PSA

Question 1

Treatment summary for analgesia conversion

Answer 1

Palliative care

Question 2

Treatment summary for meningitis

Answer 2

Medical emergencies in the community

Question 3

Treatment summary for overdose management

Answer 3

Poisoning

Question 4

Treatment summary for steroid conversions

Answer 4

Glucocorticoid therapy

Question 5

How much steroid cream to apply and where?

Answer 5

Topical corticosteroids

Question 6

Treatment summary for dealing with acute bleeding

Answer 6

Oral anticoagulants

Question 7

Treatment summary for which medications to stop before surgery?

Answer 7

Surgery and long term medications

Question 8

Treatment summary for HRT?

Answer 8

Sex hormones

Question 9

Treatment summary for constipation?

Answer 9

Laxatives

Question 10

Treatment summary for STIs?

Answer 10

Genital system infections

Question 11

Treatment summary for prophylactic infections ?

Answer 11

Antibacterial, used for prophylaxis

Question 12

Treatment summary for pneumonia

Answer 12

Respiratory system infections

Question 13

Treatment summary for URTIs?

Answer 13

Oropharyngeal infections

Question 13

What are the drug enzyme inducers?

Answer 13

C - Carbamazepine
R - Rifampicin
A - Alcohol excess (chronic)
P - Phenytoin

G - Griseofulvin
P - Phenobarbitone
S - Sulphonylureas

Question 13

What are the drug enzyme inhibitors?

Answer 13

SICK FACES.com

S - Sodium Valproate
I - Isoniazid
C - Cimetidine
K - Ketoconazole
F - Fluconazole
A - Acute Alcohol
C - Chloramphenicol
E - Erythromycin
S - Sulphonamides

C - Ciprofloxacin
O - Omeprazole
M - Metronidazole

AND GRAPEFRUIT

Question 14

Drugs to stop before surgery?

Answer 14

Insulin
Lithium (day before)
Anticoagulants (including aspirin)
COCP/HRT (4 weeks before)
Potassium sparing diuretics
Oral hypoglycaemic
Perindopril (ACE inhibitors)

Question 14

Side effects of steroids

Answer 14

STERIOD

S - Stomach ulcer
T - Thin skin
E - Edema
R - Right and left heart failure
O - Osteoporosis
I - Infection
D - Dyscrasia (clotting abnormalities)

And HYPERGLYCAEMIA

Question 14

Which drugs are given in mcg?

Answer 14

Levothyroxine
Digoxin
Naloxone
Tiotropium
Atropine
Folic Acid
Fludrocortisone
Everything inhaled
Tamsulosin

Question 14

Why is Prednisolone given in the morning?

Answer 14

Insomnia

Question 14

What should be given for a patient who is on steroids of over 3 months ?

Answer 14

Alendronic Acid - 10mg DAILY or 70mg weekly

Question 14

What monitoring is required for Isotretinoin?

Answer 14

Liver and Lipids

Question 15

What should be prescribed with Methotrexate?

Answer 15

Folate

Question 15

What monitoring is required for lithium?

Answer 15

Thyroid function

Question 15

What are the contraindications for a beta blocker?

Answer 15

Asthma

Peripheral arterial disease

Question 15

What is phytomenadione?

Answer 15

Vitamin K

Question 16

What are the fluid calculations for children?

Answer 16

Resus for children is 20ml/kg in 15 min ! Maintenance for children  100ml for first 10 kg  50ml for next 10kg  20ml for every kg after

Question 17

What is the dose of calcium gluconate used for hyperkalaemia?

Answer 17

Calcium gluconate 10% 30ml over 10 mins

Question 18

What dose of Enoxaprin should be given for surgery?

Answer 18

Enoxaparin sodium 100mg/ml injection OK in pregnancy

Question 19

What VTE prophlyaxis should be used for renal impaired patients?

Answer 19

Unfractionated heparin

Question 20

What drugs can cause confusion?

Answer 20

Prednisolone Antipsychotics Benzodiazepines Strong painkillers

Question 21

What drugs can cause cholestasis?

Answer 21

COCP Perindopril Flucloxacillin

Question 22

What drugs should be stopped for conception in males and females?

Answer 22

Methotrexate, antiepileptics, and isotretinoin

Question 23

What is the treatment for life threatening heamorrhage?

Answer 23

Prothrombin complex + IV vitamin K 5mg (regardless of INR)

Question 24

What is the drug regimen for PE?

Answer 24

Rivaroxaban 15mg BD PO

Question 25

What antibiotic is used for HAPs?

Answer 25

Tazocin 4.5g 8hr IV

Question 26

Which analgesic should be used in renal impairment?

Answer 26

Oxycodone

Question 27

What are the steps of the analgesic pain ladder?

Answer 27

Paracetamol Ibruprofen Naproxen/diclofenac Codeine/co-codamol Tramadol Morphine/Fentanyl

Question 28

Which antiemetic should be used for what?

Answer 28

Post surgery - Ondansetron Parkinson's - Domperidone Hyperemesis - Promethazine

Question 29

What should be done for contraception is someone on the COCP is started on an enzyme inducer?

Answer 29

Take additional protection for 4 weeks after

Question 30

What treatment summary should be used for illness with diabetes?

Answer 30

Diabetes, surgery, and medical illness

Question 31

What should be done for T2DM management before surgery?

Answer 31

Metformin - no change unless TDS then skip middle dose Sulphonylureas - Skip morning dose SGLT2 - Skip day of surgery

Question 32

What drugs cause constipation?

Answer 32

Opioids Iron CCBs Bisphosphonates Anticholinergics (oxybutynin)

Question 33

What drugs cause hyperkalaemia?

Answer 33

ACEi NSAIDs Beta blockers Spironolactone

Question 34

What drugs cause hypokalaemia?

Answer 34

Diuretics Laxatives Antibiotics

Question 35

What drugs cause hypernatraemia?

Answer 35

Diuretics

Question 36

What drugs cause hyponatraemia?

Answer 36

Omeprazole Citalopram ACEi

Question 37

What fluid maintenance regimen for adults should be used?

Answer 37

The traditional regime = “1 salty + 2 sweet”: Saline 0.9% + 20mmol potassium chloride (over 8 hours) Dextrose 5% + 20mmol potassium chloride (over 8 hours) Dextrose 5% + 20mmol potassium chloride (over 8 hours)