Other

Question 1

Analgesic ladder: 1 and example

Answer 1

Non-opioid analgesic

NSAIDs

Question 2

Analgesic ladder: 2 and example

Answer 2

Weak opioids e.g. Tramadol, Codiene, Dihydrocodeine

Question 3

Analgesic ladder: 3 and example

Answer 3

Strong opioids e.g. morphine, hydromorphine
Methadone
Transdermal patch

Question 4

Analgesic ladder: 4 and example

Answer 4

Nerve block

Epidurals

Question 5

Define substance abuse

Answer 5

Ingestion of a substance that affects CNS, leading to behavioural and physiological changes for a non-therapeutic reason

Question 6

Diagnosis of depression

Answer 6

GAD-7

PHQ-9 questionnaires

Question 7

Fraser Guidelines

Answer 7

• He/she has sufficient maturity and intelligence to understand the nature and implications of the proposed treatment
• He/she cannot be persuaded to tell her parents or to allow the doctor to tell them
• He/she is very likely to begin or continue having sexual intercourse with or without contraceptive treatment
• His/her physical or mental health is likely to suffer unless he/she received the advice or treatment
• The advice or treatment is in the young person’s best interests

Question 8

Gillick competence criteria

Answer 8

They can understand the information given
They can retain the information
They can communicate her decision and reasons for it

Question 9

Thyroid Storm - hormonal changes

Answer 9

Rapid rise in T4

Question 10

Thyroid storm - 2 things that it can progress to if not treated promptly

Answer 10

Coma
Death
Delirium

Question 11

Thyroid storm - events that can precipitate it

Answer 11

Stress
Infection
Surgery

Question 12

3 oral drugs you would give orally to a patient in thyroid crisis

Answer 12

Carbimazole
Propranolol
Potassium iodide

Question 13

How does hydrocortisone reverse thyroid storm

Answer 13

Inhibit peripheral conversion of T4 to T3