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VT > TOK prescribing > Flashcards

TOK prescribing Flashcards

1
Q

In a healthy adult patient with a localised dental abscess

with no evidence of spreading infection or systemic

involvement, which of the following is appropriate first-

line treatment?

A

Drain pus in the dental abscess by extraction of the tooth or through the root canals.

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2
Q

A 54 year old patient attends who is very anxious about

dental treatment and asks if its possible to prescribe

something to manage their anxiety. After discussing it with

the patient, you decide that you are going to prescribe

Diazepam

A

Only prescribe the minimum number required Advise the patient to take 5mg 2 hours before the procedure

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3
Q

The current recommended drugs for use in medical

emergencies in general practice include which of the

following?

A

Glucagon Aspirin Adrenaline Glyceryl trinitrate

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4
Q

The maximum daily dose of ibuprofen for an adult is?

A

2.4g

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5
Q

Which of the following options are suitable to treat a 13-

year-old child presenting with mild to moderate

toothache?

A

Ibuprofen oral suspension (100 mg/5 ml), 300 mg (15 ml) four times daily Paracetamol tablets (500 mg), 1 tablet four times daily

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6
Q

A dentate patient, not taking any other medication,

presents with Angular Cheilitis. Which is the most

appropriate first line treatment?:

A

Miconazole (2%) Cream

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7
Q

You wish to prescribe miconazole for a patient with

angular cheilitis. This may be contraindicated in patients

who are also taking which of the following…?

A

Warfarin Statins

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8
Q

Before which of these treatments should warfarinised

patients have their INR checked?

A

Biopsy Detailed 6 point full periodontal examination Extraction

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9
Q

Patients for whom you have prescribed an antibiotic

A

Should be reviewed within 2-7 days

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10
Q

Which of the following should be advised for an adult

patient who presents in good health but has a mild early

herpes labialis?

A

Aciclovir cream 5% five times a day for 5 days

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11
Q

A fit and healthy 24-year-old patient has the prodromal

symptoms of a cold sore on the lower lip. What would be

most appropriate to prescribe?

A

Aciclovir cream

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12
Q

Which of the following should you administer if an adult

patient developed anaphylaxis while in your surgery?

A

Adrenalin 0.5ml (1:1000) by intramuscular injection

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13
Q

If drug treatment is required to treat a dental abscess in an

adult patient who is allergic to penicillin, which drug is

recommended as an appropriate first-line alternative

A

Metronidazole

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14
Q

What are suitable topical treatments for herpes labialis in

adults?

A

Aciclovir cream

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15
Q

Which of the following have antifungal properties?

A

Miconazole, Nystatin, Fluconazole, Chlorhexidine

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16
Q

What advice would you give a patient with mucosal

ulceration to whom you have prescribed chlorhexidine

mouthwash

A

Use twice daily Spit out after rinsing Use until lesions have resolved

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17
Q

Which of the following antimicrobials is known to have a

profound interaction with alcohol?

A

Metronidazole

18
Q

After the first trimester, which of the following does not carry a caution note when prescribed for pregnant patients?

A

Amoxicillin, Paracetamol

19
Q

Which of the following increase the anticoagulant effect of

warfarin?

A

Metronidazole, Miconazole, Fluconazol

20
Q

Which antimicrobial would you NOT prescribe for a 9 year

old child?

A

Doxycycline

21
Q

What should you prescribe to treat mild to moderate

toothache in a 35 year old male with no other medical

conditions?

A

Ibuprofen, Paracetamol

22
Q

Which of the following should not be given to asthmatic

patients?

A

Ibuprofen

23
Q

In an adult patient who has dental pain and has active

peptic ulcer disease, which of following analgesics should

you prescribe?

A

Paracetamol

24
Q

Which of the following could be appropriate for the

management for mucosal ulceration in a 10-year-old child?

A

Chlorhexidine mouthwash, 0.2%. Benzydamine oromucosal spray, 0.15%.

25
Q

Paracetamol…?

A

Is hepatotoxic in overdose. Is anti-pyrexic. Has a maximum daily dose of 4g for an adult.

26
Q

Which of the following statements are true?

A

The maximum daily dose of ibuprofen for an adult is 2.4g. The maximum daily dose of paracetamol for an adult is 4g. Paracetamol and ibuprofen can be given alternately to children provided the maximum recommended dose for each drug is not exceeded.

27
Q

Which of the following does not carry a caution note when

used in patients who receive warfarin therapy?

A

Paracetamol

28
Q

A five year old patient is at increased risk of dental caries.

Which of the following is an appropriate regime?

A

Sodium fluoride varnish application, four times a year.

29
Q

The current recommended drugs for use in medical

emergencies in general practice include which of the

following?

A

Salbutamol, Glucose, Oxygen, Midazolam

30
Q

What treatment would you give to a conscious 22 year old

known diabetic patient who shows signs of

hypoglycaemia?

A

Oxygen, Oral Glucose

31
Q

What treatment would you give to a 55 year old male

patient with a history of angina who complains of severe

chest pain?

A

Oxygen, Glyceroyl Trinitrate

32
Q

You receive an emergency out of hours call from an adult

patient who has severe dental pain. They cannot attend

the surgery for at least 24hrs. At present the patient is

attempting to control pain with 500mg of paracetamol

every four hours, but this is failing to give adequate pain

relief. Which of the following would be appropriate

analgesic advice for the patient?

A

Take 2 x 500mg paracetamol every four hours up to a maximum of 4g daily and 400mg Ibuprofen every four hours up to a maximum of 2.4g daily, to be taken alternatively every 2 hours. Double the dose of paracetamol, taken every four hours up to a maximum of 4g

33
Q

Which of the following agents have an antifungal effect?

A

Miconazole, Nystatin, Chlorhexidine

34
Q

When prescribing Nystatin what instructions should be

given to the patient

A

Rinse suspension around the mouth then retain suspension near the lesion for 5 minutes before swallowing. Remove dentures before using the drug.

35
Q

What is a suitable supplemental analgesic for a patient

who already takes Naproxen

A

Paracetamol Co-codamol

36
Q

Fluconazole and miconazole are contraindicated in patients taking which of the following:

A

Statins, Warfarin

37
Q

The maximum daily dose of paracetamol for an adult is?

A

4g

38
Q

Which of the following is / are correct?

A

Prilocaine 3% with felypressin is used as a dental local anaesthetic. Lidocaine 2% with 1:80,000 adrenaline is a dental local anaesthetic.

39
Q

Which of these is appropriate treatment of mucosal

ulceration in a 10-year-old?

A

Clenil Modulite, 50 micrograms/ metered inhalation (beclomethasone pressurised inhalation, CFC free), 1-2 puffs directed onto ulcers twice daily. Benzydamine Oromucosal Spray 0.15%, 4 sprays onto affected area every 1 ½ hours.

40
Q

In a patient who presents with Herpes Zoste

A

Aciclovir Tablets 800mg Five times a day for 7 days is appropriate treatment Aciclovir tablets and oral suspension are not licensed for treatment of Herpes Zoster in children

41
Q

What advise would you give a patient with mucosal

ulceration to whom you have prescribed chlorhexidine

mouthwash?

A

Use twice daily Use until lesions have resolved Spit out after rinsing

VT (11 decks)

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