RPS MOCK 2024 Flashcards
Dose of frequency in H.pylori
BD
Which is more effective at preventing pregnancy CU-IUD or ulipristal?
CU-IUD
If pt has regular periods of 29 days and is on day 21 and had unprotected sex the day before is she at risk of pregnancy?
Yes, she is at post-ovulation stage
order of constipation pregnancy tx
1) lifestyle advice
2) isphaghula husk (bulk-forming)
3) lactulose (osmotic)
4) senna (stimulant)
paracetamol overdosing tx?
acetylcysteine
aspirin overdosing tx?
activated charcoal
CO poisoing tx?
high flow oxygen
CD overdosing tx?
naloxone
malignant hyperthermia tx?
dantrolene sodium
what is the revalidation framework for pharmacists
4 CPD entries (at least 2 planned), 1 peer review and 1 reflective account
if pt has 5.7 k+ and BP = 135/85 is on
- lisinopril 20mg OD
- furosemide 40mg BD
- spironolactone 50mg OD
WHAT DO YOU DO?
REDUCE sprionolactone to 25mg OD and recheck K+ + BP in ONE week
- BP level is good so no need to reduce ACEI
antidiabetic CI in hernia
acarbose
Which one of the following is most likely to require a doxorubicin dose reduction?
- alopecia
- constipation
- elevated bilirubin
- pt = IV tracrolimus
- respiratory depression
elevated bilirubin
which laxative does mesalazine interact with
lactulose
A 54-year-old man visits his GP with acute back pain. He has a family history of cardiovascular disease, has a BMI of 30 kg/m2, and smokes 20 cigarettes per day. His GP would like to prescribe a medicine to manage his pain and asks for your advice.
Which one of the following medicines would be most appropriate for this patient?
- celecoxib
- diclofenac
- etoricoxib
- naproxen
Naproxen (1 g daily) is associated with a lower thrombotic risk, and low doses of ibuprofen (1.2 g daily or less) have not been associated with an increased risk of myocardial infarction. COX-2 inhibitors, diclofenac and high dose ibuprofen are associated with increased CVD risk.
which drugs causes neutropenia and should be avoided in acute pancreatitis
carbimazole
which drug used to tx overactive bladder requires A 62-year-old man informs you he has been prescribed a new medicine for his overactive bladder that requires close blood pressure monitoring.
Which of the following medicines has most likely been prescribed for the patient?
finasteride
mirabegron
oxybutynin
propiverine
solifenacin
mirabegron
HbA1c, fasting plasma glucose level and random plasma glucose level for type 2 diabetes diagnoses in adults
- HbA1c of 48+ mmol/mol (6.5%)
- fasting plasma glucose level of 7.0+ mmol/L
- random plasma glucose of 11.1+ mmol/L
when is metformin is only effective?
in the presence of insulin
00 out of 1.00
Flag question
A 62-year-old woman was admitted to your cardiac ward one day ago with a potential chest infection and irregular heartbeat.
She is on the following medication at home:
- Trimethoprim 50 mg once daily at night
- Amlodipine 5 mg once daily
- Simvastatin 20 mg once daily
- Paracetamol 1 gram four times daily
- Ibuprofen gel 5% used when required.
Her Potassium is 5.5 (3.6 - 5.2 mmol/L)
WHICH DRUG CAUSED IT?
- amlodipine
- ibuprofen gel
- paracetamol
- simvastatin
- trimethoprim
Trimethoprim is the most likely medication that may have caused this
Which antibiotics is CI in G6PD deficiency anaemia
nitrofurantonin
how long is GTN patch applied for
The GTN patch remains on the skin for only 12-14 hours and then removed. It is not replaced every 12-14 hours. The patient needs a nitrate free period to prevent tolerance occurring.
The correct answer is: apply the patch to the side of the chest for 12-14 hours and then remove. The patch may also be applied to the upper arm, abdomen, or shoulder.
how long does it take for ear infections to resolve on its own
72 hours
