RPS mock 2016 Flashcards
for primary prevention a high intensity statin should be started, what are they?
Atorvastatin 20, 40 or 80mg
Rosuvastatin 10 20 or 40mg
Simvastatin 80mg
what are the interactions with nitrates e.g. isosorbide mononitrate
vasodilators for pulmonary hypertension/ED
e.g. sildenafil, vardenafil, taladafil
(significantly enhanced hypotensive effect - black dot interaction)
what is the effect of phenytoin on INR
reduces
what is the purpose of pyridoxine in TB treatment
prevent peripheral neuropathy
anitbiotic of choice for impetigo
and if pen allergy
fluclox
clarithromycin
what should be given for bites
co-amox
in pen allergic doxy and metronidazole
plus tetnus immunoglob
rabies prophylaxis if endemic country
what is the ONLY black dot interaction with penicillins
sodium valproate/ valproic acid - avoid
what are the interactions between ACEi and diuretics
hyperkalaemia with K sparing diuretics (black dot)
hypotension
what is the treatment for bacterial vaginosis
metronidazole
what is the crack with zero powered contrac lenses?
can only be sold under supervision of registered optician, dispensing optician or doctor
what schedule CDs could you NOT dispense off an EEA Rx
1,2,3
when should treatment for acne be commenced
early to prevent scarring
how long should pt be adviced that acne treatment takes to work
couple of months
what acne treament is reserved only for women
co-cyprindol
is topical or systemic acne treatment first line
then if unresponsive….
topical, then systemic
referral to dermatology for isotretinoin
when should li samples be taken in relation to the dose
12 hours after
how often is lithium taken in a day
ideally once daily for maintinance
initially the doses are divided throughout the day
for lithium maintance how often are levels taken
and how often when making dose changes
3 monthly
weekly
what level of lithium are we aiming for
0.8-1mmol/litre
what 3 perameters should routinely be monitored on Lithium
TSH (6 monthly)
Renal (6 monthly or more often if ACE, NSAID, diuretic)
Li levels (once stable 3 monthly)
name three drug classes that when started would need an increase in Lithium monitoring
NSAIDs
ACEi
Diuretics
require increase in how often renal function is checked
what action should be taken if side effects occur on iron therapy
change to another salt - but this just probably means you are absorbing less
best absorbed on empty stomach but can be taken with food to reduce side-effects
what could be the affect of iron supplementation in IBD
exacerbates dihorreah
with iron therapy, once the Hb is in normal range how long should iron be continued for
3 months to replenish iron stores
