LPs from on track Flashcards
Which class of ABs is associated with dental hypoplasia in children U12 therefore contraindicated?
Tetracyclines
Why is aspirin contraindicated in U16s? (Unless it’s for Kawasaki’s disease)
Risk of Reye’s syndrome
Which bisophosphonate is contraindicated in women of child bearing age?
Zolendronic acid
Alcohol + sulphonylureas?
Enhanced anti diabetic effect
Long term bisphosphonate therapy is associated with what?
Atypical femoral fractures
What is dermatophytic onychomycosis?
Fungal infection of nails
If you do not use GTN tablets wihin how many weeks of first opening bottle then discard and obtain fresh supply?
8 weeks
(GTN tablets are administered by putting them under tongue, may be repeated at 5 min interval. If pain persists for more than 15 min, medical care should be sought)
(Should not be transferred to another container)
(Preferably taken when sitting down)
Which of the following do not cause rectal bleeding?
Anal fissure Colorectal carcinoma Diverticular disease Hiatus hernia Inflammatory bowel disease
Hiatus hernia
Vitamin D is responsible for the absorption of calcium therefore increasing serum calcium. What are signs of hypercalcaemia?
N + V
Loss of appetite
Constipation and abdominal pain
Increased thirst and frequent urination
Fatigue, weakness and muscle pain
Confusion, headaches and depression
Baclofen can enhance the hypotensive effects of ACEi and BBs. What’s its main indication?
Relief of spasticity of voluntary muscle resulting from MS, spinal cord and motor neurone diseases.
(Can cause hallucinations)
Which anticoagulant should be avoided in pregnancy?
Vitamin K antagonists
Warfarin, phenindione
Which laxative agent can interfere with fat soluble vitamins?pp
Liquid paraffin
Atovaquane is licensed for the treatment of mild to moderate pneumocystis infections who can’t tolerate co-trimoxazole. What are options for severe pneumocystis?
Hydrocortisone
Pentamidine isetionate
Prednisolone
Xylometazoline 0.1 nasal spray and other otc sympathomimetics should be used for how long and why?
No more than 7 days
Can cause rhinitis medicamentosa
Paracetamol with pts who weigh under 50 kg
Use with caution
Increased risk of toxicity
Sensitivity to sulphonamides + triptans
Use with caution
Laxative choice for terminally ill
Co-danthramer
Dantor (stimulant laxative)
Ploxamer 188 (wetting agent that acts as a stool softener)
May colour urine red
Docusate sodium
Osmotic + stimulant propeties
500 mg daily in divided doses
Adult patients suffering from chronic constipation
Lactulose
Osmotic laxative
Used in hepatic encephalopathy
Opioid induced constipation (can also stimulant but avoid bulk forming)
Mycophenolate Mofetil counselling points regarding contraception.
(Immunosuppressant following transplant)
Males: Both partners should use appropriate contraception during treatment and for at least 90 days after stopping.
Females: use 2 types of contraception for up to 6 weeks after stopping treatment
Difference between German measles (rubella) and measles (morbilli)
Ps rubella can cause organ damage during early stages of pregnancy (CRS)
Measles manifests itself with white spots (surrounded by red ring) on inner cheek and gums
NB. Rubella (German measles) becomes a serious concern if a pregnant woman catches it within first 20 weeks of pregnant. Can disrupt development of baby.
Which jab is given at 8 weeks 12 weeks and 16 weeks during first year of life?
Single jab containing vaccines to protect against sis separate diseases:
Diphtheria Tetanus Whooping cough (pertussis) Polio H. Influenzae type b Hib and hepatitis B
Ergotamine contraindications
Inadequately controlled hypertension
Benzodiazepines contraindications
Acute pulmonary insufficiency
Marked neuromuscular respiratory weakness
Sleep apnoea syndrome
Unstable myasthenia gravis
