RPS22 Questions Got Wrong

Question 1

Post herpe Neuralgia Treatment?

Answer 1

Amitriptylline

Question 2

Test for pt if they are displaying Heart failure symptoms?

Answer 2

Pro B type nat peptide test

Question 3

What indicates pulmonary embolism?

Answer 3

Chest pain

Question 4

Sepsis inflammatory biomarker?

Answer 4

C-reactive protein

Question 5

Pioglitazone contraindication in which condition and history of what condition?

Answer 5

Bladder Cancer History

Question 6

Other tests to do for sepsis other than C-Reactive protein?

Answer 6

Liver function test

Question 7

Epilepsy withdrawal after not having seizure for 2 years?

Answer 7

Withdraw one drug at a time

Question 8

Pom register Temazepam which is not needed?

Answer 8

Brand not needed on register

Question 9

Which autoimmune drug need for contraception to be used during and 6 months after

Answer 9

Methotrexate

Question 10

Which prostaglandin analogue that is used to treat stomach ulcers should not be used in women with child bearing potential?

Answer 10

Misoprostol- can be used to terminate pregnancies

Question 11

Metformin can also be used for what condition?

Answer 11

PCOS

Question 12

Which otc drug not to use in COPD?

Answer 12

NSAIDS

Question 13

Anticoagulant to use in Valve replacement?

Answer 13

Warfarin

Question 14

Sharp pain when going toilet, difficult passing stools, blood in toilet - which condition? Caused by what?

Answer 14

Anal fissure

Caused by constipation - low carb diet

Question 15

Hyperkalaemia treatment?

Answer 15

Patiromer Calcium

Question 16

Which antibiotic should not be taken with Digoxin?

Answer 16

Clarithromycin - increase digoxin plasma levels

Question 17

Weight loss anti diabetic?

Answer 17

SGLT2i & GLP-1

Question 18

Sulphasalazine major side effect to note?

Answer 18

Blood disorder - Rash

Question 19

COPD exacerbation after oxygen and prednisolone, which Abx is first line?

Answer 19

Amoxicillin, Doxycycline or Clarithromycin

Question 20

Which antibiotic interacts with ibuprofen? And how?

Answer 20

Ciprofloxacin - decreases seizure threshold

Question 21

Lithium severe toxic range needs pt to do what?

Answer 21

STOP immediately as needs urgent treatment

Question 22

During lithium toxicity why stop ACE and Thiazides (Hydrocholothiazide) drug too?

Answer 22

ACE decreases lithium excretion

Question 23

Enalapril and Hydrochlorothiazides with lithium, what should you be thinking of?

Answer 23

Both decreases lithium excretion in the case of a Lithium toxicity

Question 24

Sepsis can be caused by what treatment procedure?

Answer 24

Chemotherapy

Question 25

Symptoms of Sepsis?

Answer 25

Dysuria Diarrhoea A productive cough Chills Shivers Hot and cold sensation Over 38 degrees

Question 26

What to do in the event of sepsis?

Answer 26

Call 999 as it is an medical emergency!

Question 27

Which contraception type to stop before 4 weeks before major surgery?

Answer 27

Combined Contraception Levonorgestrel/Ethinylestradiol

Question 28

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?

Answer 28

Feed must be interrupted for 2 hours before and after phenytoin doses Closely monitoring phenytoin level as low levels can reduce seizure control

Question 29

If meningitis is suspected but penicillin allergy?

Answer 29

Chloramphenicol IV

Question 30

Sildenafil caution in which pt’s?

Answer 30

- CVD eg Mi, Angina, stroke, Cardiac failure

Question 31

Sildenafil interactions with which abx? And what can it cause?

Answer 31

Erythromycin - QT prolongation

Question 32

Amitriptylune and Moclobemide may cause what problem? Symptoms: Tremor, agitation, confusion, myoclonus and Hyperthermia

Answer 32

Serotonin syndrome

Question 33

First step if diabetic pt comes with foot ulceration or infection? Then second step?

Answer 33

Go to foot protection service Then after that Go to go to check diabetic med management

Question 34

Asthma - next stage after salbutamol and QVAR?

Answer 34

SMART - Swap out QVAR for Fostair (Budesonide and Formeterol)

Question 35

Which CNS drugs cause falls?

Answer 35

Benzodiazepines and Z Hypnotics Especially Sedating benzodiazepines such as Temazepam

Question 36

Which Antihypertensive causes oedema as a side effect?

Answer 36

CCB -> Amlodipine

Question 37

Which anti epileptic drug needs to avoid overheating and need to ensure hydration in children?

Answer 37

Zonisamide

Question 38

Which anti epileptic rescue med is given between gum and cheek?

Answer 38

Midazolam - available for oromucosal

Question 39

Epilepsy rescue med that is the only one tht can be given rectally?

Answer 39

Diazepam enema

Question 40

Which asthma med can result in difficult speaking, body weakness and tremor Also repeatedly washing hands?

Answer 40

Montelukast - OCD give away

Question 41

Theophylline overdose signs?

Answer 41

Vomiting Agitation Tachycardia Hyperglycaemia Severe hypokalaemia developing

Question 42

Which healthcare workers help with living alone etc?

Answer 42

Social care workers

Question 43

With omeprazole if pt is experiencing vomiting pins and needles and muscle twitches what does it mean?

Answer 43

Hypomagnesaemia - so give magnesium aspartate

Question 44

Hypothyroidism is a known side effect of which high risk drug?

Answer 44

Amiodarone

Question 45

Stiff neck, non blanching rash signs of what?

Answer 45

Meningitis

Question 46

If penicillin allergic, which abx to be given cefotaxime?

Answer 46

Cefotaxime injection

Question 47

Where are verrucas found and how do they look?

Answer 47

Sole of foot Central dark dots present - painful

Question 48

Where are warts found and how do they look?

Answer 48

Hands - palms, knuckles, fingers Knees Cluster, firm, raised rough cauliflower like - skin coloured

Question 49

Palliative care laxative that causes urine colour to be red?

Answer 49

Co-danthramer & Co-danthrusate

Question 50

Stimulant Laxative that discolours urine to yellow-red brown and has onset of 8-12 hrs?

Answer 50

Senna

Question 51

Bisacodyl tablets act in how long?

Answer 51

10-12hrs

Question 52

Docusate oral how long work in?

Answer 52

1-2 days

Question 53

Bulk formin laxatives work in how long?

Answer 53

72hours

Question 54

Docusate suppositories work in how long?

Answer 54

20mins

Question 55

Which otc med interacts with levothyroxine when given together?

Answer 55

Orlistat - reduced control of hypothyroidism Dose adjustment of time difference in doses may be needed

Question 56

Orlistat and contraception?

Answer 56

May reduce the contraceptive and may lead to pregnancy - use additional contraceptive Occurs due to diarrhoea etc