RPS22 Questions Got Wrong Flashcards
Post herpe Neuralgia Treatment?
Amitriptylline
Test for pt if they are displaying Heart failure symptoms?
Pro B type nat peptide test
What indicates pulmonary embolism?
Chest pain
Sepsis inflammatory biomarker?
C-reactive protein
Pioglitazone contraindication in which condition and history of what condition?
Bladder Cancer History
Other tests to do for sepsis other than C-Reactive protein?
Liver function test
Epilepsy withdrawal after not having seizure for 2 years?
Withdraw one drug at a time
Pom register Temazepam which is not needed?
Brand not needed on register
Which autoimmune drug need for contraception to be used during and 6 months after
Methotrexate
Which prostaglandin analogue that is used to treat stomach ulcers should not be used in women with child bearing potential?
Misoprostol- can be used to terminate pregnancies
Metformin can also be used for what condition?
PCOS
Which otc drug not to use in COPD?
NSAIDS
Anticoagulant to use in Valve replacement?
Warfarin
Sharp pain when going toilet, difficult passing stools, blood in toilet - which condition? Caused by what?
Anal fissure
Caused by constipation - low carb diet
Hyperkalaemia treatment?
Patiromer Calcium
Which antibiotic should not be taken with Digoxin?
Clarithromycin - increase digoxin plasma levels
Weight loss anti diabetic?
SGLT2i & GLP-1
Sulphasalazine major side effect to note?
Blood disorder - Rash
COPD exacerbation after oxygen and prednisolone, which Abx is first line?
Amoxicillin, Doxycycline or Clarithromycin
Which antibiotic interacts with ibuprofen? And how?
Ciprofloxacin - decreases seizure threshold
Lithium severe toxic range needs pt to do what?
STOP immediately as needs urgent treatment
During lithium toxicity why stop ACE and Thiazides (Hydrocholothiazide) drug too?
ACE decreases lithium excretion
Enalapril and Hydrochlorothiazides with lithium, what should you be thinking of?
Both decreases lithium excretion in the case of a Lithium toxicity
Sepsis can be caused by what treatment procedure?
Chemotherapy
Symptoms of Sepsis?
Dysuria
Diarrhoea
A productive cough
Chills
Shivers
Hot and cold sensation
Over 38 degrees
What to do in the event of sepsis?
Call 999 as it is an medical emergency!
Which contraception type to stop before 4 weeks before major surgery?
Combined Contraception
Levonorgestrel/Ethinylestradiol
Patients that have Enteral feeding preparations have a lower than expected phenytoin level, therefore what should occur in regards to giving the feed to pt?
Feed must be interrupted for 2 hours before and after phenytoin doses
Closely monitoring phenytoin level as low levels can reduce seizure control
If meningitis is suspected but penicillin allergy?
Chloramphenicol IV
Sildenafil caution in which pt’s?
- CVD
eg Mi, Angina, stroke, Cardiac failure
Sildenafil interactions with which abx? And what can it cause?
Erythromycin - QT prolongation
Amitriptylune and Moclobemide may cause what problem?
Symptoms: Tremor, agitation, confusion, myoclonus and Hyperthermia
Serotonin syndrome
First step if diabetic pt comes with foot ulceration or infection? Then second step?
Go to foot protection service
Then after that
Go to go to check diabetic med management
Asthma - next stage after salbutamol and QVAR?
SMART - Swap out QVAR for Fostair (Budesonide and Formeterol)
Which CNS drugs cause falls?
Benzodiazepines and Z Hypnotics
Especially Sedating benzodiazepines such as Temazepam
Which Antihypertensive causes oedema as a side effect?
CCB -> Amlodipine
Which anti epileptic drug needs to avoid overheating and need to ensure hydration in children?
Zonisamide
Which anti epileptic rescue med is given between gum and cheek?
Midazolam - available for oromucosal
Epilepsy rescue med that is the only one tht can be given rectally?
Diazepam enema
Which asthma med can result in difficult speaking, body weakness and tremor
Also repeatedly washing hands?
Montelukast - OCD give away
Theophylline overdose signs?
Vomiting
Agitation
Tachycardia
Hyperglycaemia
Severe hypokalaemia developing
Which healthcare workers help with living alone etc?
Social care workers
With omeprazole if pt is experiencing vomiting pins and needles and muscle twitches what does it mean?
Hypomagnesaemia - so give magnesium aspartate
Hypothyroidism is a known side effect of which high risk drug?
Amiodarone
Stiff neck, non blanching rash signs of what?
Meningitis
If penicillin allergic, which abx to be given cefotaxime?
Cefotaxime injection
Where are verrucas found and how do they look?
Sole of foot
Central dark dots present - painful
Where are warts found and how do they look?
Hands - palms, knuckles, fingers
Knees
Cluster, firm, raised rough cauliflower like - skin coloured
Palliative care laxative that causes urine colour to be red?
Co-danthramer & Co-danthrusate
Stimulant Laxative that discolours urine to yellow-red brown and has onset of 8-12 hrs?
Senna
Bisacodyl tablets act in how long?
10-12hrs
Docusate oral how long work in?
1-2 days
Bulk formin laxatives work in how long?
72hours
Docusate suppositories work in how long?
20mins
Which otc med interacts with levothyroxine when given together?
Orlistat - reduced control of hypothyroidism
Dose adjustment of time difference in doses may be needed
Orlistat and contraception?
May reduce the contraceptive and may lead to pregnancy - use additional contraceptive
Occurs due to diarrhoea etc
