Prescribing questions

Question 1

Salbutamol for severe/life-threatening acute asthma

Answer 1

• Salbutamol
• 5mg
• Every 20-30 mins
• Oxygen driven nebuliser

Question 2

Prednisolone for severe/life-threatening acute asthma

Answer 2

• Predisolone
• 40–50 mg
• Daily for at least 5 days
• Oral

Question 3

Diuretic therapy for acute heart failure

Answer 3

• Loop diuretic (furosemide)
• 20-50 mg
• Can increase by 20mg every 2 hrs
• IV injection/IV infusion

Question 4

BB for acute heart failure

Answer 4

• Bisoprolol
• 1.25 mg
• Once daily
• Oral

Question 5

Stepwise management of acute heart failure?

Answer 5

1. IV diuretic therapy
2. BB, ACE-In and aldosterone antagonist

Question 6

Lansoprazole for oesophagitis

Answer 6

• Lansoprazole
• 30mg
• Once daily
• Oral

Question 7

When is the best time to take statins?

Answer 7

At night - most cholesterol metabolism occurs overnight

Question 8

What can you prescribe for immediate relief of indigestion?

Answer 8

• Magnesium carbonate
• 10 ml
• Oral

Question 9

What should you avoid in patients with myasthenia?

Answer 9

Antimuscarinics - worsen symptoms

Question 10

What anti-diabetic drugs are prescribed in patients with CVD?

Answer 10

• SGLT-2 In
• Canagliflozin 100mg PO OD

Question 11

Which anti-diabetic drug is contraindicated in HF?

Answer 11

• Thiazolidinediones -> pioglitazone

Question 12

Which anti-diabetic drugs are associated with weight gain?

Answer 12

• Sulfonylureas - gliclazide
• Thiazolidinedione - pioglitazone

Question 13

When should you stop metformin?

Answer 13

eGFR <30

Question 14

What do you give for VTE prophylaxis in patients with renal failure?

Answer 14

• Heparin (unfractioned)
• 5000 SC units BD

Question 15

What is the first thing prescribed in hyperkalaemia?

Answer 15

Calcium gluconate 10% 30ml IV

Question 16

What is given for hypo/hypercalcaemia?

Answer 16

• Hypo - calcium gluconate
• Hyper - NaCl

Question 17

What is the management of Addisonian crisis?

Answer 17

Hydrocortisone 100mg IM or IV

Question 18

What HRT is given to women with uterus intact + LMP <12 months ago? Provide two options with drug and brand name

Answer 18

1. Oral sequential (cyclical) combined oestrogen and progesterone
   - Estradiol with norethisterone
   - Elleste-Duet 1mg/2mg
2. patch sequential combined oestrogen and progesterone
   - Estradiol with norethisterone
   - Evorel sequi

Question 19

What HRT is given to women with uterus intact + LMP >12 months ago? Provide two options with drug and brand name

Answer 19

1. Oral continuous combined oestrogen and progesterone
   - Estradiol with norethisterone
   - Elleste-Duet conti
2. Patch continuous combined oestrogen and progesterone
   - Estradiol with norethisterone
   - Evorel conti

Question 20

What HRT is given to women post-hysterectomy? Provide one options with drug and brand name

Answer 20

1. Oral or patch oestrogen
   - Estradiol
   - Elleste-solo

Question 21

Which antiemetic is safe in PD?

Answer 21

Domperiodone

Question 22

What are contraindications to a stimulant laxative? Give an example of a stimulant laxative?

Answer 22

• Colitis
• Cramps
• Senna

Question 23

Why are bulk forming laxatives avoided in people with bloating related to constipation? Give an example of a bulk forming laxative?

Answer 23

• They take days to have any effect
• Good for people who are asymptomatic
• Ispaghula husk

Question 24

What is the main contraindication to osmotic laxatives? Give an example of an osmotic laxative?

Answer 24

• Bloating
• Will worsen symptoms
• Lactulose