PSA

Question 1

treatment of hypoglycaemia

Answer 1

20% Glucose 75mls

10% Glucose 150 mls

Question 2

Drugs causing low sodium

Answer 2

SSRI

TZD

Question 3

true or false - you should use a different opioid for breakthrough pain management

Answer 3

false

should try and use the same drug

Question 4

alcohol withdrawal tx

Answer 4

BZDs

Question 5

INR > 1.5 pre-op

Answer 5

Give Vit K 1-5mg PO

Question 6

what antibiotic can cause obstructive jaundice

Answer 6

Co-Amoxiclav

Question 7

treatment of acute dystonia

Answer 7

procyclidine

Question 8

what anti HTN is contra-indicated in peripheral vascular disease

Answer 8

Beta Blockers

Question 9

what opioid is a good option in patients with CKD

Answer 9

Fentanyl

Question 10

what is the conversion for breakthrough pain opioid dose

Answer 10

1/6th of totally daily dose

Question 11

what do people taking biphosphates need to be advised about

Answer 11

linked to osteonecrosis of the jaw

Question 12

what anti HTN reduces hypoglycaemia awareness

Answer 12

beta-blockers

Question 13

what electrolyte disturbance can sulphonylurea cause

Answer 13

SIADH = low sodium

Question 14

what can verapamil not be given with

Answer 14

Bisoprolol

Question 15

what is the agent that reverses effects of warfarin

Answer 15

Vit K / phytomenadione

Question 16

what do you treat DVT with and why is it safe in pregnancy

Answer 16

LMWH i.e. Dalteparin

does not cross the placenta

Question 17

what does 2% solution mean

Answer 17

2g in 100ml

i.e. 1ml = 0.02g

Question 18

what rate should replacement fluid be given over - 500mls and 1L

Answer 18

500mls = over 4-6 hours

1litre = over 8-12 hours

Question 19

when getting gentamicin - what should the plan be if the pre-dose/trough level is TOO HIGH

Answer 19

change the interval

Question 20

when getting gentamicin - what should the plan be if the peak serum level is TOO HIGH

Answer 20

reduce the dose

Question 21

what patients should not get nitro

Answer 21

those with low eGFR

Question 22

anti-emetic drug of choice in this patient who is at risk of extrapyramidal side effects and QT prolongation.

Answer 22

cyclizine

Question 23

volume and rate of fluid for stat fluids

Answer 23

500mls over 15 mins

Question 24

what electrolyte imbalance does ciclosporin cause

Answer 24

high potassium

Question 25

drugs causing ankle swelling

Answer 25

calcium channel blocker

naproxen

Question 26

treatment of repeated c diff infections

Answer 26

Oral vancomycin

Question 27

Tx for someone with DKA in regards to their insulin

Answer 27

Short-acting SC insulin should be stopped, and long-acting insulin should be continued.

Patient requires fixed-rate IV insulin alongside fluid resuscitation.

Question 28

if there is a high INR AND bleeding with warfarin, what is the treatment

Answer 28

dried prothrombin complex