Miscellaneous

Question 1

Beclomethasone diproprionate daily BDP equivalence

Answer 1

.

Question 2

What is the BDP equivalence of 1 puff BD of the Fostair Nexthaler 100/6 ?

Answer 2

500mcg BDP daily

Question 3

Why should we avoid Pethidine as a post surgery opioid?

Answer 3

It has toxic metabolites that can accumulate and cause neurotoxicity. Avoid post-op

Question 4

Phenytoin base/ phenytoin sodium equivalence?

Answer 4

Phenytoin sodium 100mg tabs= phenytoin base 92mg

Question 5

Thyroid function tests:

If TSH is HIGH and free T4 is low, what does this suggest?

Answer 5

Underactive thyroid (hypothyroidism)

Question 6

Thyroid function tests:

If TSH is LOW and free T4 is high, what does this suggest??

Answer 6

Over-active thyroid (hyperthyroidism)

Question 7

Digoxin/ digoxin elixir (suspension) equivalence?

Answer 7

Digoxin 62.5 microgram tabs= Digoxin 50 micrograms suspension

Question 8

What are the symptoms of hyperthyroidism?

Answer 8

Fatigue or muscle weakness.
hand tremors.
mood swings.
nervousness or anxiety.
rapid heartbeat.
heart palpitations 
Insomnia

Question 9

What are the symptoms of hypothyroidism?

Answer 9

tiredness.
being sensitive to cold.
weight gain.
constipation.
depression.
slow movements and thoughts.
muscle aches and weakness.
muscle cramps.

Question 10

What does the black triangle symbol mean?

Answer 10

This is a new drug in which ALL ADR’s should be reported

Question 11

What is the NPSA alert on oral chemotherapy drugs dispensing requests?

Answer 11

The prescribing, dispensing and administering of oral anti-cancer medicines should be carried out and monitored to the same standard as injected therapy.

SOP’s should be in place

Should be initiated by a specialist

Should be prescribed on a written protocol/ treatment plan- non-specialist prescribers should have access to to written protocols and treatment plans and dispensing staff should have access to the treatment plan

Question 12

How do NSAID’s work?

Answer 12

NSAIDs act by inhibiting the enzyme cyclooxygenase (COX) thereby blocking the production of prostaglandins resulting in an anti-inflammatory response. NSAIDs are classified by their selectivity of the COX isoenzymes.