Specialties

Question 1

What give for inducing withdrawal bleed

Answer 1

Medroxyprogesterone 10mg OD

Question 2

What do to stop getting withdrawal bleeds on HRT

Answer 2

Make it a continuous regime

Question 3

Which regimes use for HRT depending on cycles

Answer 3

If perimenopausal and having regular periods then monthly
If perimenopausal and having irregular periods then 3 monthly
If no periods then continuous regime

Question 4

How monitor asthma in a child

Answer 4

Daily diurnal peak flow
Spirometry

Question 5

Drugs for dementia

Answer 5

Mild/moderate- donepezil
Severe- memantine

Question 6

Non-hormonal options for menhorragia

Answer 6

Tranexamic acid
Mefanemic acid if assoc dysmenorrhoea

Question 7

Insomnia on wards

Answer 7

NO BENZOS
Use Z drugs

Question 8

When stop HRT

Answer 8

Develop jaundice
Sudden chest pain, breathlessness or leg pain
BP>160/90
Prolonged immobility

Question 9

Epiglottitis management

Answer 9

1st line abx- cefotaxime
Anaphylaxis to penicillin= chloramphenicol

Question 10

Dysmenorrhoea treatment options

Answer 10

Mefanemic acid- if CI then paracetamol
COCP 2nd line

Question 11

N&V in pregnancy options

Answer 11

Promethazine
Cyclizine
Prochlorperazine

Question 12

If develop lithium toxicity after starting ramipril what do

Answer 12

Stop ramipril and lithium together as ramipril was likely precipitating factor

Question 13

If have had prior VTE then what is management through pregnancy

Answer 13

Enoxaparin

Question 14

Tinea corporis management for kids

Answer 14

Topical clotrimazole

Question 15

If trialled and failed on 1 SSRI, what do next

Answer 15

Trial separate SSRI before changing class

Question 16

What is best hormonal contraceptive if on carbamazepine

Answer 16

Non oral form of progesterone

Question 17

How long does risk of breast cancer last after stopping HRT

Answer 17

10 years

Question 18

Endometriosis drugs used

Answer 18

In GP- first line= NSAIDS or paracetamol
2nd line= LNG-IUS, COCP, progesterones
2nd care can use GNRH agonists (triptoerlin) pre surgery

Question 19

Fibroids drugs

Answer 19

LNG-IUS
Tranexamic acid if dont want contraception

Question 20

Lichen sclerosis first line

Answer 20

Clobestalol propionate

Question 21

What do with contraception if DM

Answer 21

No vascular disease
- any method is fine
Vascular disease or complication like nephropathy etc
- combined hormal therapy contraindicated

Question 22

What do with contraception if obese

Answer 22

BMI under 35 anything is acceptable
BMI over 35 do not used CHC

Question 23

What do with contraception if HTN

Answer 23

Never use Combined
If vascular disease too do not use progestogen injectable

Question 24

How long after partum do you need to use contraception

Answer 24

21 days

Question 25

Premenstrual syndrome management

Answer 25

Moderate- COCP Severe- SSRI

Question 26

When give clozapine for psychosis

Answer 26

Trialled 2 or more antipsychotics

Question 27

What do if adherance an issue for antipsychotics

Answer 27

Depot

Question 28

If breastfed what use for GORD

Answer 28

Alginate therapy

Question 29

When use omeprazole for GORD in kids

Answer 29

After alginate therapy unsuccessful

Question 30

Constipation management in kids

Answer 30

Movicol first line 2nd line senna