Random

Question 1

Acute dystonia

Answer 1

antimuscarinic (procyclidine 5mg/ml injection)

Question 2

hypoglycaemia + unconscious

Answer 2

glucose 20% 50-100 ml (rate of up to 20 min)

Question 3

resus fluids

Answer 3

500 ml bolus over < 15 min (saline or hartmanns)

Question 4

how much potasisum in 0.3% 1L

Answer 4

40 mmol

Question 5

ideal infusion rate of glucose 5%/potassium 0.3%

Answer 5

1L over 8-12 hrs

Question 6

daily water requirement

Answer 6

25 - 30 ml/kg (1.5-2.5 L daily)

Question 7

daily glucose requirement

Answer 7

50-100g

Question 8

how could you deliver 50g glucose

Answer 8

5% dextrose 1L bag

Question 9

Dose of nitrofurantoin for UTI

Answer 9

100mg bd for 3d / 7d for males

Question 10

Dose of trimethoprim for UTI

Answer 10

200mg bd for 3d / 7 for males

Question 11

UTI in pregnancy

Answer 11

nitrofurantoin - 7 days

Question 12

CCBs - avoid in ?

Answer 12

HF (except amlodipine)

Question 13

Examples of CCBs

Answer 13

diltiazem
nimodepine
verapamil

Question 14

Drugs that cause hyperkalaemia

Answer 14

NSAIDs
ACEI
heparins

Question 15

VTE prophylaxis in renal patients

Answer 15

Heparin (unfractioned) 5000 units

Question 16

VTE prophylaxis options

Answer 16

LMWH e.g. dalteparin sodium 5000 units every 24 h

Rivaroxaban 10mg daily PO

Question 17

Blood abnormality with heparin

Answer 17

thrombocytopenia

Question 18

finding LMWH info

Answer 18

parenteral anticoagulants

Question 19

acne abx

Answer 19

lymecycline 100mg daily

Question 20

Serum transaminases can be up to 3x normal limit for continuation of ?

Answer 20

statin

Question 21

are statins safe in pregnancy

Answer 21

no

Question 22

anaphylaxis adults

Answer 22

500 mcg adrenaline IM (1:1000 0.5 mL)

Question 23

anaphylaxis 6-12 y

Answer 23

300 mcg adrenaline

Question 24

anaphylaxis < 6

Answer 24

150 mcg adrenaline

Question 25

INR >1.5 day before elective surgery

Answer 25

1-5mg phytomenadione IV

Question 26

steroids can cause ? in the elderly

Answer 26

confusion

Question 27

candida in pregnancy

Answer 27

clotrimazole pessary 7d 100mg

Question 28

painkiller that causes ankle oedema

Answer 28

naproxen

Question 29

bisphosphonates e.g. alendronic acid side effect

Answer 29

upper GI irritant

Question 30

Treatment of c.diff

Answer 30

metronidazole 400mg tds | if unsuccessful -> vancomycin

Question 31

DKA management

Answer 31

stop short acting insulin continue long acting insulin start fixed rate insulin infusion once BM < 14 start 10% glucose infusion

Question 32

carbimazole important patient safety info

Answer 32

report signs suggestive of infection especially sore throat

Question 33

treatment of antipsychotic induced parkinsonism

Answer 33

procyclidine hydrochloride

Question 34

coming off carbamazepine for epilspsy

Answer 34

reduce gradually over 4 weeks

Question 35

benefit of oxycodone vs morphine

Answer 35

oxycodone metabolised to inactive metabolites >> better in renal impairment

Question 36

If thyroxine causes too rapid an increase in metabolism, (i.e. diarrhoea, tremors etc) what should be done

Answer 36

withhold thyroxine for 1-2 days then continue at lower dose

Question 37

eGFR <45 - which antibiotic for UTI?

Answer 37

trimethoprim

Question 38

Ulipristal acetate

Answer 38

EC within 120 hrs | Wait 5 days before starting hormonal contraception

Question 39

GTN spray dose

Answer 39

400-800 mcg

Question 40

Acute asthma tx

Answer 40

high dose inhaled SABA oral prednisolone 40mg PO daily IV mag sulf if response to inhaled SABA not good

Question 41

omeprazole dose dyspepsia

Answer 41

20mg od 4 weeks

Question 42

sertraline dose depression

Answer 42

50mg od

Question 43

Name of a progesterone only pill

Answer 43

desogestrel

Question 44

drug class oxybutynin and whats it used for

Answer 44

antimuscarinic | urge incontinence

Question 45

how long might antimuscarinic take to work for incontinence

Answer 45

4 weeks

Question 46

pregnant women at high risk of pre-eclampsia prescibed ?

Answer 46

aspirin 75-150mg from 12 w till birth

Question 47

first line antihypertensive med in pregnancy

Answer 47

labetalol

Question 48

Med for preventing seizures in eclampsia

Answer 48

4g mag sulph IV over 5-15 min | followed by IV infusion

Question 49

CAP

Answer 49

amoxicillin 1g tds doxy 200mg day 1 then 100mg total 5 days

Question 50

Croup (barking cough) tx

Answer 50

dexamethasone

Question 51

seizure management

Answer 51

buccal midazolam or rectal diazepam if lasts > 5 min or have had 3 in 1 hr

Question 52

side effect of insulin

Answer 52

oedema

Question 53

directions for taking bisphosphonates

Answer 53

avoid food 2h before and 1h after

Question 54

INR 5-8 and no bleeding

Answer 54

withhold warfarin for 1 or 2 doses

Question 55

symptoms of serotonin syndrome

Answer 55

altered mental state neuromuscular hyperactivity autonomic dysfunction

Question 56

directions for taking rivaroxaban

Answer 56

take with food

Question 57

when to take a digoxin blood sample for monitoring

Answer 57

> 6 h after dose

Question 58

Time after birth dont need contraception | + if breastfeeding?

Answer 58

21 days | 6 months if fully/almost fully breast feeding + completely amenorrhoeic

Question 59

opiate overdose tx

Answer 59

Start with naloxone 400 mCg IV