Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Year 6 > PSA > Flashcards

PSA Flashcards

1
Q

Neutropenia sepsis management

A

Tazocin! - however it contains penicillin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

8 year old with appendicitis. Weighs 25kg. No signs of dehydration. What fluid replacement needed?

A

Go to BNF child -> type in fluids and electrolytes. Control F for maintenance. Answer = 1,600 using the table!!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

8 year old with appendicitis. Weighs 25kg. No signs of dehydration. What fluid replacement needed?

A

Go to BNF child -> type in fluids and electrolytes. Control F for maintenance. Answer = 1,600

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

IF A PATIENT has uncontrolled htn on maximum dose of CCB and ace inhibitor ->
must add on thiazide like diuretic eg ?

A

Indapamide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

● Anxiety with adrenergic symptoms, like in the case of panic disorder is ONLY
treated with ?

A

Propanolol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

emergency Hypercalcemia is managed with?

emergency hypocalcemia treatment (following blood transfusion, patient with tingling in legs, ecg shows prolonged QT, low calcium

emergency hypokalemia is managed with?

emergency hyperkaemia treatment?

emergency hypoglycemia

A

IV 0.9 % SALINE 1L over 4 hours

IV 10% calcium gluconate over 10 minutes

sodium chloride 0.9/potassium 0.3 (higher potassium) 1L over 4 hours . if it was a child with severe diarrhea and dehydrated, you would just give 0.9%saline over 10 min

IV calcium gluconate given once only

glucose 20% 100ml over 10 min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

● HHS in diabetic patients JBDS guidlines

A

1L OF NACL over 1 hour

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Asthma uncontrolled on saba and ics -> NICE guidelines state to add on an LTRA FIRST

A

Prescribe monteleukast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Pneumonia oxygen prescription?
COPD?

A

oxygen 15 L/min non-rebreather mask, continuous (for frequency)

I critical, Ill with copd treat as above, if not = oxygen 28 % venturi mask continuous.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

If someone with no lung disease is on 2L oxygen via nasal cannula and this is not enough increase to oxygen 5-6 L/min vía simple face mask. Only give flow rates <4 via nasal cannula

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

how to induce withdrawal bleed in PCOS?

A

medroxyprogesterone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Maintenance fluids in surgery? In this case it was a TURP:

A

Too much sodium chloride can result in oedema, hyperchloraemic acidosis, increased kidney load, increased post-operative complications, and GI problems. If K+ is normal/low, you can give some, e.g. 20mmol in 12 hours. ( replace it more slowly)

5% Dextrose with 20
mmolPotassium Chloride V over 12 hours. Dextrose is preferred post operatively.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

● Liver disease Maintenance fluids: Human albumin solution is a good alternative volume expander (e.g. 100ml 20% HAS).
continue at SAME dose until euthyroid. Once
euthyroid, gradually reduce dose to 5-15mg daily and this is required for 12-18
months.

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Resus fluids in a child?

A

bolus of 10mL/Kg over 10 min.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Drugs causing hyponatremia,?

A

Omeprazole, Ramipril

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

GI side effect of nifedipine?

A

Constipation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Lying and standing blood pressure is most important!!! When titrating clozapine
-> risk of hypotension

●

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

For labetalol use in pregnancy, you monitor blood pressure twice a week in the
community until BP is 135/85 or less!! NOT everyday

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

For labetalol use in pregnancy, you monitor blood pressure twice a week in the
community until BP is 135/85 or less!! NOT everyday

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

For levothyroxine, in patients with cardiac disease or aged over 55, a lower
initial dose of 25 micrograms PO daily is required

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Most important information to give someone on lithium is that they must
drink plenty of water and eat a balanced diet while taking lithium due to risk
of lithium toxicity!!!.

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Iron reacts with doxycycline to reduce its effect

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Iron reacts with doxycycline to reduce its effect

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Malignant hyperthermia management?

A

Dantrolene

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Diabetic undergoing surgery. Fluids to give?

A

Over 500ml over 6 hours specifically!! Or 1000 over 12 For the sodium 0.45
potassium 0.15 and glucose 5 infusion in diabetes surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

You correctly chose alteplase 90 mg for stroke BUT the initial 10% shouldve
been administered by injection -> 9mg IV injection

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

You correctly chose alteplase 90 mg for stroke BUT the initial 10% shouldve
been administered by injection -> 9mg IV injection

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Side effect of nitrofurantoin?

A

Pulmonary toxicity acute and chronic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Side effect of nitrofurantoin?

A

Pulmonary toxicity acute and chronic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Drugs causing hyperuricemia?

A

aspirin, bumetanide
and ticalegror

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Ecg Side effect of quietapine? Name another drug that causes this

A

QT prolongation

Ondansetron !:

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

BNF treatment summary depression -> can change drugs after 4 weeks if no
efficacy. Step 1 switch to another SSRI, step 2 is switch to mirtazapine

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Prescribing in palliative care treatment summary!!! Itll give you the conversion of
morphine from 48 mg goes to -> buprenorphine patch 20micrograms. But your
answer was 50mg which is close enough to 20 equivalent

A
34
Q

Causes of hyperkalemia?

