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Pre-reg exam MRMCOPY > Prev exam questions > Flashcards

Prev exam questions Flashcards

1
Q 
2017 september
Lithium patient has painful period what can you give her
- Ibuprofen
- Aspirin
- Codeine
- Paracetamol
- Dihydrocodeine and paracetamol
A

cannot give nsaid due to interaction with lithium so not ibuprofen or aspirin

Correct answer: dihydrocodeine and paracetamol

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2
Q

2017 september
What medicine would cause the patient to have renal issues
- calcium

A

calcium

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3
Q

2017 september
skin picture identification
Classically dome-shaped, flesh-coloured or pearly white papules with a central umbilication 3 - 5mm over a few weeks

  • pityriasis versicolor
  • pityriasis rosacea
  • moloscum contagiosum
  • SLE

how would you treat?

A

moloscum contagiosum

treat with paracetamol only

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4
Q

2017 september

patient want scream for kids nappy rash

A

clotrimazole 1%
=> what are age restrictions?
=> how different to clotrimazole 2%?

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5
Q 
2017 september
patient want something for headlice for kid that doesn't smell
HEADLICE*
- Malathion
- Dimeticone
- Permethrin
A

dimeticone 1% lotion
Hedrin
physical insecticide — these silicone or fatty acid ester-based products kill the lice by physically coating their surfaces and suffocating them, so resistance is unlikely to develop

Wet combing or dimeticone 4% lotion is recommended 1st-line for pregnant or breastfeeding women, young children aged 6 months to 2 years, and people with asthma or eczema. A contact time of 8–12 hours (or overnight) is recommended for lotions and liquids.
Shampoos are generally not recommended because they are diluted too much and have an insufficient contact time to kill eggs.

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6
Q

2017 september

eczema on kid not cracked

A

hydrocortisone on hand 1%

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7
Q

2017 september

Which one can you not do as emergency supply

  • tramadol
  • diazepam
  • zolpidem
  • phenobarbital
  • temazepam*
A

CD 123 and phenobarbital you can’t do emergency supply => tramadol
CD 4 and 5 you can - zolpidem, diazepam

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8
Q 
2017 september
which one needs safe custody 
- temazepam
- morphine low strength oromorph
- benzodiazepines
A
  • temazepam
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9
Q

2017 september

explanation on mtx and trimethoprim interaction

A

btoh folate antagonist and cause bone marrow suppression

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10
Q

2017 september
old lady fell what to give her d supplement from spc
paracetamol kid dose for 2 month old baby*

A

Paracetamol doses:

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11
Q 
2017 september
organism that causes UTI: ecoli
what could neutropenia cause: sepsis?*
- sepsis
- thrombocytopenia
A

Patients with neutropenia (low levels of neutrophils in the blood) are at risk of sepsis.

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12
Q

2017 september
hospital acquired pneumonia regimen*
Alternative for pen allergy?

A

non severe symptoms
1st choice: Co-amoxiclav:
500/125 mg three times a day for 5 days then review
Alternatives:
Doxycycline: 200 mg on first day, then 100 mg once a day for 4 days (5‑day course) then review

Cefalexin (caution in penicillin allergy): 500 mg twice or three times a day (can be increased to 1 g to 1.5 g three or four times a day) for 5 days then review

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13
Q

2017 september
Woman ate nuts chest tight now tickling what to give?
review anaphylaxis*

A

adrenaline

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14
Q

2017 september

heroin addict who has overdosed what do you do

A

give him naloxone and tell dispenser to call 999

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15
Q

2017 september

warfarin has minor bleed what do you do**

A

give phytomenandione

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16
Q

2017 september
HTN black pt give cCB amlodipnie
pt 2nd line HTN tx ans arb losartan

A

HTN guidelines

17
Q 
2017 september
What antibiotic would you pick for patient on quetiapine and pen allergic
- doxycycline
- erythromycin
- clarithromycin
- amoxicillin
A
  • doxycycline - tetracycline

macrolides erythromycin and clarithromycin have contraindication due to being enzyme inhibitors and increasing quetiapine conc

18
Q

2017 september

What is rate control in AF = BB **

A

what is rate and rhythm control?

