEOFULVIN PHENOBARBITAL SULPHONYUREAS 3 of them are anti epileptic

Question 34

Citalopram side effects?

Answer 34

Dry mouth Constipation Blurred vision Urinary retention

Question 35

Hypothyroxine Side effects? ***LOW THINK FEATHERWEIGHT BOXER

Answer 35

FATIGUE Weight gain Constipation Menstrual irregularities Intolerance to Cold Depression Dry skin

Question 36

Hyperthyroxine side effects? ***Think Harry Potter Bird flies High

Answer 36

Hyperactivity @ Heat intolerance Insomnia Diarrhoea Weight loss Increased appetite Goitre

Question 37

Excessive metabolism of levothyroxine, what should pt do?

Answer 37

With hold dose for 1-2days and start again at lower dose

Question 38

Mineralcorticosteroids cause what in sodium?

Answer 38

Sodium retention

Question 39

Gentamycin mechanism of action?

Answer 39

Inhibits protein synthesis to 30s Ribosomes

Question 40

Baby has reflux what to advise?

Answer 40

Keep upright while feeding and after Avoid tight diaper

Question 41

Which inhaler to avoid in Narrow wide angled Glaucoma?

Answer 41

Ipatropium Bromide -increases ocular pressure

Question 42

Which anti migraine med usually can cause tightness in chest?

Answer 42

Sumatriptan

Question 43

Formeterol classified as what drug class?

Answer 43

LABA

Question 44

Usual dose for Fostair (Beclometasone/Formeterol)?

Answer 44

1-2 Puffs up to Four times a day ***8 PUFFS MAX***

Question 45

Mebendazole advice when recommending?

Answer 45

Over 2 years old Whole family Take for 2 weeks after if reinfection occurs

Question 46

What is a Mart Inhaler?

Answer 46

Maintenance and Relieve Combo of ICS & LABA

Question 47

Symbicort (Budesonide/Formeterol) dosage in 12 year old?

Answer 47

2 puffs daily 1-2 divided doses Increased to 2 puffs up to 12 Puffs for limited time!

Question 48

Mirabegron advice?

Answer 48

Avoid in severe uncontrolled hypertension >180mmhg or >110mmhg diastolic

Question 49

Alfuzosin COMMON MUST REMEMBER SIDE Effect?

Answer 49

First dose Causes Hypotension

Question 50

Which drug class cause Hypotension after First dose?

Answer 50

Alpha blockers

Question 51

Fever In Children guidelines?

Answer 51

Child younger than 3 months with temp over 38 degrees or higher are in a high risk group for serious illnesses

Question 52

Outer ear infection recommendations?

Answer 52

- Avoid swimming or submerging in water - Keep affected ear dry - Use otc acetic acid to restore ph - Avoid inserting anything - Take otc ibuprofen/paracetamol

Question 53

Carbimazole with mouth ulcer?

Answer 53

Agranulocytosis

Question 54

Hycoscine Butylbromide side effect?

Answer 54

Constipation Dry mouth Urinary incontinence Pupil dilation

Question 55

Gout serum urate level?

Answer 55

360micromol/L

Question 56

Which otc med should not be recommended in chicken pox?

Answer 56

IBUPROFEN