Need to re-revise!!!!

Question 1

Treatment cessation for fluoxetine?

Answer 1

Gastro-intestinal disturbances,
headache,
anxiety,
dizziness,
paraesthesia,
electric shock sensation in the head, neck, and spine, tinnitus,
sleep disturbances,
fatigue,
influenza-like symptoms, and sweating are the most common features of abrupt withdrawal of an SSRI or marked reduction of the dose; palpitation and visual disturbances can occur less commonly.
Taper down over few weeks t
May be necessary to withdraw over a longer period; .
Withdrawal effects may occur within 5 days of stopping treatment with antidepressant drugs; they are usually mild and self-limiting, but in some cases may be severe. The risk of withdrawal symptoms is increased if the antidepressant is stopped suddenly after regular administration for 8 weeks or more.

Question 2

Osmotic Laxative Side effects

Answer 2

Flatulence
Abdo discomfort
Nausea (Juice/water/meals)
Cramps
Vomiting

Question 3

PPI Side effects

Answer 3

Abdo pain
Constipation
Diarrhoea
Flatulence
GI disturbances
Headache
Nausea and vomiting

Question 4

Metoclopromide CI’s

Answer 4

3-4 days post GI surgery
GI Obstruction/perforation/haemorrhage
Phaeochromocytoma

Question 5

Domperidone CI’s

Answer 5

Cardiac Disease
Conditions where conduction is/will be impaired
Where increased GI motility is harmful
Prolactinoma

Question 6

Droperidol CIs

Answer 6

Bradycardia
CNS depression
Comatose States
Hypokalaemia
Hypomagnesaemia
Phaeochromocytoma
QT-Interval prolongation

Question 7

Beta Blockers (propanolol) Side effects?

Answer 7

Cold extremities
Tiredness
Slow/Irregular heartbeat
Severely reduced blood flow to fingers and toes (Raynaud's)
Nightmares/sleep disturbances
Shortness of Breath

Question 8

Beta Blockers (Atenolol) side effects?

Answer 8

Slower pulse
Cold Hands and feet
Nausea
Diarrhoea
Tired or tired and aching muscles

Question 9

Thiazide Diuretics CI’s?

Answer 9

Addison's disease
Symptomatic Hyperuricaemia
Hypercalcaemia
Refractory Hypokalaemia
Hyponatraemia

Question 10

Thiazide Diuretics Side effects?

Answer 10

Altered Plasma Lipid Profile
Gout
Hypercalcaemia
Hyperglycaemia
Hyperuricaemia
Hypochloraemic Alkalosis
Hypokalaemia
Hypomagnesaemia
Hyponatraemia
Metabolic and electrolyte imbalances
Mild GI disturbances
Postural Hypotension

Question 11

Aspirin Contra Indications?

Answer 11

Active peptic ulceration;
bleeding disorders (antiplatelet dose);
children under 16 years (risk of Reye’s syndrome); haemophilia;
previous peptic ulceration (analgesic dose);
severe cardiac failure (analgesic dose)

Question 12

Aspirin Side effects

Answer 12

Cough/Asthma exacerbation
GI bleeding
Hypersensitivity
Post-prandial pain or discomfort in stomach or lower chest
Nausea and vomiting
Tinnitus

Question 13

Warfarin side effects

Answer 13

unexplained nose bleeds
black or red faeces which may be caused by internal bleeding -
dark red or brown urine which may be caused by problems with your kidneys or bladder -
fever -
nausea and vomiting

Question 14

Metformin side effects?

Answer 14

Abdominal pain; 
Anorexia; 
diarrhoea (usually transient); 
nausea; 
taste disturbance; 
vomiting

Question 15

Metformin contra-indications?

Answer 15

Acute metabolic acidosis (including lactic acidosis and diabetic ketoacidosis)