Prescribing

Question 1

meningitis

Answer 1

Ceftriaxone
OR
Cefotaxime

**Benzylpenicillin in hospital is reserved for confirmed cases of meningococci, IM in GP

Question 2

DVT

Answer 2

LMWH

Dalteparin or Enoxaparin

Question 3

ACEi when?

Answer 3

evening due to postural hypotension

Question 4

AF rate control

Answer 4

CCB - Diltiazem, verapamil

BB

Question 5

Hyperkalaemia initial mx

Answer 5

ACTRAPID 10U in 100ml of 20% Dextrose over 30 min

IV

Question 6

new diabetic - overweight

Answer 6

metformin

*not in low creatinine due to risk of lactic acidosis and in underweight as suppresses appetite

Question 7

new diabetic - underweight or high creat

Answer 7

sulphonylurea

-zide

Question 8

UPSI - Levnorgestrel

Answer 8

within 72h

*if vomiting within 3h repeat dose

Question 9

UPSI - Ulipristal

Answer 9

within 120h
*restart other contraception in 5 days, use barrier
**asthma caution
*delay breastfeeding by 1w

Question 10

UPSI - IUD

Answer 10

upto 5 days after

*best so offer to all if meets criteria

Question 11

C.diff first line

Answer 11

IV vancomycin 10 days

Question 12

Life-threatening C. difficile infection

Answer 12

oral vancomycin AND IV metronidazole