The Good Doctor

Question 1

What are the major aerollergens in the developed world?

Answer 1

Indoor aerollergens
✓ Dust mites
✓ Cat
✓ Dog
✓ Coackroaches
✓ Furry animal debris
✓ Fungi

Question 2

What is the common brand name for solifenacin?

Answer 2

Vesicare

Question 3

What is the primary function of solifenacin?

Answer 3

Relaxing the bladder muscle

Question 4

Common side effects of solifenacin?

Answer 4

✓ Dry mouth
✓ Blurry vision

Question 5

What is the usual dose of solifenacin?

Answer 5

5mg once daily

Question 6

What is the class of drug of solifenacin?

Answer 6

Antimuscarinic (anticholinergic) muscle relaxant

Question 7

What single factor has been identified in improving outcome for patients?

Answer 7

Early detection of the ‘unwell’ patient

Question 8

List the physiological parameters to aid early detection of the ‘unwell’ or ‘at risk’ patient?

Answer 8

✓ HR
✓ BP
✓ RR
✓ O2 saturation
✓ Consciousness level
✓ Temperature

Question 9

Why must the physiological parameters be checked and used in assessing how ‘unwell’ a patient is?

Answer 9

The patient may not look as ‘unwell’ from the foot of the bed

Question 10

Normal parameters on the NEWS score are awarded what points?

Answer 10

0

Question 11

What is the threshold abnormal NEWS parameter score?

Answer 11

✓ individual score up to 3
✓ Total aggregate score ≥ 5

Question 12

Which beta blockers are licensed for heart failure?

Answer 12

✓ Bisoprolol
✓ Carvedilol
✓ Nebivolol

Question 13

What must be ruled out in every patient with chest pain?

Answer 13

Pulmonary embolism

Question 14

Which of the observations parameters is often neglected but is very important and should be taken with others?

Answer 14

Respiratory rate

Question 15

One resource to keep returning to as a good doctor?

Answer 15

Drug formulary

Question 16

Why must oral anticoagulants not be abruptly/prematurely discontinued?

Answer 16

Increased risk of thrombotic events

Question 17

In which special group of patients are DOACs not recommended?

Answer 17

Patients with triple-positive antiphospholipid syndrome

Question 18

What is the reversal agent for dabigatran?

Answer 18

Idarucizumab

Question 19

What rate of oxygen flow is used for patients suspected of having stroke, with SOB or saturation <94%?

Answer 19

15L/min

Question 20

Should you get a cardiac tracing in the setting of suspected stroke?

Answer 20

Yes

Question 21

Choice of fluid in the setting of suspected stroke?

Answer 21

N/saline at 100ml/hr is fine (I guess as long as BP is not on the high side)

Question 22

What investigation must be arranged following suspected stroke?

Answer 22

CT head

Question 23

When can you consider use of aspirin in the setting of stroke?

Answer 23

After ruling out hemorrhage using CT scan

Question 24

Investigations that you may forget to request in the setting of suspected stroke?

Answer 24

✓ LFT
✓ FLP
✓ SEUCr

Question 25

Which of the type of stroke is commoner?

Answer 25

Ischaemic stroke (85%)

Question 26

Which investigation helps you rule out an intestinal perforation in the setting of acute abdominal pain?

Answer 26

Erect chest x-ray

Question 27

With what imaging modality do you diagnose intestinal obstruction?

Answer 27

Plain abdominal x-ray

Question 28

Key investigation for diagnosis of acute pancreatitis?

Answer 28

Amylase

Question 29

Good IV antibiotic cover for abdominal infections?

Answer 29

Co-amoxiclav