OTC

Question 1

symptoms of hemorrhoids

referral symtoms

Answer 1

itching
feeling like the bowel is not empty
bleeding on toilet paper or in bowl
pain
REFER
after 1 week of OTC treatment
recurrent episodes
sharp stabbing pain on deification
large vol of blood or blood mixed in stool (black and tarry)
accompanying systemic symptoms (N&V, loss of appetite)

Question 2

Hemorrhoids treated OTC for ………… should be referred

Answer 2

1 week

Question 3

what does sharp stabbing pain on deification indicate?

Answer 3

anal fistula

Question 4

advice for hemorrhoids

Answer 4

avoiding constipation (fluids, fiber and exercise)
don't strain

Question 5

three types of things used in hemorrhoid preparations

Answer 5

local anaesthetics
astringent
anti-inflamatory

Question 6

where should local anesthetics be used on hemorrhoids?

Answer 6

only externally and not on broken skin (the anesthetic can be absorbed into systemic circulation and is toxic)

Question 7

how long can you use a local anesthetic for haemerrhoids

Answer 7

5-7 day

Question 8

what is the action of this ingredient of hemorrhoid preparations:
bismuth oxside

Answer 8

astringent

Question 9

what is the action of this ingredient of hemorrhoid preparations: cinchocaine

Answer 9

local anesthetic

Question 10

what is the action of this ingredient of hemorrhoid preparations:
muccopolysacharide polysulfate

Answer 10

fribrinolytic

Question 11

what is the action of this ingredient of hemorrhoid preparations:
shark oil

Answer 11

skin protectant

Question 12

what is the action of this ingredient of hemorrhoid preparations: yeast extract

Answer 12

wound healing angent

Question 13

sumitriptan is licensed for a max of how many attacks per month

Answer 13

4

Question 14

Should levothyroxine or liothyroxine be maintained on the same brand?

Answer 14

liothyronine

Question 15

alternative to carbimazole that may cause Liver tox

Answer 15

propylthyuricil