STOP/START/BEERS

Question 1

True/False

Stop NSAID in HF to prevent risk of exacerbation

Answer 1

True

Question 2

True/False

NSAID use > 3 months for relief of mild joint pain are part of the STOP criteriA

Answer 2

True

Question 3

What is the first line prophylactic drug in gout?

Answer 3

allopurinol

Question 4

Avoid long-term use of corticosteroids in RA as monotherapy, defined as _____ months

Answer 4

3

Question 5

True/False

Diclofenac is associated with lower cardiovascular risks than other non-selective NSAIDs

Answer 5

False, it is higher risk

Question 6

What 2 NSAIDs have the most favorable CV risk profiles?

Answer 6

Naproxen and low dose advil

Question 7

What medication for urinary incontinence should be avoided in frail older women?

Answer 7

Oxybutinin

Question 8

True/False

Bladder antimuscarinic drugs should be stopped with chronic angle-closure glaucoma, constipation and prostatism?

Answer 8

True

Question 9

True/False

Loperamide is indicated for diarrhea of unknown cause or severe infective gastroenteritis

Answer 9

False

Question 10

PPI therapy should be limited to ____ weeks to prevent what SE

Answer 10

< 8 weeks, prevent fractures, hyponatremia and hypomanesaemia

Question 11

True/False

Metformin is contraindicated if GFR < 30

Answer 11

True

Question 12

What medications should be started with DM with nephropathy (proteinuria or microalbumineria) +/- signs of renal impairment

Answer 12

ACE-I

Question 13

What medication should be considered with DM and CVD risk >/= 10%

Answer 13

Statin

Question 14

BB should be stopped in DM if frequent ______ to prevent recurrent episodes

Answer 14

hypoglycemia episodes > 1 per month

Question 15

Estrogen increases risk of:

Answer 15

VTE, breast cancer, endometrial cancer

Question 16

Glitazones should be stopped with what 3 conditions

Answer 16

heart failure (worsening edema), bladder cancer, fracture risk

Question 17

Empagliflozin requires an eGFR of >

Answer 17

eGFR >20 mL/minute

Question 18

In acute pancreatitis, avoid what antidiabetic medication?

Answer 18

Gliptins/DPP4

Question 19

True/False

Gliptins (DPP4) and GLP-1s should should not be used together

Answer 19

True

Question 20

In OA with patient taking NSAIDs consider prescribing ____ to prevent SE

Answer 20

PPI

Question 21

If c.diff is suspected, discontinue what 2 medications

Answer 21

Motlitiy agents and PPIs

Question 22

T/F

Loop diuretics are indicated for dependent ankle edema in the absence of heart failure

Answer 22

False

Question 23

Beta blocker in combination with verapamil can increase risk of symptomatic heart block. T/F?

Answer 23

True

Question 24

CCB diltiazem and verapamil are not reccomended in NYHA Class ___ and ___ heart failure

Answer 24

III, IV

Question 25

PD drugs should be initiated in primary care prior to specialist diagnosis. T/F?

Answer 25

False

Question 26

Antidepressants can be initiated with moderate-severe depression for at-least ____ months

Answer 26

3 months

Question 27

Memantine can be used for mild alzheimers disease. T/F?

Answer 27

False

Question 28

Antipsychotic drugs are associated with increased risk of stroke in elderly. True/False?

Answer 28

True

Question 29

What medication is the only licensed short term drug for aggression in patients with moderate-severe alzheimers?

Answer 29

Risperidone

Question 30

Avoid tramadol in the over ____ year people

Answer 30

75

Question 31

What medication can be discontinued if it has been > 12 months since stenting

Answer 31

ASA

Question 32

According to STOP criteria, DVT prophylaxis should be disontinued following first DVT after ___ months

Answer 32

6

Question 33

According to STOP criteria, PE prophylaxis should be discontinued following first PE after ___ months

Answer 33

12 months

Question 34

T/F | Narrow angle glaucoma can be exacerbated by SAMA/LAMA?

Answer 34

True

Question 35

Citalopram and escitalopram can cause what CV consequence that may require monitoring

Answer 35

QTC prolongation

Question 36

ASA should not exceed dose of ____ per day if >65 years

Answer 36

150mg/day

Question 37

Antiplatelets can be combined with warfarin when indicated as benefits outweigh harms. T/F?

Answer 37

False, benefits do not outweigh harms in this population

Question 38

ASA monotherapy can be given for stroke prevention. T/F?

Answer 38

False

Question 39

Anticoagulation should be withheld purely because of the risk of falls. T/F?

Answer 39

False

Question 40

T/F | TCAs can worsen constipation?

Answer 40

True

Question 41

Benzodiazipines and Z drugs should not be used for > _____ and if fallen in past ______

Answer 41

1 month | fallen in past 3 months

Question 42

What medication class should be started with chronic stable angina?

Answer 42

BB

Question 43

What medication to reduce afterload should be started in chronic heart failure?

Answer 43

ACE-I

Question 44

Following acute MI what medication to reduce afterload should be given?

Answer 44

ACE-I

Question 45

Give patients with COPD and a FEV1 of < ______ a course of ABX and oral corticosteroids tablets to keep at home

Answer 45

FEV1<30%