PSA miscellaneous

Question 1

Where can you find info on clots?

Answer 1

Venous thromboembolism

Question 2

Where can you find info on HRT?

Answer 2

Sex hormones

Question 3

Where can you find info on opioids?

Answer 3

Palliative care

Question 4

Patient needs 40mmol of Potassium what fluid should you give?

Answer 4

1L of Potassium Chloride 0.3% over the course of at least 4 hrs

Question 5

How much glucose in 5% Sodium or Potassium chloride?

Answer 5

50g

Question 6

How many grams of something is in a 1% 100ml solution?

Answer 6

1g in 100ml

Question 7

What method of contraception works after 2 days?

Answer 7

POP (desogestrel, norethisterone)

Question 8

Name the prescription of the COCP? (what hormones are in it)

Answer 8

• Ethinylestradiol
• Levonorgestrel
  Microgynon

Question 9

What are the 2 commonly prescribed POPs?
- How do they differ?

Answer 9

• Norethisterone (3hr window)
• Desogestrel (12 hr window)

Question 10

What are the rules with missing a POP (one pill outside the window)?

Answer 10

• Take old pill as soon as possible and take other pills as normal
• Use condoms until pill taking again for 48 hrs

Question 11

If 1 COCP pill is missed what should you do?

Answer 11

Take the last pill and continue as normal with normal timings

Question 12

If pills are missed in week 1 (more than 1) what should you do?

Answer 12

Emergency contraception if UPSI was in pill-free interval or in week 1
- Abstain/barrier for 7 days

Question 13

If pills are missed in week 2 (more than 1) what should you do?

Answer 13

No need to take emergency contraception
- Abstain/barrier for 7 days (overkill a bit)

Question 14

If pills are missed in week 3 (more than 1) what should you do?

Answer 14

Finish pills in currnet pack and start new pack the next day, omit pill free interval
- Abstain/barrier for 7 days (overkill a bit)

Question 15

What are the important things to mention with Ulipristal

Answer 15

• 5 days of abstain/barrier
• Caution in severe asthma
• Contraindicated in cancer and present in breast milk

Question 16

When does a double dose (3mg) of Levonorgestrel need to be given?

Answer 16

• BMI > 26
• Weight > 70kg

Question 17

If vomiting occurs within how long of giving emergency contraceptive pill should a second pill be given?

Answer 17

3 hours

Question 18

What are the common drugs given for HRT (What is the estrogen called and the progesterone)

Answer 18

• Estradiol
• Norethisterone

Question 19

Where can you find info on prophylactic antibiotics in surgery?

Answer 19

Antibacterials, use for prophylaxis

Question 20

Where can you find info on an emergency that is happening in GP (e.g seizure, hypoglycemia, meningitis)?

Answer 20

Medical emergencies in the community

Question 21

Treatment of emergency hypercalcemia?

Answer 21

0.9% NaCl 1L over 4 hrs

Question 22

Prednisolone to Hydrocortisone conversion

Answer 22

Times by 4

Question 23

Rules for bisphosphonates

Answer 23

• Take in the morning with water
• 30 mins before breakfast
• Sit upright for 30 mins after taking tablet

Question 24

What commonly prescribed drugs are taken at night?

Answer 24

• Amitriptyline
• Statins

Question 25

Is aspirin safe in pregnancy and/or breast feeding?

Answer 25

• Safe in pregnancy
• Unsafe when breastfeeding

Question 26

S/C morphine to PO conversion?

Answer 26

x2
- SC is twice as poten

Question 27

What will a CYP inducer do to INR?

Answer 27

Reduce - less bleeding, warfarin less potent, broken down more

Question 28

What will a CYP inhibitor do to INR?

Answer 28

Increase - more bleeding, warfarin more potent, broken down less

Question 29

Are oral NSAIDs avoided in HF?

Answer 29

Yes

Question 30

Is rivaroxaban given with food or an empty stomach?

Answer 30

With food

Question 31

In renal impairment what is given instead of LMWH

Answer 31

UNfractionated

Question 32

What T2DM drugs may cause pancreatitis?

Answer 32

• GLP
• DPP4i

Question 33

Unfractionated heparin can be monitored through what?

Answer 33

aPTT

Question 34

LMWH can be monitored through what?

Answer 34

• anti factor Xa
• aPTT
• Thrombin generation

Question 35

If someone is anticoagulated what route of administration should possibly be avoided?

Answer 35

IM

Question 36

Breakthrough opioid pain should be prescribed at what dose?

Answer 36

1/6 of a patients daily dose

Question 37

Emergency resus for kids?

Answer 37

10ml/kg (0.9% NaCl)

Question 38

What common CV drug may cause peripheral vasoconstriction (ulcers) and less hypoglycemic awareness?

Answer 38

Beta blockers

Question 39

1st line drugs in focal seizure?

Answer 39

Lamotrigine, levitiracetam

Question 40

Myoclonic seizures 1st line?

Answer 40

Levitiracetam or Sodium Valproate

Question 41

What neuropathic pain drug may exacerbate anticholinergic affects?

Answer 41

Amitryptiline (avoid in dementia)

Question 42

Where to find information on antipsychotics generally?

Answer 42

Psychoses and related disorders

Question 43

1st line meds for hyperemesis gravidarum?

Answer 43

Cyclizine or Promethazine
(Possible adverse effects in 3rd trimester for antihistamines)

Question 44

What medications should be stopped prior to surgery?

Answer 44

• ACEi ARBs
• Diuretics
• Anticoags
• HRT, COCP (4 weeks prior)
• Lithium
• NSAIDs