Prior Exam Flick Flashcards
1
Q
Live vaccine administration?
A
Nasal
2
Q
Inactive Vaccine administration form?
A
IM (intramuscular)
3
Q
PMDI inhaler how to administer?
A
Slow & Deep
4
Q
DPI (Dry powder) how to administer?
A
Quick forceful & Deep
5
Q
Tetracyclines affect on INR?
A
Tetracycline Increases INR levels
6
Q
5FU reaction Uv damage?
A
Expected so medical attention if hard to adhere
7
Q
If constipated/ nausea when taking iron?
A
Give iron on alternate days
8
Q
Which drug to give for oestrogen breast cancer to stop recurrence?
A
Tamoxifen
9
Q
Hypertension step up treatment if you have to add a Thiazide?
A
Indapamide
10
Q
If P Value is statistically significant?
A
0.5 or less
11
Q
Measles mouth symptoms?
A
White spots in mouth
12
Q
Scarlet fever mouth symptoms?
A
White coating on tongue peeling to a
Strawberry tongue
Also sandpaper skin
13
Q
Clozapine monitor which blood component?
A
Monitor leukocytes & differential bloods
Monitor Before initiation as can lead to Agranulocytosis
14
Q
Vaccine for whooping cough?
A
Boostrix IPV
15
Q
Flu vaccine who else is eligible to take?
A
COPD pt can take
16
Q
Pre contemplation example?
A
Pt not interested in quitting
ie not contemplated yet
17
Q
If muscle cramps with metformin?
A
Urgent Referral
18
Q
Hypoglycaemia what to take in the case of it occurring?
A
3-4 tablespoons of sugar
4-5 glucose tabs
150-200ml juice
DEXTROSE /Glucogel
IM Glucose -> if not responding -> IV
19
Q
Heartburn step up from Gaviscon?
A
Esomeprazole/Omeprazole 20mg
20
Q
Eczema Step up from Emollient?
A
Hydrocortisone 1%
21
Q
SABA + Low dose ICS next Step up?
A
LTRA (NICE)
Or
LABA (BTS)
22
Q
Moderate asthma attack?
A
Salbutamol 8-10 puffs
23
Q
Severe Asthma Attack?
A
Salbutamol nebulised Oxygen +/- Ipatropium
24
Q
Acute Asthma attack life threatening?
A
IV Aminophylline
25
Ulipristal and Breastfeeding, how long should you wait?
1 Week Delay
26
Ulipristal caution in which pt group?
Severe Asthmatics
27
Levonorgestrel how long to wait to Breastfeed?
No Delay!
28
Levonorgestrel caution in which patient group?
Malabsorption patients
29
Lidocaine and Pregnancy
Not to use lidocaine in pregnancy
30
Patches - which test to remove them in?
MRI
31
Which abx & Methotrexate increases toxicity?
Amoxicillin (Penicillin) - Bruising, mouth ulcer
32
Safest Anti-epileptic in pregnancy?
Levetiracetam / Lamotrogine
33
What is Med Reconciliation?
Pt lists meds usually themselves to check they know how to take them
34
Which opiod pt’s should avoid patches?
Opiod Naive patients - not daily basis
35
Lipodystrophy also confused with what?
Cutaneous Amyloid
36
Drug driving pharmokinetics usually in which stage? (Resource q so not always same)
Metabolism
37
Which anti emetic has a risk of oral cleft?
Ondansetron
38
Which med causes Tourette’s/Tic
Methylphenidate
39
Sorethroat otc med?
Flurbiprofen (Strefen)
40
Warfarin - Which OTC med interacts?
OTC Miconazole - increases INR
41
Warfarin and Tramadol?
INR increases
42
Daktarin oral gel minimum age?
4 months
43
Hydrocortisone maximum applications?
2 times out of- 8-12hrs apart
44
CD 2/3 which address types are not acceptable?
PO BOX address
45
Why should insulin needles not be used again?
Becomes blunt after single use
46
Clopidogrel should not be used in which condition long term?
Stroke prevention
47
HRT and Osteoporosis?
Osteoporosis is a benefit in HRT use
48
Nicorandil, Amlodopine and Isosorbide mononitrate all can have which side effect at treatment initiation?
Headache
49
Abiraterone common sign?
Heart Failure
50
Which abx can cause cholestatic jaundice?
Co-amoxiclav
51
Most time efficient and accurate study?
Systematic review
52
Bradycardia BPM?
Under 60bpm
53
Smells like fish?
Bacterial Vaginosis
54
Cottage cheese white and thick?
Thrush
55
Green, yellow or frothy?
Trichomoniasis
56
Vagina- Blister/Sores
Genital Herpes
57
Vagina - Pelvic pain/Bleeding?
Chlamydia or Gonorrhoea
58
Pioglitazone avoid in CVD?
Yes HF pts especially
59
Nebivolol and HF? Licensed or not? Age?
Yes licensed for 70years+
60
Constriction of Pupil?
Miosis
61
Dilation of Pupils?
Mydriosis
62
When to monitor Theophylline levels?
4-6hrs after dose
5 days after oral dose
3 days after dose adjustments
63
Do not Abrupt withdrawal corticosteroids in which conditions?
