Learning points

Question 1

Can you give oral antifungals in pregnancy?

Answer 1

No

Question 2

What is first line for C-diff?

Answer 2

Metronidazole (or vanc??)

Question 3

Rx for repeated cases of C-diff

Answer 3

Vancomycin

Question 4

Test to be done before starting azathioprine

Answer 4

TPMT

Question 5

Opioids safe in renal impairment

Answer 5

Fentanyl

Methadone

Bupranorphine

Caution: hydromorphone, oxycodone, oxymorphone

Question 6

Opioids to avoid in renal impairment

Answer 6

Morphine and codeine

Question 7

What do you do if a patient on amiodarone gets thyrotoxicosis?

Answer 7

Withhold the amiodarone

Question 8

1% solution=?

Answer 8

10mg/ml = 1g/100ml

Question 9

Which oral hypoglycaemic causes weight loss

Answer 9

GLP-1 agonist e.g. liraglutide

Question 10

Common SE of GLP-1 agonists?

Answer 10

N+V

Question 11

What should happen to metformin in renal impairment?

Answer 11

Stop if eGFR <30

Reduce dose in moderate

Question 12

Which oral hypoglycaemics risk hypo?

Answer 12

Sulfonylureas (gliclazide, glimepiride)

Glinides

Question 13

Which oral hypoglycaemics cause weight gain?

Answer 13

Sulfonylureas

Glitazones

Question 14

Which oral hypoglycaemic increases frequency of UTI/thrush?

Answer 14

SGLT2 inhibitors e.g. canagliflozin (wee out sugar)

Question 15

Which oral hypoglycaemic takes up to 12w to work?

Answer 15

Pioglitazone (glitazones)

Question 16

Which non-insulin hypoglycaemic is an injection?

Answer 16

GLP-1 agonist (liraglutide)

Question 17

Window to take COCP?

Answer 17

24h

Question 18

Action if missed POP?

Answer 18

If >12h late then use condoms for 48h

Question 19

When do you do a test of cure for chlamydia?

Answer 19

Pregnancy only

Question 20

When do you do a test of cure in gonorrhoea?

Answer 20

3 weeks post Rx

Question 21

Strawberry cervix indicates what?

Answer 21

Trichomonas

Question 22

What cause of vaginal discharge has ‘clue cells’

Answer 22

BV

Question 23

What cause of vaginal discharge has characteristic fishy discharge?

Answer 23

BV

Question 24

Does BV have soreness/itching?

Answer 24

No

Question 25

Medical management of ectopic

Answer 25

MTX

Question 26

Medical management of miscarriage

Answer 26

Mifepristone and misoprostol 2 days later

Question 27

Medical/active management of third stage of labour?

Answer 27

Syntometrine (ergometrine plus oxytocin)

Question 28

What is the difference between chorioamnionitis and endometritis

Answer 28

Chorioamnionitis is when baby still in

Endometritis when baby out