A

Tacrolimus
Ciclosporin
Trimethoprim

35
Q

Starting pain medication is paracetamol. Avoid nsaid in IBD and elderly
●

A
36
Q

Nitrofurantoin should be avoided if EGFR is less than 45!!!. Trimethoprim is
better

A
37
Q

Nitrofurantoin should be avoided if EGFR is less than 45!!!. Trimethoprim is
better

A
38
Q

Starting pain medication is paracetamol. Avoid nsaid in IBD and elderly

A
39
Q

Starting pain medication is paracetamol. Avoid nsaid in IBD and elderly

A
40
Q

Most important to monitor for adverse effects of ciclosporin after 2 weeks of treatment?

A

Serum creatinine.

41
Q

Most important to monitor for adverse effects of ciclosporin after 2 weeks of treatment?

A

Serum creatinine.

42
Q

Cholestatic jaundice is common with flucloxacillin!

A
43
Q

Cholestatic jaundice is common with flucloxacillin!

A
44
Q

● Naproxen causes ankle swelling

A
45
Q

● Paracetamol dose in a 10 year old is different! This was the prescribing
error

If it is a child, and you need to find prescribing error, go on to bnfc to check doses

A
46
Q

Important safety information section states ciprofloxacin may exacerbate
seizures in epilepsy. If you cant find things in the side effects section, it
may be here

A
47
Q

Hyperuricemia for gout
GI disturbance for dyspepsia
Sleep disturbance for insomnia

A
48
Q

Monitoring section of artovarstatin says that if serum transaminases are
raised but less than 3 times upper limit, continue artorvastatin at current
dose

A
49
Q

dose
● Glargine is long acting insulin so you monitor it pre-breakfast capillary
glucose (fasting) and NOT 2 hour post-prandial

A
50
Q

Diverticula disease is treated with co-amoxiclav

A
51
Q

Diverticula disease is treated with co-amoxiclav

A
52
Q

Make sure to add modified release to the name of the drug

A
53
Q

levofloxacin should be avoided in a history of epilepsy

A
54
Q

aminophylline worsens siezure control

A
55
Q

Adenosine is contraindicated in asthma!!! As is beta blockers and NSAIDs

A
56
Q

flecanaide is contraindicated in HF, also avoid oral Ibuprofen

A
57
Q

For cellulitis, if there is the option of oral and Iv treatment. Go for oral first. As long as there are no signs of systemic upset

A
58
Q

if a patient has PVD and needs a statin, you give them the statin at the higher dose! = 80mg not 20mg because they have established cardiovascular disease

A
59
Q

Alendronate can be prescribed daily or weekly

A
60
Q

Cardiovascular drugs are usually prescribed once daily so that’s one thing to double check

ECG is necessary in assessing digoxin toxicity

A
61
Q

-> review the calculation questions in your Google drive from past papers, maybe do a few on pass med

A
62
Q

The gentamicin dose peak and trough doses Cut off is lower in Infective endocarditis!!!

A
63
Q

Start acetylcysteine if paracetamol dose is greater than 150 mg/kg

A
64
Q

stable angina -> statin + beta blocker/cbb

A
65
Q

liver disease can increase inr

A
66
Q

search appendix 1 interactions. very important

A
67
Q

always double check the unit they want your answer and double check calculations

A
68
Q

if you search fluids and electrolytes, itll tell you how many moles of potassium for instance is in 0.3% solution -> 40mmol/litre

you need to know daily requirements =
23-30 ml/kg of water
1mmol/kg Na and K+
50-100g glucose

A
69
Q

maintenance fluids you have to prescribe both o.9%saline and 0.15 potassium over 8 hours

A
70
Q

bnf treatment summary -> orapharyngeal fungal infections -> nystatin is the drug of choice!!!

A
71
Q

if youve given salbutamol inhaler and no relief. you still start in hospital by giving salbutamol NEBULISED

A
72
Q

UFH better than enoxaparin in kidney failure. always check this

A
73
Q

bleeding, lots

A
74
Q

learn the treatment summaries

A
75
Q

meningitis in community, give cefotaxime if allergic to penicillin

A
76
Q

HRT prescribing. question here is a patient that wants a tablet. 48 yo. irregular periods how to find it?

A

search “conjugated oestrogens with medroxyprogesterone”

-> cyclical/sequential oestrogen if still having periods, continous if not

womb with LMP < 12 months = estradiol with norethisterone . can also be given as a patch

womb with LMP > 12 months = tibolone

vasomotor symptoms in someone that cant take HRT = clonidine or SSRI

post hysterectomy = estradiol

77
Q

in BNF specifically, if you are looking for a drug that causes a particular side effect, search

psoriasis and (allopurinol or aspirin or bisoprolol or citalopram or carbamezapine). to get answer

if you dont find it the. usual way

A
78
Q

can search by drug name under interactants in BNF specifically

search pioglitazone AND heart failure to quickly double check the side effect

A
79
Q

for some drugs, under medicinal forms, when you expand it, you can often find instuctions on how to take it etc

A
80
Q

furosemide increases risk of gout

A
81
Q

double check insulin prescriptions to make sure its been prescribeed 1ce a day or 3 times as necesary

A
82
Q

amoxicillin can cause oral thrush also immunosuppresants

A

Year 6 (22 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions