Prescribing - section 1

Question 1

drugs that are enzyme inducers encourage drug breakdown mnemonic

Answer 1

PC BRAS
- Phenytoin
- Carbamezipine
- Barbiturates
- Rifampicin
- Alcohol (chronic excess)
- Sulphonylureas

Question 2

drugs that decrease enzyme activity and cause increased concentration

Answer 2

AODEVICES
- Allopurinol
- Omeprazole
- Disulfiram
- Erythromycin
- Valproate
- Isoniazid
- Ciprofloxacin
- Ethanol (acute intoxication)
- Sulphonamides

Question 3

drugs to stop before surgery

Answer 3

I LACK OP
- insulin
- lithium
- anticoagulants/antiplatelets
- COCP/HRT
- K-sparing diuretics
- Oral hypoglycaemic
- Perindopril and other ACE inhibitors

Question 4

when to stop COCP before surgery

Answer 4

4 weeks before

Question 5

when to stop lithium before surgery

Answer 5

day before

Question 6

when to stop potassium sparring diuretics and ACE inhibitors before surgery

Answer 6

day of surgery

Question 7

what does co-amoxiclav and Tazocin both contain

Answer 7

penicillin

Question 8

management of PE

Answer 8

DOAC - rivaroxaban

Question 9

what not to give if patient asthmatic

Answer 9

beta blocker
NSAIDs

Question 10

first line for heart failure

Answer 10

ACE inhibitor - ramipril 1.25mg

Question 11

hypertension <55 drug

Answer 11

ACE inhibitor - ramipril 1.25mg

Question 12

hypertension >55 or black

Answer 12

calcium channel blocker - amlodipine 5mg

Question 13

diabetes and hypertension

Answer 13

ace inhibitor - ramipril 1.25mg

Question 14

cough with ace inhibitor

Answer 14

ARB - losartan 80mg

Question 15

acute asthma

Answer 15

salbutamol
5mg - dose
STAT - frequency
nebulised - route

Question 16

AF treatment

Answer 16

beta blocker (remember not in asthamtic)
rate limiting calcium channel - diltiazem, verapamil

Question 17

AF diltiazem

Answer 17

dose: 120mg
route: oral
frequency: daily

Question 18

what drug for hyperkalaemia

Answer 18

actrapid
dose: 10 units in 125ml of 20% glucose
frequency: infused over 15 minutes
route: IV

Question 19

all women child bearing potential seizures

Answer 19

lamotrigine
dose: 25mg
frequency: once daily
route: oral

Question 20

what not to give if patient has SIADH

Answer 20

carbamezipine

Question 21

when not to give metformin

Answer 21

creatinine >150

Question 22

1st line type 2 diabetes

Answer 22

metformin

Question 23

metformin contraindicated or normal weight what next for type 2 diabetes

Answer 23

gliclazide
dose: 40mg with first meal
route: oral
frequency: once daily

Question 24

what to prescribe if patient has mild Alzheimers

Answer 24

donepezil hydrochloride

Question 25

what to prescribe for impetigo

Answer 25

hydrogen peroxide cream

Question 26

patient on ACE inhibitor and renal function has declined >25% what is plan

Answer 26

stop ace inhibitor if >25% decline

Question 27

management of cerebral oedema

Answer 27

methylprednisolone
dexamethasone

Question 28

drugs to stop if bad renal function

Answer 28

ACE inhibitor
ARB
allopurinol

Question 29

why dont you give young women metoclopramide

Answer 29

abnormal movements
- the dance

Question 30

route of furosemide in acute heart failure

Answer 30

IV

Question 31

croup management

Answer 31

dexamethasone