Random geeky medics prescribing and where to find

Question 1

Noisy airway secretions in palliative care

Answer 1

• Hyoscine butylbromide
• Prescribing in palliative care -> ‘noisy respiratory secretions’

Question 2

Management of postural hypotension

Answer 2

Fludrocortisone

Question 3

Management of gonorrhoea

Answer 3

Ceftraixone 1g single IM injection

• Genital system infections, antibacterial therapy

Question 4

Management of pre-eclampsia

Answer 4

Labetaolol hydrochloride

Question 5

Management of UTI in pregnancy if allergic to nitrofurantoin

Answer 5

• Oral first line:
  Nitrofurantoin.
• Oral second line :
  Amoxicillin (only if culture susceptible), or cefalexin.

Urinary tract infection treatment summary -> scroll down to pregnant women

Question 6

Medication used to reduce frequency and severity in Meniere’s disease (hearing loss, vertigo, tinnitus and feeling of fullness)

Answer 6

Betahistine dihydrochloride

Question 7

Management of mastitis

Answer 7

1st : flucloxacillin 10-14 days
Penicillin allergy : erythromycin 10-14days

‘Skin infections - antibacterial therapy’

Question 8

Management of GORD if on clopidogrel

Answer 8

• Lansoprazole !!!

Omeprazole can decrease the effectiveness of clopidogrel

Question 9

Management of COPD if SABA no longer enough and asthmatic features

Answer 9

ADD LABA AND ICS

Formoterol with budenoside on BNF !!!!

Question 10

Management of scabies

Answer 10

Permethrin 5%

Question 11

First line management of osteoarthritis

Answer 11

• Topical ibuprofen, especially for knee involvement

‘Osteoarthritis treatment summary’

Question 12

Management of heart failure in someone recently admitted due to MI

Answer 12

Ramipril : 2.5mg twice daily for 3 days

Question 13

Management of intermittent claudication following failure of a supervised exercise programme

Answer 13

Naftidrofuryl oxalate

‘Peripheral vascular disease treatment summary’

Question 14

Presentation of hepatic encephalopathy

Answer 14

• Reduced consciousness
• Worsening ascites
• Possible coagulopathy (bruising)
• All on a backgroun of alcoholic cirrhosis

Question 15

Management of hepatic encephalopathy

Answer 15

Lactulose