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PSA > Revision > Flashcards

Revision Flashcards

1
Q

what should you advise men taking finasteride

A

wear condoms

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2
Q

surgical thromboprophylaxis

A

LWMH (enoxaparin) for 10 days then low dose LMWH (dalteparin) or aspirin

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3
Q

%s of glucose

A

5% for maintanence
20% for hypos

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4
Q

drugs causing hyperkalaemia

A

heparin, ACEi, tacrolimus, spironolactone

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5
Q

when do you stop aspirin prior to surgery

A

7 days

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6
Q

drugs to stop in AKI

A

duiretics
ACE and ARBs
rifampicin
NSAIDS
Metformin
(cyclosporin, tacrolimus, -mycins, cisplatin)

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7
Q

can steroids cause confusion

A

yes

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8
Q

what drugs cause hypokalaemia

A

thiazides (indapamide), citalopram, steroids

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9
Q

should you use same or diff drug for breakthough pain

A

same

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10
Q

prefer or avoid nirtofurantoin in low eGFR

A

avoid

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11
Q

normal INR?

A

1
if INR more than 1.5 day before surgery give vit K

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12
Q

what drug stop 6 months before preggers

A

methotrexate

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13
Q

how many nanograms is a microgram

A

1000

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14
Q

what is expected and accepted when starting an ACEi

A

<20% rise in creatinine

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15
Q

what to not give in asthmatics

A

beta blockers or NSAIDs

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16
Q

what monitoring for heart failure

A

exercise tolerance

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17
Q

should you adjust or add new insulin first

A

adjust dumbo

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18
Q

when check gent

A

6-14 hrs after dose

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19
Q

what is bridging pre surgery anticoag

A

unfractionated heparin

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20
Q

what drugs do you stop prior to surgery

A

ACEi, ARBs, diuretics, lithium, NSAIDs, HRT and COPC (both 4 weeks), aspirin (7 days), warfarin (days 5), DOACs (2-3), heparin (day before), insulin (long acting continues), stop SUs and oral hypoglyacaemics

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21
Q

what drugs cause confusion

A

anticholinergics, antidepressants, sedatives, opioids, levodopa, oxybutin

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22
Q

what drugs cause hyponatraemia

A

NSAIDs, ACEi, loops, SSRIs,

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23
Q

what VTE prophylaxis or treatment in renal impairment

A

LMWH (dalteparin/ enoxaparin)

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24
Q

tx for unstable PE

A

unfractionated heparin + thrombolysis (alteplase and streptokinase)

25
Q

tx for stable PE

A

DOAC and CTPA

26
Q

how long anticoagulate after VTE

A

3 months provoked, 6 months unprovoked/ cancer

27
Q

DVT anticoagulation

A

LMWH 5 days then DOAC

28
Q

stroke 2nd prevention

A

aspirin 2 weeks then clopidogrel (dual if high risk), statin, HPTN control, DOAC

29
Q

MI 2nd prevention

A

ACEi, dual antiplatelet, B blocker, statin

30
Q

big drugs not safe in pregnancy

A

statin, methotrexate, carbimazole, ibruprofen

31
Q

big drugs not safe when breast feeding

A

codeine, oestrogen contraception, DOACs (warfarin safe)

32
Q

when can you take the emergency contraceptions up till

A

levonorgestrel 72 hours, ulipristal 5 days

33
Q

advise for missed pills

A

take asap, even if two in same day
if missed 2 use condoms until pills for 7 days
if missed 2 in week 1 consider emergency contraception, if in week 3 continue pack without pill free week

33
Q

advise for missed pills

A

take asap, even if two in same day
if missed 2 use condoms until pills for 7 days
if missed 2 in week 1 consider emergency contraception, if in week 3 continue pack without pill free week

34
Q

what happens to thryoid drugs in pregnancy

A

increase levothyroxine, stop carbimazole

35
Q

UTI in pregnancy

A

1 and 2nd trim nitro
3rd trimethoprim

36
Q

how much morphine is 1 oxycodone

A

2

37
Q

how much tramadol is 1 morphine

A

10

38
Q

how much SC morphine is 1 oral

A

0.5

39
Q

how to calculate breakthrough dose

A

1/6

40
Q

pain ladder

A

paracetamol- co-codamol- codeine- tramadol- morphine- oxycodone

41
Q

tx for acute dystonia

A

procyclidine 5-10 mg IV

42
Q

resus fluids

A

500ml 0.9 NaCl in 15 mins (repeat to 2000mls)

43
Q

maintenance fluids

A

(25mls water, 1 mmol K+, Na+, Cl-, 50g glucose)
1 x 1000 Na cl + 2 glucose 5% 1000 in 36 hours
add replacement potassium if needed

44
Q

what HRT do women with uterus’ need

A

dual- oestrogen + progesterone

45
Q

what HRT has no withdrawal bleed

A

continuous

46
Q

big SE with ACEis

A

dry cough

47
Q

what should you do if getting muscle symps from statin

A

stop then restart at lower dose if they resolve

48
Q

curb score

A

confusion, urea >7, RR >30, BP <90 or 60
0-1 mild, 2 mod, 3 severe

49
Q

anxiety meds

A

sertraline

50
Q

SE for fluoxetine

A

suicidal ideation in young (only one liscenced for <18s)
hyponatraemia

51
Q

name 2 SSRIs

A

sertaline, citalopram

52
Q

how many micrograms in a millygram

A

1000

53
Q

what type of insulin for DKA

A

fixed rate, continue any long acting, stop short acting (replace potassium and glucose)

54
Q

what pain relief for acute pain first

A

paracetamol

55
Q

what for acute reversal of warfarin

A

prothrombin or FFP

56
Q

what should you do if thyrotoxicosis due to amiodarone

A

withhold

57
Q

tx for acute pulmonary oedema

A

furosemide, diamorph, GTN, O2 if needed

PSA (1 decks)

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