19
Q

2017 september
Interpret blood results to see what pt needs
low ferratin and low haemaglobin
what to prescribe/
- ferrous sulfate 200mg tds
- cyanacobalamin (megaloblastic anaemia)**
- vitamin options

A

anaemais

20
Q

2017 september
deranged cholesterol and deranged tsh4 low so pt was experiencing constipation and letheargy
why was he experiencing
- hypothyroidism**

A

lab results for hypo and hyper thyroidism

21
Q 
2017 september
Jaundice symptoms yellow eyes and hepatic issues
- flucloxacillin
- allopurinol
- amoxicillin
A

flucloxacillin

22
Q 
2017 september
days you can supply cd max 30 days
grey circle inhaler which one is it (round)**
- qvar = MDI
- handihaler = round DPI
- pulmicort
- turbohaler = DPI
- seretide
A

inhaler differences

=> print chart and practice how you would instruct patient to use each one

23
Q

2017 september
Asthma q on child <5 what to add LTRA montelukast**
COPD q what to add

A

review child asthma regulations and adult asthma regulations

review adult and child COPD regulations

24
Q

2017 september

H pylori q what to give pt was allergic to amox

A

amox + clar/metronidazole + PPI

clar + metro + PPI

25
Q

2017 september
know what is very common/common/uncommon
tx scabies: permethrin 5% dermal cream

A 
review scabies presentation
tx length
recovery
symptoms
tx advice
26
Q

2017 september
warfarin x clotrimazole
age bracket naproxen 18-45 she was 55 cannot give it to her ** OTC ages
clarithromycin x simvastatin ** omit statin until off abx
woman hurts arms/legs she needs blood test
-lipids
-serum creatinine correct

A

revew nsaids and ages

review statin esp simvastatin dose changes with other meds

27
Q 
2017 september
Vincristine given IV route * check why
hpv vaccine used for cervical cancer
sign of neutropenia sore throat
Ella One girl missed contraceptive young been 3 days give Ella
A

Review vincristine IV
HPV vaccine dates
Signs of neutropenia
Emergency contraception regulations

28
Q

2017 september
Seizure medicine for 8 week old oromucosal tabs put under tognue or yoghurt
- buccal midazolam

A

epilepsy/seizure for children what medicines taken/safe?

29
Q

2017 september
wrong dosing interval for cocodamol*
Ramipril for a pet rx meets cascade req can you dispense even if not licensed for animals?

A

review veterinary cascade!

30
Q

2017 september
Seizure medicine for 8 week old oromucosal tabs put under tognue or yoghurt
buccal midazolam
how to give midazolam to a baby?

A

epilepsy/seizure for children what medicines taken/safe?

31
Q

2017 september EMQ

child with white spots in mouth - orla thrush, shinlges

A

oral thrush

Revise skin conditions

32
Q

June 2018
Thrush oral 9yo
Thrush warfarin
Threadworm advice**

A

Children orla thrush, otc to give, referral criteria, and application instructions

Threadworm advice

33
Q

June 2018
benzo max supply
EHC max supply

A

CD max supply 30 days - does this include Sch 4 n 5?

34
Q 
2017 september 
Apixaban in acute dvt how long is dose?
MTX interactions
- amoxicillin contact GP
- ADR most likely; epixsasis, fever, bleeding gums?
A

apixaban doses

MTX side effects/tox and interactions

35
Q 
June 2018
Thrush oral 9yo
Thrush warfarin
- otc miconazole
- when is nystatin indicated? 
- miconazole x warfarin
Threadworm advice**
A

Children orla thrush, otc to give, referral criteria, and application instructions

Threadworm advice

36
Q

June 2018
diarrhoea with clindamycin; do you report?
- report to yellow card
- don’t report as common SE
neutropenia signs
hypoglycaemia signs
bleeding primary dysmenorrhoea; naproxen, mefenamic acid, coc/

A

Yellow Card requirements

Hypoglycaemia signs and symptoms

37
Q

June 2018
EHC upsi yesterday and breastfeeding*
- refer as iud most effective

A

The safety of ellaOne during breastfeeding isn’t yet known. The manufacturer recommends that you don’t breastfeed for one week after taking this pill.

38
Q

June 2018

  • child rash does not blanche - refer as maybe meningitis, a n e or gp *
  • zopiclone rx words and figures is not requirement legally only cd2 and cd3? *
A

meningitis signs and symptoms adults and cihildren

cd prescription requirements

Pre-reg exam MRMCOPY (33 decks)

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