02/02/24

Question 1

Treatment of myxoedema coma?

Answer 1

Hydrocortisone and levothyroxine

Question 2

Treatment of thyrotoxic storm?

Answer 2

Beta blockers, propyluracil, hydrocortisone

Question 3

What do you do in a pregnant woman with suspected PE or confirmed DVT?

Answer 3

Give LMWH, then rule in or out

Question 4

What is the prophylactic antibiotic against PCP?

Answer 4

Co-trimoxazole

Question 5

When should a second T2DM drug be started?

Answer 5

HbA1c >58

Question 6

What needs to be done before referring on 2WW of colorectal cancer?

Answer 6

FIT

Question 7

Paediatric fluid resus?

Answer 7

0.9% NaCl 20ml/kg over 10 minutes

Question 8

Secondary prevention of stroke/TIA without AF?

Answer 8

1) Clopidogrel + atorvastatin
2) Aspirin, dipyradimole + atorvastatin

Question 9

Secondary prevention of stroke and TIA in patient with AF?

Answer 9

• TIA: start warfarin or DOAC straight away
• Stroke: anti-platelet medication for 2 weeks first

Question 10

Treatment of heart failure?

Answer 10

1) ACEi + beta blocker
2) Aldosterone antagonist (spironolactone)
3) SGLT-2 inhibitor (specialist)

Question 11

Treatment of angina inc scondary prevention?

Answer 11

1) GTN + beta-blocker + dihydropyridine CCB (e.g. the -pines); GTN + rate limiting Cab (verapamil may be used)
2) Long acting nitrate (e.g. ivabradine)
Prevention) Aspirin + atorvastatin + ACEi

Question 12

Examples of DOACs and MoA?

Answer 12

• Direct thrombin inhibitor (dabigatran)
• Factor Xa inhibitors (apixaban, edoxaban, rivaroxaban)