PSA

Question 1

What are some drugs that should NOT be stopped before surgery?

Answer 1

• Antiepileptics
• Anxiolytics/antidepressants/antipsychotics
• Thyroid drugs
• Glaucoma drugs
• Immunosuppressants
• Bronchodilators
• Drugs of dependence
• Some cardiovascular drugs

Question 2

When should metformin be stopped before surgery?

Answer 2

If the patient is going to miss more than 1 meal

Question 3

What is the maximum dose of carbimazole?

Answer 3

40mg (should be left on 15-40mg until euthyroid and then you titrate down)

Question 4

How long do hyperthyroid patients typically need to take anti-thyroid drugs for?

Answer 4

12-18 months

Question 5

If a women recently started on the COCP has ambulatory BP monitoring and is hypertensive, what i the best next course of action?

Answer 5

Switch to POP

Question 6

How many times a day should children with T1DM be checking their sugar levels?

Answer 6

At least 5 times a day - more frequent testing may be required when ill or during periods of physical activity

Question 7

What type of laxatives should be used in patients with haemorrhoids?

Answer 7

Bulk-forming laxatives (e.g. methylcellulose and sterculia)

Question 8

What vaccinations are advised during pregnancy?

Answer 8

Whooping cough + annual flu