Other

Question 1

What is the first line medication for trigeminal neuralgia?

Answer 1

Carbamazepine

Question 2

What is the medical mx of BPH?

Answer 2

Dual approach:

Improve flow- quick response using alpha1 blockers (tamsulosin, doxazosin)

Shrink the prostate- takes 6 months
5 alpha reductase inhibitors e.g. finasteride, dunasteride

Question 3

What is the mx of unstable angina?

Answer 3

RF- aspirin/clopi and statin

Assess for revascularisation

Can sometimes use occasional sublingual GTN

Beta-blockers or CCB if CI- both CI in LV dysfunction

Add long acting nitrate

Can add dihydropyridine

Consider nicorandil, ivabradine, ranolazine

Question 4

What is the mx post-MI?

Answer 4

ACEI/ARB
B-blockers 
Statins
Aspirin (clopi)
Possibly- omega 3 FAs
Cardiac rehabilitation

Question 5

mx IBS?

Answer 5

Symptom control:
Constipation- laxatives (movicol), linaclotide

Diarrhoea- loperamide, antispasmodics (mebeverine, hyoscine)

Abdo pain- low dose TCA, SSRIs, peppermint oil capsules