RPS 2022

Question 1

What causes a raise in ALT levels

Answer 1

Statins

Question 2

What would you give to post herpetic neuralgia

Answer 2

Amitriptylline

Question 3

What test would you do for someone with worsening hf

Answer 3

Pro b type natriuretic peptide

Question 4

What advice would you give a HCP on how to stop treatment effectively

Answer 4

Withdraw one drug at a time if on multiple regime

Question 5

What details of the supply do not need to be recorded in the POM register

Answer 5

Brand of medicine supplied

Date of supply, prescription date, medicine details, prescribers details and patient details are all recorded in the Pom register

Question 6

What is the most appropriate process to complete as part of an audit cycle

Answer 6

Data collection is a key step in an audit cycle. Collecting and analysing data will provide evidence on whether a standard is being met and enable you to achieve your aim

Ethical approval is not required for audits however if evaluation includes patients may need approval . And looking for errors is not usually part of an audit

It is good practice to re audit after a certain time period however doing this after one month is too soon and unlikely to provide new useful results. It is unusual to update guidelines and protocols before an audit takes place. This may a recommendation you action after an audit

Question 7

Which medicine is contraindicated in women of child bearing potential

Answer 7

Misoprostol

Question 8

What anticoagulant is prescribed as a prophylaxis in patients who have had a prosthetic valve replacement

Answer 8

Warfarin

Question 9

What condition has caused anal fissure to occur

Answer 9

Constipation

Question 10

How do you treat hyperkalaemia

Answer 10

Patiromer calcium

Question 11

What side effect does sulfasalazine cause

Answer 11

Causes blood disorders- should report any signs of unexplained bleeding, bruising, purpura, sore throat, fever malaise

Question 12

What antibiotic is given for COPD

Answer 12

Amox
Doxy or clarithromycin

Question 13

What do you do if the lithium levels are too high

Answer 13

Stop lithium

Question 14

What interaction does methotrexate and trimethoprim do

Answer 14

Bone marrow suppression

Question 15

What do you do if a patient who is undergoing chemotherapy has symptoms of lethargy a fever and complaining of feeling hot and cold

Answer 15

Ring 999 as they are experiencing neutropenia sepsis possibly caused by chemo. Symptoms usually are dysuria, diarrhoea, productive cough, chills shivers rigors and temp >38

Question 16

What counselling advice would you give to someone who is on enteral feeds and has been prescribed phenytoin

Answer 16

Interrupt feeding for 2 hrs before and after a dose

Patients who recieve enteral feeding preps have lower than expected phenytoin levels reducing seizure control

Question 17

What does antidepressants cause

Answer 17

Hyponatraemia which is can lead to falls

Question 18

What antibiotic would you give to a patient to treat meningitis but as an allergy to penicillins and cephlasporins

Answer 18

Iv chloramphenicol

Question 19

What antibiotic does sildenafil interact with

Answer 19

Erythromycin

Question 20

What drug is moclobemide

Answer 20

Modi used to treat depression

Question 21

What drug can cause an elderly patient to fall

Answer 21

Temazepam as it is a benzo which can cause sedation and drowsiness

Question 22

What drug can cause feet swelling

Answer 22

CCB

Question 23

Which antieplileptic is associated with dehydration and overheating

Answer 23

Zonisamide

Question 24

What are the side effects of montelukast

Answer 24

Akathisia, asthenia, abnormal behaviour and obsessive compulsive symptoms

Question 25

What are the se of theophylline

Answer 25

Vomiting agitation, restlessness, dilated pupils sinus tachycardia and hyperglycaemia. Severe hypokalemia may also develop

Question 26

What are the symptoms of hypomagnesaemia

Answer 26

N+v, ions and needles fatigue and muscle twitching

Question 27

What do you give to someone who has unstable angina and GTN spray is ineffective

Answer 27

Aspirin 300mg

Question 28

What are symptoms of meningitis is and what do you give it treat and they are allergic to penicillins

Answer 28

Stiff neck, non blanching rash
Gove cefotoxamine

Question 29

What medicine should you avoid if you are taking levothyroxine

Answer 29

Orlistat