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1
Q

Acute dystonia

A

antimuscarinic (procyclidine 5mg/ml injection)

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2
Q

hypoglycaemia + unconscious

A

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

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3
Q

resus fluids

A

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

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4
Q

how much potasisum in 0.3% 1L

A

40 mmol

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5
Q

ideal infusion rate of glucose 5%/potassium 0.3%

A

1L over 8-12 hrs

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6
Q

daily water requirement

A

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

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7
Q

daily glucose requirement

A

50-100g

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8
Q

how could you deliver 50g glucose

A

5% dextrose 1L bag

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9
Q

Dose of nitrofurantoin for UTI

A

100mg bd for 3d / 7d for males

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10
Q

Dose of trimethoprim for UTI

A

200mg bd for 3d / 7 for males

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11
Q

UTI in pregnancy

A

nitrofurantoin - 7 days

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12
Q

CCBs - avoid in ?

A

HF (except amlodipine)

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13
Q

Examples of CCBs

A

diltiazem
nimodepine
verapamil

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14
Q

Drugs that cause hyperkalaemia

A

NSAIDs
ACEI
heparins

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15
Q

VTE prophylaxis in renal patients

A

Heparin (unfractioned) 5000 units

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16
Q

VTE prophylaxis options

A

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

Rivaroxaban 10mg daily PO

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17
Q

Blood abnormality with heparin

A

thrombocytopenia

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18
Q

finding LMWH info

A

parenteral anticoagulants

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19
Q

acne abx

A

lymecycline 100mg daily

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20
Q

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

A

statin

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21
Q

are statins safe in pregnancy

A

no

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22
Q

anaphylaxis adults

A

500 mcg adrenaline IM (1:1000 0.5 mL)

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23
Q

anaphylaxis 6-12 y

A

300 mcg adrenaline

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24
Q

anaphylaxis < 6

A

150 mcg adrenaline

25
Q

INR >1.5 day before elective surgery

A

1-5mg phytomenadione IV

26
Q

steroids can cause ? in the elderly

A

confusion

27
Q

candida in pregnancy

A

clotrimazole pessary 7d 100mg

28
Q

painkiller that causes ankle oedema

A

naproxen

29
Q

bisphosphonates e.g. alendronic acid side effect

A

upper GI irritant

30
Q

Treatment of c.diff

A

metronidazole 400mg tds

if unsuccessful -> vancomycin

31
Q

DKA management

A

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

32
Q

carbimazole important patient safety info

A

report signs suggestive of infection especially sore throat

33
Q

treatment of antipsychotic induced parkinsonism

A

procyclidine hydrochloride

34
Q

coming off carbamazepine for epilspsy

A

reduce gradually over 4 weeks

35
Q

benefit of oxycodone vs morphine

A

oxycodone metabolised to inactive metabolites&raquo_space; better in renal impairment

36
Q

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

A

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

37
Q

eGFR <45 - which antibiotic for UTI?

A

trimethoprim

38
Q

Ulipristal acetate

A

EC within 120 hrs

Wait 5 days before starting hormonal contraception

39
Q

GTN spray dose

A

400-800 mcg

40
Q

Acute asthma tx

A

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

41
Q

omeprazole dose dyspepsia

A

20mg od 4 weeks

42
Q

sertraline dose depression

A

50mg od

43
Q

Name of a progesterone only pill

A

desogestrel

44
Q

drug class oxybutynin and whats it used for

A

antimuscarinic

urge incontinence

45
Q

how long might antimuscarinic take to work for incontinence

A

4 weeks

46
Q

pregnant women at high risk of pre-eclampsia prescibed ?

A

aspirin 75-150mg from 12 w till birth

47
Q

first line antihypertensive med in pregnancy

A

labetalol

48
Q

Med for preventing seizures in eclampsia

A

4g mag sulph IV over 5-15 min

followed by IV infusion

49
Q

CAP

A

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

50
Q

Croup (barking cough) tx

A

dexamethasone

51
Q

seizure management

A

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

52
Q

side effect of insulin

A

oedema

53
Q

directions for taking bisphosphonates

A

avoid food 2h before and 1h after

54
Q

INR 5-8 and no bleeding

A

withhold warfarin for 1 or 2 doses

55
Q

symptoms of serotonin syndrome

A

altered mental state
neuromuscular hyperactivity
autonomic dysfunction

56
Q

directions for taking rivaroxaban

A

take with food

57
Q

when to take a digoxin blood sample for monitoring

A

> 6 h after dose

58
Q

Time after birth dont need contraception

+ if breastfeeding?

A

21 days

6 months if fully/almost fully breast feeding + completely amenorrhoeic

59
Q

opiate overdose tx

A

Start with naloxone 400 mCg IV

PSA (1 decks)

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