Treatments

Question 1

Treatment for TB?

Answer 1

R - Rifampacin (6 months)
I - Isoniazid (6 months)
P - Pyrazinamide (2 months)
E - Ethambutol (2 months)

Question 2

Meningitis emergency treatment?
Adult/ >10 years old
1-9 years old
<1 year old

Answer 2

IM/IV Benzylpenicillin
1.2g for Adults
600mg for 1-9 year olds
300mg for <1 year olds

Question 3

Shingles antivirals?

Answer 3

Acyclovir within 72 hours of onset.

Question 4

1st Line CCF drugs?

Answer 4

ACEI

B-Blocker (Bisoprolol, carvediolol, nebivolol)

Question 5

2nd Line CCF drugs?

Answer 5

Aldosterone antagonists (Spironolacton/eplerenone)

Question 6

Breakthrough Morphine in Palliative care?

Answer 6

1/6th of total daily morphine dose

Question 7

Starting dose for Morphine in Palliative care?

Answer 7

10-15mg MST BD + 5mg oral morphine PRN

Question 8

Conversion Codeine to Morphine

Answer 8

Divide by 10

Question 9

Conversion Tramadol to Morphine

Answer 9

Divide by 10

Question 10

Conversion Morphine to Oxycodone

Answer 10

Divide by 1.5-2

Question 11

Conversion Oral Morphine to Subcutaenous Morphine

Answer 11

Divide by 2

Question 12

Conversion Oral Morphine to Subcutaneous Diamorphine

Answer 12

Divide by 3

Question 13

FTUs - hand and arm

Answer 13

4

Question 14

FTUs - Hand and fingers

Answer 14

1

Question 15

FTUs - a foot

Answer 15

2

Question 16

FTUs - Front of chest and abdomen

Answer 16

7

Question 17

FTUs - Back and Buttocks

Answer 17

7

Question 18

FTUs - Leg and Foot

Answer 18

8

Question 19

Acute migraine management?

Answer 19

Simple analgesia - Ibuprofen 400mg, Aspiring 900mg, Paracetamol 1g

Triptan - Oral Sumatriptan 50-100mg

Antiemetics - Metoclopramide etc

Question 20

Migraine prophylaxis?

Answer 20

Topiramate/Propanolol/Amitriptyline
Avoid Topiramate in childbearing age

CBT/Acupuncture/Riboflavin

Question 21

Treatment of Temporal Arteritis?

Answer 21

Without eye symptoms - Pred 40-60mg + Admit within 3 days

With eye symptoms - Pred 60-100mg + Admit urgently

Question 22

Ongoing Management post CVE?

Answer 22

Aspirin 300mg OD for 2 weeks
Clopidogrel 75mg OD Longterm (consider PPI)

Aspirin + Dipyridamole 200mg BD if can’t have clopidogrel
Dipyridamole alone if can’t have aspirin

Question 23

Post CVE secondary prevention?

Answer 23

Atorvastatin 80mg ON

Treat HTN, target <130/

No driving for 4 weeks

Question 24

TIA in the last week - management?

Answer 24

Aspirin 300mg
See stroke specialist within 24 hours

*admit if bleeding disorder or crescendo TIA

Question 25

TIA >7 days ago - management?

Answer 25

See stroke specialist within 7 days