PSA mocks Flashcards by Kate Bernard

what is the first line treatment of DVT or PE

apixaban or rivaroxaban

How well did you know this?

Not at all

Perfectly

what is an appropriate infusion rate for maintenance fluids?

500ml over 4-6hrs
or
1L over 8-12hrs

How well did you know this?

Not at all

Perfectly

what is the anticipated daily potassium requirement per day?

1mmol/kg/day

Hartmanns doesnt have enough K in for some pts. it should be NaCl 0.9% + Kcl 0.3%

How well did you know this?

Not at all

Perfectly

starting dose for primary prevention of CV events statins are ……

20mg atorvastatin

as opposed to 10mg for cholesterol lowering

How well did you know this?

Not at all

Perfectly

what time of day should you take statins?

night

How well did you know this?

Not at all

Perfectly

ibuprofen and ACEis

less renal blood flow - renal impairment

How well did you know this?

Not at all

Perfectly

does pioglitazone cause hypos?

yes.

How well did you know this?

Not at all

Perfectly

does metformin cause hypos?

NO.

How well did you know this?

Not at all

Perfectly

name 3 drugs that can cause urinary retention

anticholinergics
benzos
opioids!

but also: CCBs, antihistamines

How well did you know this?

Not at all

Perfectly

if you’re getting confused about whether a drug causes confusion, think about whethers its site of action is in:

the CNS

e.g. metoclopramide, morphine, antidepressants, anticonvulsants, antipsychotics.

How well did you know this?

Not at all

Perfectly

what is the triad of wernickes encephalopathy?

opthalmoplegia, ataxia and confusion

How well did you know this?

Not at all

Perfectly

as well as IV sodium chloride, what is the treatment for DKA?

fixed rate insulin infusion 0.1 units/kg/hr

How well did you know this?

Not at all

Perfectly

what dose of folic acid for a pregnant woman at HIGH risk of conceiving a child w neural tube defects?

5mg daily

for low risk 400mcg

How well did you know this?

Not at all

Perfectly

should take folic acid until which wk of preg

peri-conception to wk 12

How well did you know this?

Not at all

Perfectly

can gliclazide cause hypos?

yes - its a suphonylurea

How well did you know this?

Not at all

Perfectly

does HRT increase risk of breast cancer?

yes.

How well did you know this?

Not at all

Perfectly

what does a 0.1%solution mean?

it means 0.1g per 100ml

How well did you know this?

Not at all

Perfectly

what is a 100% solution

100g per 100ml

How well did you know this?

Not at all

Perfectly

what is a 50% solution

50g per 100ml

How well did you know this?

Not at all

Perfectly

a 0.1% solution is contains how many mg

0.1% solution = 0.1g per 100ml

= 100mg per 100ml

How well did you know this?

Not at all

Perfectly

common SE of methotrexate which needs monitoring w FBC?

leucopenia

How well did you know this?

Not at all

Perfectly

how does gentamicin cause ototoxicity?

damages vestibular nerve

How well did you know this?

Not at all

Perfectly

why does clarithromycin interact w simvastatin to muscles aching

its a CYP450 inhibitor

How well did you know this?

Not at all

Perfectly

which blood test is good for monitoring the beneficial effects of allopurinol rx

serum urate

How well did you know this?

Not at all

Perfectly

what kind of drug is allopurinol

xanthine oxidase inhibitor

best measure of fluid replacement in early stages

two renal adverse effects of lithium

nephrotic syndrome | nephrogenic diabetes insipidus

when starting HRT what should you monitor?

BP (can raise it)

how raised do your transaminases have to be to stop statins?

3 times the upper limit test transaminases before rx, at 3 months and 12 months

pulmonary oedema which requires immediate treatment. what is the IV furosemide dose range?

IV furosemide 20-50mg

what is the alternative to dalteparin (LMWH) for thromboprophylaxis?

rivaroxaban | remember, the dose of dalteparin is higher if theyre high risk

give two other LMWH as well as dalteparin

tinzaparin | enoxaparin

what is the first line IV treatment of hypoglycaemia?

glucose 20% 100ml over 20 mins

why don't you use IV glucose 50% in treatment of hypoglycaemia ?

hypertonic - risks extravasation

why don't you use IV glucose 5% in treatment of hypoglycaemia?

too weak - too large a volume would be required

how many grams in 10% solution

10% solution = 10g in 100ml

how many grams in 1% solution

1% solution = 1g in 100ml

how any grams in 20% solution

20% solution = 20g in 100ml

what has lymecylcine taught you

READ THE RIGHT DOSE FOR THE RIGHT INDICATION

apart from lymecycline for acne, what are some other abx choices?

oxytetracycline doxycycline tetracycline erythromycin

is aspirin stopped before surgery?

yes - antiplts should be stopped up to 7 days before surgery

why withold allopurinol in renal dysfunction?

can accumulate

do steroids contribute to hyperglycaemia?

yes

can steroids cause confusion?

yes

if looking for serious prescriptions errors where shouldn't you forget to look

frequency column - e.g. might say weekly when its supposed to be daily

can you use fentanyl nasal spray for breakthrough pain?

yes

nitrofurantoin should be avoided when...?

eGFR <45 can use short course trimethoprim even if folate def

what do you give if INR >1.5 the day before surgery?

oral vit K | reverse the last bit of warfarin to stop bleeding

what do you have to watch out in the first 4 wks of starting sertraline?

suicidal ideation may worsen

should rivaroxaban be taken w food?

yes

how many nanograms in a microgram?

1000

which antibiotic commonly causes jaundice?

co-amoxiclav

what do you do if there is a small rise in serum creatinine on starting an ACE inhibitor

normal. don't need to change drug. repeat U&Es after 1 wk.

what parameter indicates effective treatment of oedema w furosemide?

weight

what is a serious adverse effect of carbimazole?

neutropenia - monitor FBC (WCC) - watch out for sore throat

what are the most serious adverse effects of ciclosporin?

nephrotoxicity and hypertension check U&Es @baseline and every 2 wks until stable!

whats the most appropriate way to manage a transient rise in blood glucose caused by corticosteroids?

a 10% increase in the usual dose

which anti emetic DOESNT prolong QT

cyclizine (antihistamine)

whats the usual antiemetic for post op nausea and vomiting

ondansetron

vomitnig for 3 days, needs fluid resuscitation?

hartmanns 500ml bolus over 15 mins

what is the treatment of croup?

dexamethasone 0.15mg/kg

can naproxen cause ankle swelling?

yes

are beta blockers bad in peripheral vascular disease?

yes

what is the treatment for scarlet fever?

pen V (phenoxymethylpenicillin)

Pen G is what?

benpen

gemifobrozil + simva =

mytoxicity

CK above 5 times upper limit?

stop statin then reintroduce at lower dose

do u need longer treatment for thrush in pregnancy?

yes

first line therapy for C.diff infections?

metronidazole

recurrent C.diff therapy?

vancomycin (metronidazole has failed or not tolerated)

pt in DKA. should you continue their long acting insulin while theyre on fixed rate insulin infusion?

yeh | stop short acting

simplest initial approach to acute pain in personal who might be vulnerable to SEs of nsaids or opiates

paracetamol

when should loperamide be taken

after each loose stool

can tramadol help precipitate serotonin syndrome?

yar!

when should you stop a COCP according to BP

if BP >160/90 (tips into cat 4)

if on apixaban report what immediately

bleeding and bruising

which form of opiate accumulates less in renal impairment?

oxycodone cos of the way its metabolised

someone has thyrotoxicosis with amiodarone. do what?

withdraw temporarily to achieve control

PSA mocks Flashcards

(78 cards)