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PRP2 > RPS22 Questions Got Wrong > Flashcards

RPS22 Questions Got Wrong Flashcards

1
Q

Post herpe Neuralgia Treatment?

A

Amitriptylline

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2
Q

Test for pt if they are displaying Heart failure symptoms?

A

Pro B type nat peptide test

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3
Q

What indicates pulmonary embolism?

A

Chest pain

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4
Q

Sepsis inflammatory biomarker?

A

C-reactive protein

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5
Q

Pioglitazone contraindication in which condition and history of what condition?

A

Bladder Cancer History

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6
Q

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

A

Liver function test

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7
Q

Epilepsy withdrawal after not having seizure for 2 years?

A

Withdraw one drug at a time

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8
Q

Pom register Temazepam which is not needed?

A

Brand not needed on register

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9
Q

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

A

Methotrexate

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10
Q

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

A

Misoprostol- can be used to terminate pregnancies

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11
Q

Metformin can also be used for what condition?

A

PCOS

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12
Q

Which otc drug not to use in COPD?

A

NSAIDS

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13
Q

Anticoagulant to use in Valve replacement?

A

Warfarin

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14
Q

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

A

Anal fissure

Caused by constipation - low carb diet

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15
Q

Hyperkalaemia treatment?

A

Patiromer Calcium

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16
Q

Which antibiotic should not be taken with Digoxin?

A

Clarithromycin - increase digoxin plasma levels

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17
Q

Weight loss anti diabetic?

A

SGLT2i & GLP-1

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18
Q

Sulphasalazine major side effect to note?

A

Blood disorder - Rash

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19
Q

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

A

Amoxicillin, Doxycycline or Clarithromycin

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20
Q

Which antibiotic interacts with ibuprofen? And how?

A

Ciprofloxacin - decreases seizure threshold

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21
Q

Lithium severe toxic range needs pt to do what?

A

STOP immediately as needs urgent treatment

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22
Q

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

A

ACE decreases lithium excretion

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23
Q

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

A

Both decreases lithium excretion in the case of a Lithium toxicity

24
Q

Sepsis can be caused by what treatment procedure?

A

Chemotherapy

25
Q

Symptoms of Sepsis?

A

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

26
Q

What to do in the event of sepsis?

A

Call 999 as it is an medical emergency!

27
Q

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

A

Combined Contraception

Levonorgestrel/Ethinylestradiol

28
Q

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?

A

Feed must be interrupted for 2 hours before and after phenytoin doses

Closely monitoring phenytoin level as low levels can reduce seizure control

29
Q

If meningitis is suspected but penicillin allergy?

A

Chloramphenicol IV

30
Q

Sildenafil caution in which pt’s?

A
  • CVD
    eg Mi, Angina, stroke, Cardiac failure
31
Q

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

A

Erythromycin - QT prolongation

32
Q

Amitriptylune and Moclobemide may cause what problem?

Symptoms: Tremor, agitation, confusion, myoclonus and Hyperthermia

A

Serotonin syndrome

33
Q

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

A

Go to foot protection service

Then after that

Go to go to check diabetic med management

34
Q

Asthma - next stage after salbutamol and QVAR?

A

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

35
Q

Which CNS drugs cause falls?

A

Benzodiazepines and Z Hypnotics
Especially Sedating benzodiazepines such as Temazepam

36
Q

Which Antihypertensive causes oedema as a side effect?

A

CCB -> Amlodipine

37
Q

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

A

Zonisamide

38
Q

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

A

Midazolam - available for oromucosal

39
Q

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

A

Diazepam enema

40
Q

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

A

Montelukast - OCD give away

41
Q

Theophylline overdose signs?

A

Vomiting
Agitation
Tachycardia
Hyperglycaemia
Severe hypokalaemia developing

42
Q

Which healthcare workers help with living alone etc?

A

Social care workers

43
Q

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

A

Hypomagnesaemia - so give magnesium aspartate

44
Q

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

A

Amiodarone

45
Q

Stiff neck, non blanching rash signs of what?

A

Meningitis

46
Q

If penicillin allergic, which abx to be given cefotaxime?

A

Cefotaxime injection

47
Q

Where are verrucas found and how do they look?

A

Sole of foot

Central dark dots present - painful

48
Q

Where are warts found and how do they look?

A

Hands - palms, knuckles, fingers
Knees

Cluster, firm, raised rough cauliflower like - skin coloured

49
Q

Palliative care laxative that causes urine colour to be red?

A

Co-danthramer & Co-danthrusate

50
Q

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

A

Senna

51
Q

Bisacodyl tablets act in how long?

A

10-12hrs

52
Q

Docusate oral how long work in?

A

1-2 days

53
Q

Bulk formin laxatives work in how long?

A

72hours

54
Q

Docusate suppositories work in how long?

A

20mins

55
Q

Which otc med interacts with levothyroxine when given together?

A

Orlistat - reduced control of hypothyroidism

Dose adjustment of time difference in doses may be needed

56
Q

Orlistat and contraception?

A

May reduce the contraceptive and may lead to pregnancy - use additional contraceptive

Occurs due to diarrhoea etc

PRP2 (74 decks)

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