otc 2.0

Question 1

Cough

Answer 1

Expectorants-
Guaifenesin 200mg QID

Mucolytics-
Bromhexine 8mg TDS

Suppressants (Careful asthma)-
Dextromethorphan 30mg TDS
Codeine 15mg TDS

Question 2

Cold

Answer 2

Antihistamines-
Brompheniramine

Systemic sympathomimetic-
Pseudoephedrine
Phenylephrine

Topical sympathomimetics-
Ephedrine
Phenylephrine

-Saline sprays

Question 3

Sore throat

Answer 3

Local anaesthetics-
Lignocaine
Benzocaine

Antiinflammatories-
Benzydamine

Aspirin+Salt water gargle

Question 4

Rhinitis

Answer 4

Systemic-
Sedating and non sedating antihistamines
-Certrizine
-Fexofenadine
-Loratadine

Ocular antihistamines-
Azelastine

Nasal antihistamine-
Azelastine

Nazal Corticosteroid-
Fluticasone
Budesonide

Nasal anticholinergic-
Ipratropium

Ocular sympathomimetic-
Phenylephrine

Question 5

Bacterial conjunctivitis

Answer 5

Chloramphenicol

Question 6

Allergic conjunctivitis

Answer 6

Antihistamines-
Phineramine

Intraocular mast cell stabilisers
Lodoxamide

Sympathomimetics-
Phenylephrine

Question 7

Dry eye

Answer 7

Hypromellose

carmellose

Question 8

Ear wax

Answer 8

Dichlorbenzine 5 drops BD for a few days
Docusate
Sodium chloride spray

Question 9

Otitis externa

Answer 9

Not much

Acetic acid

Question 10

Headaches

Answer 10

Simple analgesia
Metoclopramide + Para
Prochlorperazine

Question 11

insomnia

Answer 11

Sleep hygiene
Diphenhydramine
Doxylamine

Question 12

Cystitis

Answer 12

Alkalinising agent-
Potassium citrate
Sodium citrate

hexamine hippurate

Cramberry juice

Question 13

vaginal discharge

Answer 13

topical clotrimazole
Oral fluconazole

Nystatin cream

Question 14

Dysmenorrhoea (Period pain)

Answer 14

NSAIDS-
Ibuprofen
Diclofenac
Mefenamic acid
Naproxen
Codeine/Para/Doxylamine

Question 15

PMS

Answer 15

Pyridoxine (B6)

Calcium

Question 16

Menorrhagia

Answer 16

Mefenamic acid 500mg TDS

Question 17

Mouuth Ulcers

Answer 17

Triamcinolone paste at night
Choline salicylate
Local anaesthetic- Lignocaine
Antibacterial-Chlorhexidine
Orabase protective paste

Question 18

Oral Candidiasis

Answer 18

Miconazole gel

Nystatin drops

Question 19

Gingivitis

Answer 19

Good oral hygiene

Clorhexidine mouth wash

Question 20

Dyspepsia

Answer 20

Antacids-Sodium/Calcium/magnesium/aluminium
Alginates- Mylanta
H2 antagonist- Ranitidine
PPI- Pantoprazole, omeprazole, lasoprazole

Question 21

Diarrhoea

Answer 21

Hydration
Loperamide
Codeine

Question 22

Constipation

Answer 22

Bulk forming- Ispaghula husk
Stimulant- Senna, Glycerol
Osmotic- Lactulose, Sorbitol
Softeners- Docusate

Question 23

Haemorrhoids

Answer 23

Increase fiber
Anaesthetic-Lignocaine/benzocaine
Astringents- Zinc/aluminium (protective coat)
Antiinflammatories- hydrocortisone
Protectorants- shark liver oil
(Xyloproct all, Soov it no shark)

Question 24

Psoriasis

Answer 24

Emollients
Keratolytics-salicylic acid
Coal tar
Dithranol

Question 25

Dandruff

Answer 25

Ketoconazole shampoo

Coal tar products

Question 26

Tinea

Answer 26

miconazole (Daktarin)
Ketoconazole (Nizoral)
Terbenafine
benzoic acid

Question 27

Fungal nail infection

Answer 27

Miconazole tincture BD

Question 28

Hair loss

Answer 28

Minoxidil 1-5%

Question 29

Warts

Answer 29

Salicylic acid-soak in warm water first then rub before a few drops
Cryotherapy

Question 30

Scabies

Answer 30

Permethrin whole tube for 8 hours

Benzyl benzoate

Question 31

Acne vulgaris

Answer 31

benzoyl peroxide daily or BD

Azelaic acid BD

Question 32

Cold sores

Answer 32

Aciclovir

Question 33

Eczema

Answer 33

Emollients
Hydrocortisone 0.5-1% BD max 7/7
Clobetasone