passmed

Question 1

what is cimetidine?

Answer 1

H2 receptor antagonist (inhibits stomach acid production)

Question 2

the p’s pf raised prolactin?

Answer 2

pregnancy 
prolactinoma 
physiological 
PCOS 
primary hypothyroidism
phenothiazines (metaclPramide, domPeridone)

Question 3

HbA1c - does it have a place in diagnosis of type 1 diabetes?

Answer 3

no

Question 4

what diabetic medication must be avoided in patient with history of heart failure?

Answer 4

pioglitazone

Question 5

what do DDP4 inhibitors do to weight?

Answer 5

weight neutral

Question 6

give an example of a DPP4 inhibitor?

Answer 6

sitagliptin (griffin) (saxophone)

Question 7

pioglitazone side effects?

Answer 7

weight gain
liver impairment
increased fracture risk
causes fluid retention (can’t use in heart failure)

Question 8

when is piogitazone contraindicated?

Answer 8

in heart failure - causes fluid retention

Question 9

most common side effect in sufonylureas?

Answer 9

weight gain (fat bride)

Question 10

other side effects of sufonylureas?

Answer 10

SIADH
bone marrow suppression
liver damage
peripheral neuropathy

Question 11

what is a known complication of carbimazole

Answer 11

agranulocytosis

Question 12

what would a patient develop with ahranulocytosis?

Answer 12

sore throat or fever

Question 13

which drugs may reduce hyperglycaemic awareness?

Answer 13

beta blockers