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OSCE CRAM > Prescriptions > Flashcards

Prescriptions Flashcards

1
Q

Management of an abscess

A

Incise/drain via XLa, tooth or ST’s

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2
Q

First line antibiotic for bacterial infections

A

Phenoxymethylpenicillin tablets
250mg 2 tablets 4x daily for 5 days
Send: 40 tablets

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3
Q

Second line antibiotic for bacterial infections

A

500mg Amoxicillin 1 tablet 3x daily for 5 days
Send: 15 tablets

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4
Q

Bacterial infection (abscess) prescription for allergy to penicillin

A

400mg Metronidazole 1 tablet 3x daily for 5 days
Send: 15 tablets

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5
Q

Contraindications for Metronidazole

A

Warfarin pts + statins
Avoid alcohol

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6
Q

Second line for Abscesses

A

Clindamycin

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7
Q

Abx for NUG

A

400mg Metronidazole 1 tablet 3x daily for 3 days
Send: 9 tablets

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8
Q

Second line abx for NUG

A

Amoxicillin 500mg 1 capsule 3x daily for 3 days

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9
Q

Examples of fungal infections

A

Candidosis
Denture stomatitis

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10
Q

Name for thrush

A

Acute pseudomembranous candidiasis

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11
Q

Name for denture induced stomatitis

A

Chronic erythematous candidiasis

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12
Q

Local measures for candidosis/denture stomatitis

A

Rinse after corticosteroid inhaler
Denture hygiene - remove at night

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13
Q

Contraindication of Fluconazole

A

Warfarin + statins

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14
Q

What effect does Fluconazole have on Warfarin?

A

Increases anti-coagulant effect of warfarin
Inc risk of bleeding

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15
Q

What effect does Fluconazole have on Statins?

A

Rhabdomyolysis (breakdown of skeletal muscle tissue)
Hepato-toxicity

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16
Q

Prescription for Denture Stomatitis

A

Fluconazole
50mg capsule 1 capsule daily for 7 days (max 14 days)

Miconazole Oromucosal gel 20mg/g 80 tube
Pea sized amount applied after food 4x daily - use for 7 days after lesions have healed

17
Q

2nd line prescription for Denture Stomatitis (pts who are on warfarin/statins)

A

Nystatin oral suspension 100,000 units/ml, 30ml 1ml after food 4x daily for 7 days (48hrs after lesions have healed)
Rinse around mouth hold near lesion for 5 mins then swallow

18
Q

Causes of angular cheilitis

A
  1. In denture pts = fungal infection + assoc denture stomatitis
  2. Non denture pt = more likely bacterial
19
Q

Prescription for angular cheiliits

A

Miconazole cream 2% 20g tube
Apply to angles of mouth 2x daily for 10 days after lesions have healed

20
Q

Contraindication for Miconazole

A

Warfarin/statins

21
Q

Sodium Fusidate ointment indications or angular cheilitis

A

Only if bacterial cause

22
Q

Sodium fusidate prescription

A

2% 15g tube angle of mouth 4x daily

23
Q

HSV/Primary herpetic gingivostomatitis prescription

A

0.2% CHX MW - send 300ml 10ml rinse for 1 min 2x daily
If pt in severe pain
Aciclovir 200mg 1 tablets 5x daily for 5 days

24
Q

Herpes labialis prescription

A

5% Aciclovir cream send 2g apply to lesion every 4hrs 5x daily for 5 days

25
Q

Varicella zoster (shingles) prescription

A

Aciclovir 800mg 1 tablet 5x daily for 7 days

26
Q

F toothpaste prescription

A

Sodium F toothpaste 0.619% (2800ppmF)
Send: 75ml
Brush teeth for 1 min after meals using 1cm spit out 2x daily

Sodium F toothpaste 1.1% (5000ppmF)
Send: 51g
Brush teeth for 3 mins after meals using 2cm spit out 3x daily

27
Q

Ulceration 1st line prescription

A

CHX 0.2% 300ml 2x daily for 1 min
Benzydamine Hydrochloride spray 0.15% antiitflammatory + analgesic 30ml 4 sprays onto area every 1.5hrs

28
Q

Ulceration 2nd line prescription

A

Betamethasone MW (500microg dissolved in water 10ml 4x daily
Beclomethasone inhaler (200 dose inhaler, 1-2 puffs onto ulcer)

29
Q

Lichen planus topical OTC prescription

A

CHX MW
Benzydamine MW 0.15%
Avoid SLS

30
Q

Lichen planus persisting symptoms primary care

A

Betamethasone MW 500microg dissolve din water 10ml 4x daily

Beclomethasone inhaler 200 dose inhaler 1-2puffs

31
Q

Hospital setting for Lichen planus

A

Skin steroid cream - CLOBETASOL (gingival veneer)
Topical tacrolimus
Hydroxylchloroquine
Systemic immunovmodulators Azathioprine

32
Q

Pemphigus/pemphigoid prescription

A

Predniosolone
Azathioprine

33
Q

Infective endocarditis prescription

A

3g oral powder Amoxicillin sachet 60m before procedure
IF ALLERGIC
Clindamycin 300mg 2 capsules 60m before procedure

OSCE CRAM (40 decks)

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