RPS mock 2016

Question 1

for primary prevention a high intensity statin should be started, what are they?

Answer 1

Atorvastatin 20, 40 or 80mg
Rosuvastatin 10 20 or 40mg
Simvastatin 80mg

Question 2

what are the interactions with nitrates e.g. isosorbide mononitrate

Answer 2

vasodilators for pulmonary hypertension/ED
e.g. sildenafil, vardenafil, taladafil

(significantly enhanced hypotensive effect - black dot interaction)

Question 3

what is the effect of phenytoin on INR

Answer 3

reduces

Question 4

what is the purpose of pyridoxine in TB treatment

Answer 4

prevent peripheral neuropathy

Question 5

anitbiotic of choice for impetigo

and if pen allergy

Answer 5

fluclox

clarithromycin

Question 6

what should be given for bites

Answer 6

co-amox
in pen allergic doxy and metronidazole

plus tetnus immunoglob
rabies prophylaxis if endemic country

Question 7

what is the ONLY black dot interaction with penicillins

Answer 7

sodium valproate/ valproic acid - avoid

Question 8

what are the interactions between ACEi and diuretics

Answer 8

hyperkalaemia with K sparing diuretics (black dot)

hypotension

Question 9

what is the treatment for bacterial vaginosis

Answer 9

metronidazole

Question 10

what is the crack with zero powered contrac lenses?

Answer 10

can only be sold under supervision of registered optician, dispensing optician or doctor

Question 11

what schedule CDs could you NOT dispense off an EEA Rx

Answer 11

1,2,3

Question 12

when should treatment for acne be commenced

Answer 12

early to prevent scarring

Question 13

how long should pt be adviced that acne treatment takes to work

Answer 13

couple of months

Question 14

what acne treament is reserved only for women

Answer 14

co-cyprindol

Question 15

is topical or systemic acne treatment first line

then if unresponsive….

Answer 15

topical, then systemic

referral to dermatology for isotretinoin

Question 16

when should li samples be taken in relation to the dose

Answer 16

12 hours after

Question 17

how often is lithium taken in a day

Answer 17

ideally once daily for maintinance

initially the doses are divided throughout the day

Question 18

for lithium maintance how often are levels taken

and how often when making dose changes

Answer 18

3 monthly

weekly

Question 19

what level of lithium are we aiming for

Answer 19

0.8-1mmol/litre

Question 20

what 3 perameters should routinely be monitored on Lithium

Answer 20

TSH (6 monthly)
Renal (6 monthly or more often if ACE, NSAID, diuretic)
Li levels (once stable 3 monthly)

Question 21

name three drug classes that when started would need an increase in Lithium monitoring

Answer 21

NSAIDs
ACEi
Diuretics
require increase in how often renal function is checked

Question 22

what action should be taken if side effects occur on iron therapy

Answer 22

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

Question 23

what could be the affect of iron supplementation in IBD

Answer 23

exacerbates dihorreah

Question 24

with iron therapy, once the Hb is in normal range how long should iron be continued for

Answer 24

3 months to replenish iron stores

Question 25

OTC treatment foe verucas

Answer 25

salicilic acid gel 13% OD

Question 26

are the words for dental treatment only required on dental scripts

Answer 26

only for drugs with CD prescription requrements

Question 27

what electrolyte imbalnces can be caused by vitamin D

Answer 27

high calcium and high phosphate

Question 28

what are symptoms of vitamin D overdose

Answer 28

anorexia, lassitue, N&V, diarrhoea, constipation, weight loss, polyuria, swaeting, headache, thirst, verigo

Question 29

what insulin is used for diabetic emergencies

Answer 29

act rapid