>40mg Pred for more than 1 week
Repeat dose in evening
>3wk treatment
Short course within 1 year of stopping
Pt repeated course (espec over 3wks)
64
Tramadol and epilepsy?
Tramadol lowers seizure thresholds
65
Levothyroxine monitor which attribute more?
TSH
66
Benign Prostate Hyperplasia treatment?
(CANNOT EMPTY BLADDER FULLY)
Alpha Blocker or Finasteride
67
Which tabs are moisture sensitive?
Nicorandil or Effervescent tabs or Sodium Valproate
Moisture sensitive for 30days out of package
68
Urinary frequency treatment?
Solifenacin, Tolteride, Oxybutynin
(Antimuscarinic)
69
Supervised consumption essential service or Advanced?
Essential service
70
Blood dyscrasia which drugs?
Carbomazole, Clozapine, Chloroquine, Chloropromazine
71
Warfarin for DVT Duration?
12 weeks
72
Chest compressions?
100-120 times
73
Which drug causes breast tenderness or libido change?
Spironlactone
74
Lowest Risk CVD of NSAIDs ?
Naproxen 1000mg Daily
Or
Ibuprofen 1.2g Daily
75
Lowest risk of Gi side effect NSAIDS?
Cox selective - Celoxib
76
Jerking muscles - Prokinetic treatment?
Metoclopramide
77
Carbamazepine and DOACS?
Carbamazepine decreases exposure of DOACS
78
If on CYP inducer for past 4 weeks 1st line contraceptive?
Copper IUD
79
Contraception if on CYP inducer for past 4 weeks - 2nd line and pt is 16+?
Double Levornorgesterol
80
Which emergency contraceptive should not be given in double dose when taking CYP inducer?
Ulipristal
81
An expiry of June 2025 means when?
End of June 2025 so 31/6/25
82
If pt had back pain and fewest opiod side effects?
Tramadol
83
Which DOAC does not require parental overlap?
ONLY Apixaban
84
How long parental overlap does Dabigatran/Edoxaban need?
5 days
85
Cyclophosphamide to avoid bladder toxicity, which drug is given as well?
Mesna
86
If a drug is toxic which levels should be checked?
Serum conc of Drug
87
Which drug causes Flushing body, Face, Neck?
Red man - Vancomycin
88
Tablet form of GLP-1?
Repaglinide
89
Retain signed order for how long?
2 years
90
CD Register retain for?
2 years
91
Pt using phenoxymethylpenicillin and Hydroxycarbamide classic case for treating what?
Sickle Cells
92
If Long time (eg >1yr) has flat patch, sideways, which condition most likely?
Melanoma
93
Which med should not be administered unless 4-6hrs after med or 1 hr before?
Colestyramine
*Affects Absorption Meds*
94
Which drug causes Oedema?
CCB
95
Breastfeeding analgesic?
Ibuprofen/Paracetamol
96
Which CD Require denature before disposal?
CD Sch 2,3,4
97
Decongestant for 6-12 years?
Sudafed liquid
98
Over 80 BP Target?
<150/90mmHg
99
NSAID contraindicated in which condition?
Heart failure
100
Levothyroxine efficacy reduced by what supplements?
Calcium and iron
101
Formeterol can cause what and as a result what happens to the dose?
Liver Cirrhois - Reduce dose
102
What Asthma drug causes shaky tremor?
Salmeterol - Beta 2 Agonist
103
What does Gabapentin with other opioids such as morphine cause?
Respiratory Depression
104
Which drug is Severely contraindicated in Sildenafil?
GTN - Causes Hypotension
105
Sulphasalazine causes which condition?
Hepatotoxicity
106
Lithium post dose duration?
12 hours
107
If Angina is not managed well with beta blocker what can be added?
CCB
108
Folic acid deficiency treatment?
5mg Folic acid
109
Vitamin B9?
Folate deficiency
110
Folic acid in pregnancy general with pt with no risks?
400mcg folic acid
111
Baby with yellow crusty patch skin condition?
Cradle cap
112
Digoxin toxicity can cause imbalance in what electrolyte
Hypercalcaemia ^
Hypokalaemia, Hypomagnesemia
113
What Nasal drops can a kid between 6-12 yrs use for congestion relief?
Xylometazone - 5 days use
114
What laxative can be given to clean bowels before colonoscopy?
Magnesium w/ Picosulphate
115
Co-codamol on a EU rx - can it be dispensed?
Yes dispense - CD Sch 5 is fine on eu rx
116
Why does Amiodarone cause thyroid disorders?
Due to its iodine content
117
DVT during HRT use?
STOP - Emergency referral
(Rare side effect)
118
If duration of menstrual period is mentioned and seems fairly recent what should be assumed? And as a result what should you think to give?
Intact uterus
Therefore: Progesterone & Oestrogen
If within 12months last period -> Cyclical HRT given
119
If pt is obese what HRT formulation is Preffered and why?
Patch preffered - due to risk of DVT
120
If pt had a Hysterectomy then what HRT and why? Give OTC example?
Oestrogen only due to risk of endometriosis
OTC example: GINA (estradiol)
121
Myoclonic treatment?
