OSCE Prescribing Flashcards

1
Q

When prescribing an oral suspension on a hospital chart what must you remember?

A

Write dose in mg NOT ml
i.e. amoxicillin 250mg/ in 5ml oral suspension

Dose: 250mg (NOT 5ml)
Frequency: TDS

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2
Q

When prescribing ibuprofen, you have seen an appropriate 100mg/ 5ml suspension of cuprofen, available on the BNF (to be given PRN but no more than TDS). How should this be written on a hospital chart?

A

Ibuprofen 100/5ml oral suspension
Dose: 100mg
Frequency: Every 6 hours
Max dose: 300mg

Do NOT prescribe by brand

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3
Q

A patient with eczema has weeping and crusting, what topical treatment should be provided?

A

Fucidin H

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4
Q

How should chlamydia be treated? How should partners be screened/ treated?

A

Single dose Azithromycin

- All partners in last 6 months should be contacted and treated BEFORE investigation results

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5
Q

Which anti-emetic is best for use to treat chemotherapy related nausea?

A

Domperidone (acts at chemoreceptors)

Ondansetron (5-HT3 antagonist (seretonin))

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6
Q

Which anti-emetic is best for use to treat middle ear related nausea?

A

Cyclizine (Histamine antagonist)

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7
Q

What is first line anti-emetic in pregnancy (including HG?)

A

Cyclizine or promethazine

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8
Q

How do you treat gonorrhoea?

A

Ceftriaxone 500 mg intramuscularly as a single dose with azithromycin 1 g oral as a single dose
(later good for co-existing chlamydia)

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9
Q

How do you treat PID?

A

IM Ceftriaxone

- 14 days metronidazole of doxycycline

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10
Q

How do you treat conjunctivitis?

A

Supportive (resolve in 1-2 weeks)

If thinking bacterial:

  • Topical chloramphenicol
  • Topical fucidic acid (if pregnant)
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11
Q

What is the best anti-emetic for motion sickness?

A

Hyocine bromide

Or cyclizine/ promethazine if above not tolerated

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12
Q

What is meant by a 0.5% solution? I.e. Lidocaine 0.5%?

A

0.5grams of solute in every 100ml

(A 2% solution would be 2g of solute in every 100ml etc).

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13
Q

Statins, when to do LFT’s?

A

Baseline
@ 3months
Then 12 monthly

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14
Q

Infliximab targets what?

A

TNF-alpha

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