Teams

Question 1

3 Factors to decide if Apixaban dose reduction is required

Answer 1

A) Age ≥ 80 years
B) Body weight ≤ 60kg
C) Creatinine ≥ 133 micromol/l or clearance 15-29 ml/minute

Question 2

2 Scores used to decide if DOAC is necessary

Answer 2

HASBLED - Bleed risk

CHADS2VASC - Stroke risk

Question 3

Apixaban dosing

Answer 3

5mg BD
OR
2.5mg BD if 2 ABC factors present

Question 4

Statin treatment dose vs prophylactic dose

Answer 4

Atorvastatin 80mg - treatment
Atorvastatin 20 = Simva 40 = prophylactic

Atorvastatin primary prevention: 20mg OD
Atorvastatin secondary prevention: 80mg OD
Simvastatin prevention: 20-40mg OD
Simvastatin 80 only in severe

Question 5

HAP 1st Line

Answer 5

Co-Amoxiclav (Beta lactam + Beta lactamase inhibitor)

Question 6

Dabigatran dosing

Answer 6

110mg BD up to 220mg BD

Question 7

Rivaroxaban

Answer 7

Must be taken with food

2.5-20mg dose range

Question 8

Alcohol withdrawal

Answer 8

Benzos are GABA agonists (allosteric)
Long acting benzo: Chlordiazepoxide or Diazepam

If withdrawal seizures, short acting benzo: Lorazepam

Question 9

Alcohol dependence risks

Answer 9

Wernicke’s Encephalopathy
IV thiamine followed by Oral thiamine

Increased alcohol reduces thiamine in the body

https://pubs.niaaa.nih.gov/publications/arh27-2/134-142.htm

Question 10

How long to keep vet records

Answer 10

5 years

Question 11

How long to keep cd, pom records

Answer 11

2 years

Question 12

Paracetamol 8-9

Answer 12

360-375mg

Question 13

Paracetamol 10-11

Answer 13

480-500mg

Question 14

Paracetamol 12-15

Answer 14

480-750mg

Question 15

Paracetamol 16-17

Answer 15

500-1000mg

Question 16

Paracetamol 6-7

Answer 16

240-250mg

Question 17

Paracetamol 4-5

Answer 17

240mg

Question 18

Paracetamol 2-3

Answer 18

180mg

Question 19

Paracetamol 6-23mo

Answer 19

120mg

Question 20

Paracetamol 3-5 months

Answer 20

60mg

Question 21

Schedule 1

Answer 21

Street drugs like lsd mdma, cannabis, non medicinal. Home office license needed for production, possession or supply

Question 22

Schedule 2

Answer 22

Opiates: morphine, diamorphine, oxycodone, cocaine, ketamine, cannabis based products

Question 23

Schedule 3

Answer 23

Barbiturates except secobarbital
Buprenorphine, tramadol, gabapentin, pregabalin
Midazolam

Question 24

Schedule 4

Answer 24

Benzodiazapines except schedule 3 midaz and temaz
Sativex

Part 2: androgenic and anabolic steroids, HCG somatropin etc

Question 25

Schedule 5

Answer 25

Codeine, morphine liquid, pholcodine etc | Only need invoices for 2 years

Question 26

Drugs causing oral ulceration

Answer 26

``` ACE Nicorandil NSAIDS Pancreatin Penicillamine Proguanil Protease inhibitors ```

Question 27

Drugs that's cause hyponatremia

Answer 27

SSRI NSAIDS Diuretics

Question 28

Anti muscarinic drugs e.g solifenacin, tolbutamide,oxybutinin, mirabegron Can cause

Answer 28

Constipation