sunderland 2019 Flashcards

1
Q

what is initial management of pt with DKA

A

soluble insulin injection

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2
Q

cautionary label for beta-adrenoceptor blocking drugd

A

do not stop taking unless doc says to stop

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3
Q

which antihypertensive is given in low dose to avoid first-dose hypotension

A

ramipril

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3
Q

can mg-containing antacids have constipating effect?

A

no

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4
Q

what class of drug is salmeterol

A

LABA

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5
Q

If pt says they smashed their methodone liquid what do you do?

A

tell them to request another script from his dr who normally prescribes it

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6
Q

where do you find generic names of international brand names

A

martindale the comple drug reference

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7
Q

when do you apply aciclovir for cold sores

A
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8
Q

pt is prescribed erythromycin which one of his following meds should he avoid concomitant use with?
- atenolol
- simvastatin
- amlodipine
- fluxotiene

A

simvastatin

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9
Q

why change tab to injection for haloperidol?

A

imrpove compliance

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10
Q

what is added to terbutaline

A

beclometasone

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11
Q

which of following is only valid for 28 days legally
- kaolin + morphine BP mix
- trazodone
- diazepam 5mg
- morphine 10/5
- codeine 15mg

A

diazepam 5mg

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12
Q

how long is retention of RP log required

A

5 years

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13
Q

if pt has severe peripheral vascular disease what should be avoided?
- atenolol
- codeine
- furosemide
- flucloxacillin

A

atenolol

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14
Q

is pt charged a fee to access their PMR

A

yes £10

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15
Q

which drug does not cause QT prolongation
- erythromycin
- domperidone
- citalopram
- amlodipine

A

amlodipine

16
Q

what is not a core role of all accountable officers for organisations in relation to CDS
- ensure individuals have recieved appropriate learning
- personally supervise destruction of expired controlled drugs
- ensure effective routes for reporting concerns or compliants are in place

A
  • personally supervise destruction of expired controlled drugs
17
Q

clinical governance

18
Q

what is better for children live attenuated intranasal vaccine or inactivated IM vaccine

A

live attenuated intranasal

19
Q

guidelines of handling cytotoxics - which does not included
- pregnant staff should avoid exposure
- guidance on eye protection
- nationally agreed procedures should be used for dealing with spillages
- only trained staff should reconstitute

A
  • nationally agreed procedures should be used for dealing with spillages
20
Q

when is orlistat taken

A

during or up to 1 hour after each meal

21
Q

which most likely cause cholestatic jaundice at therapeutic doses
- digoxin
- amoxicillin
- co-amox
- bisoprolol

22
Q

how many principles are there in GPHC

23
Q

pt = underarm rash after new brand of deodrant. Skin is irritant, not broken or weeping. stopped using it. What advise do you give
- use antihistamine for 7 days
- use hydrocortisone 1% for upto 7 days
- crotamiton cream 10% for upto 7 days
- moisturing cream e.g. aq cream for upto 7 days
- refer to GP

A
  • use hydrocortisone 1% for upto 7 days
24
what type of study is investigating whether initial doses of lisinopril are prescribed according to standards
clinical audit
25
pt requires support in limiting the effects of their physical disability on daily life. who do you refer them to? - district nurse - care worker - occupational therapist - physiotherapist
occupational therapist
26
legal requirements of prescriptions CD
27
Which conditions is hydrocortisone 1% cream is CI - contact dermatitis - allergic dermatitis - insect bite reactions - angular chellitis - ezcema
angular chellitis
28
can you give chloramphenicol for 3yr who has asthma and uses salbutamol regularly
yes
29
which professional asses swallowing difficulties
speech and language therapist
30
LFT are tested prior to use in? -amox amiadorone amlopdine predn
amox
31
how often is MMR given
31