Levetiracetam
122
Cd expiry duration? And when would it expire if Rx dated 1st November
28 days!
29th November
123
Isotretinoin expiry duration? And when would it expire if Rx dated 1st November
7 days
7th November
124
Which vaccines are due between 2 1/2yrs to 3yrs 4months?
Measles, Mumps, Rubella, (MMR)
Diphtheria, Tetanus, Pertussis (DTP)
+ Polio
125
Clozapine monitoring?
Weekly till wk18, fortnightly till 1 year then 4 weekly
126
Pt takes phenytoin, which uti to avoid and why?
Trimethoprim - Anti folate
127
H pylori which ppi interacts with Clopidogrel?
Omeprazole
128
Alendronic acid Jaw pain?
Risk of osteonecrosis refer to gp urgent
129
When can you restart regular hormonal contraception after levonorgestrel?
Straight away can resume
130
All CD’s have a validity of how many days?
28 days
131
Theophylline dose monitor after initiation? Post dose time and how many days after?
4-6 hours post dose
And 5 days after initiation
132
Theophylline dose monitor after change of dose? Post dose time and how many days after?
4-6 hours post dose
And 3 days after dose change
133
Amorolfine how many toes is ok to treat otc?
1 or 2 toes any more than 2 REFER
134
Scratch abx?
Fluclox
135
Carbimazole fever? Malaise? Sore throat?
Refer to Gp - Agranulocytosis/ neutropenia
136
Ischaemic stroke longterm treat?
Clopidogrel 75mg and Atorvastating high intensity (80mg)
137
What side effects can sildenafil cause other than dizziness/headache? Unusual
Congestion and HYPOtension
138
CANS?
Celiprolol
Atenolol
Nadalol
Sotalol
139
HRT before surgery?
Stop HRT 4-6wks before surgery
140
Permethrin advice?
Whole body cover and Repeat after 1wk!
141
Elderly pt on antidepressants, how long to wait to switch?
6 wks
142
Non elderly pt on antidepressants, how long to wait to switch?
4 wks
143
Pregnancy when to give metformin if gestational diabetes?
Has to be Over 7 mmol/l - anything less
Diet and lifestyle advice!
144
Shortest malaria treatment?
Malarone (Atovaq with prog)
1-2 days prior travel (same as dox)
1 week post unlike others are four wks
145
HF pts should avoid what drugs?
RL CCB eg Verapamil or Diltiazem
146
Carbamazepine and levonorgestrel interaction?
Carbamazepine Reduces efficacy of Levornorgesterol
147
Omeprazole otc referral age?
Over 55 years
148
Diazepam is what schedule? Can it be emergency supplied?
Sch 4 and therefore yes for 5 days
Cd 4/5 can be emergency supplied for 5days
149
CD Sch 3 drugs?
Tramadol
Gabapentin
Pregabalin
Temazepam
Midazolam
Buprenorphine
150
Are Diazepam and Temazepam
In the same CD class?
No Temazepam is schedule 3
Diazepam is schedule 4
151
Bullseye looking Rash?
Tick Bites (Lyme disease)
152
Hepatotoxic drugs?
Rifampacin
Co amoxiclav
Flucloxacillin
Tetracyclines
Pioglitazone
Paracetamol
Antifungals
153
Progesterone only Pill such as Norethisterone, what precautions need to be taken if started on 2nd day of cycle?
NONE - No additional precautions
As pt has started during first 5 days of cycle
154
Donepezil side effects?
Bradycardia, Nausea, urinary incontinence, Lacrimation, Salivation, Bronchospasms, Diarrhoea
155
How long can you not drive after changing / withdraw dose in anti epileptic drug?
6 months!
156
DKA side effect should you Report MHRA?
Yes report it’s serious
157
Mebendazole in pregnancy?
AVOID
158
Repeat vet rx valid for how long?
6 months
159
Which drugs increase Risk of bleeds?
SSRI
DOACS
NSAIDS
Carbocisteine!
Corticosteroids!
160
St John’s wort CYP?
CYP inducer - decreases efficacy of drugs
161
QT Prolongation increases in which drugs?
Domperidone
Macrolides
SSRI and TCA
Methadone
Antipsychotics - Haloperidol
Corticosteroids
Methadone
162
Methotrexate and diarrhoea?
YES METHOTREXATE CAN CAUSE DIARRHOEA + Stomatitis - GI TOXICITY
163
Phenothiazine antidote? (Give example of phenothiazine as well)
Procyclidine antidote
Example of Phenothiazine - Prochlorperazine
164
SERO-TONIN BUS?
SSRI, SNRI
TCA, Tramadol
Buspirone
165
Lithium exacerbation range?
0.8-1mmol
Not 0.4-1 which would be maintenance
166
The long acting Sulphonyureas that should be avoided in Elderly?
Gliblenclamide + Glimepiride
RISK OF FALLS
167
High CVD risk pt what anti diabetic is licensed?
Empagliflozin / Dapagliflozin
168
What circumstances should you refer to A&E
Acute and Time sensitive!
If longterm occurred then GP potential urgent appointment is enough
