Part 1-2 Prescribing skills

Question 1

neo-naclax is known as

Answer 1

bendroflumethiazide

Question 2

thiazide diuretics cause what electrolyte abnormlaity

Answer 2

increasing potassium excretion vi akindeys causing hypokalamia

Question 3

how to thiazide diruretics work

Answer 3

inhibiting the sodium chloride cotransporter (NCC) in the distal convoluted tubules of the kidney
,. Thiazide diuretics inhibit this receptor, causing the body to release NaCl and water into the lumen, thereby increasing the amount of urine produced each day.

Question 4

high potassium what do you stop

Answer 4

ACE and IV fluids

Question 5

pain regime for prescription reg

Answer 5

mild - paracetamol 1g 6hrly PO , sev co-codamol 30/500 6hrly

Question 6

PRN pain

Answer 6

para 1g 6hrly
coiene 30mg6hrly or morphine 10mg orla 6hr

Question 7

max dose of paracetmaol a day

Answer 7

4g

Question 8

two drugs causing indigestion

Answer 8

ibroprofen and prednisilone

Question 9

cuases of confusion in eledelr

Answer 9

tramadol
cyclizine
diazepam

Question 10

when is methotrexate contraindicated

Answer 10

in active infection

Question 11

loop diuretics to both sodium and potassium

Answer 11

both low

Question 12

side effect of ccb

Answer 12

peripheral oedema

Question 13

half securon is what

Answer 13

verapamil

Question 14

treatment dose of what for DVT

Answer 14

apixaban 10mg

Question 15

maintaince sodiumchloride normal duration for both 500ml and 1l bag

Answer 15

500ml - 4-6hours
1000ml 8-12hours

Question 16

what is the starting dose of a statin for primary prevention of CVD

Answer 16

20mg

Question 17

difference between primary and secondary prevention

Answer 17

Primary prevention aims to prevent disease or injury before it occurs, while secondary prevention focuses on early detection of disease to prevent it from progressing

Question 18

secondary prevention dose of a statin

Answer 18

80mg

Question 19

hyperchplestroamia dose of statin starting

Answer 19

10mg

Question 20

two drugs that can causes haematemeis

Answer 20

NSAID and aspirin

Question 21

what drugs can cause dehydration

Answer 21

diuretics, laxatives and SSSRI

Question 22

how does aspirin cause iron deficiency anaemia

Answer 22

Aspirin may also cause subtle, undetected internal bleeding that leads to anaemia
inhibitory effect on production of protective prostaglandins on gastric mucosa

Question 23

what two diabetic drugs cause hypoglycaemia

Answer 23

Sulfonylureas: Such as glipizide, glyburide, gliclazide, and glimepiride. Long-acting sulfonylureas like glimepiride are more likely to cause severe, prolonged, or even fatal hypoglycemia.
Thiazolidinediones: Such as rosiglitazone and pioglitazone, when used with sulfonylureas.

Question 24

what drugs cause urinary retention

Answer 24

anticholinergics - anti p , anti d , detrusor relax
general anaesthetics
alpha adrenoreceptor
benzos
NSAID
CCB
antihistmaines
alcohol

Question 25

post surgery long QT what antiemetic of choice

Answer 25

cyclizine

Question 26

rash on rash painful, vesciluar in mandibular region, history of oncology tx

Answer 26

aciclovir 800mg - shingles

Question 27

fluid resusciitation as losing lfuids what do you prescirbe

Answer 27

sodium chloride 500ml ( bolus level as need to be as quick as possible no longer than 15min in exam so go for 10min) could also do hartmans for resus

Question 28

high potassium caused by

Answer 28

ciclosporin eplerenone

Question 29

dyspepsia drugs causing

Answer 29

pred aledronic acid

Question 30

loose stool caused by

Answer 30

lansoprazole aldrendornic acid

Question 31

ankle swelling caused by

Answer 31

NSAID CCB Phenelzine: Also known by the brand name Nardil Selegiline: Also known by the brand name Emsam MAOI - above pregalbin

Question 32

agitated, extreme upward deviation of the eyes, painful extension and lateral flexion of cervical spine

Answer 32

procyclidine 5mg IM

Question 33

exacerbation of COPD what shoudl we do

Answer 33

pred oral 30mg

Question 34

what two drugs can you not take in critical or acute limb ischaemia or leg uclers

Answer 34

B- adrenoreceptors blockers - peripheral vasoC and worsen ACEi also in critical limb ischaemia

Question 35

what drugs worsen HF

Answer 35

steriods and CCB

Question 36

which medication should be continued through any interucurrent illness

Answer 36

pred - as she may have chronic adrenal suppresion and her steriod treatment must not be stopped abruptly

Question 37

low INR explain what clarithymycin will do

Answer 37

will raise INR which is why you should not increase warfarin dose if on abx and level slightly beloe - check INR 48hr

Question 38

do you need monitor warfarin whilst on some abx

Answer 38

yes every 48rh

Question 39

what two medications are commonly prescribed weekly

Answer 39

bisphosphonates methotrexate

Question 40

Approximately what percentage of patients who are allergic to penicillin are also allergic to cephalosporins?

Answer 40

0.5-6.5%

Question 41

v Chlorpromazine

Answer 41

anti p

Question 42

chlorophenamine

Answer 42

anti h

Question 43

what medications are usually taken at night

Answer 43

statins amitriptyline

Question 44

4 domain marks - remeber to put dose route and frequency

Answer 44

A. Drug Clarithromycin 4 / 4 B. Dose, route, frequency 500mg IV BD 0 / 4 C. Date 23/12/24 1 / 1 D. Signature Harry Richardson

Question 45

for emergency contraception what do you write in duration

Answer 45

STAT