Common

Question 1

Acne

Answer 1

Doxycycline? 
Benzoyl peroxide (wear sun screen)

Question 2

Allergy

Answer 2

Sodium cromoglycate (eye drops)

Question 3

Burn

Answer 3

Cold water 10 to 15 min
Clean area
Antiseptic silver sulfadiazine
Chlorhexidine Digluconate

Question 4

Cough cold

Answer 4

Dry : Codiene lincture (constipation, not for children under 12)
Robitussin Dextromethorphan
Lozenges with antiseptic and anesthestics

Wet: Guafensin (not under 16 old)

Check if they had ACE inhibitors, or green mucus, or blood or wheezing

NaCL nasal drops

Question 5

Conjunctivitis

Answer 5

Bethanicol ( ointment or drops) over 2 yrs old

Every 2 hrs first. Then 4 times. For 5 days total

Question 6

Constipation

Answer 6

Children: juices containing sorbitol
Adult: senna laxatives
Lactulose, fibre gel (STAY HYDRATED)

Question 7

Drowsiness

Answer 7

Check Iron levels

Question 8

Diarrhea

Answer 8

Stay hydrated , ORS, styrolac sachets
Small frequent meals

Loperamide (immediate) (not in case of bloody stool)

Diarrhea more than 4 weeks
Low urine output
Wt loss
On a recent holiday

Question 9

Eczema

Answer 9

Urea cream (euricine urea repair)
Crotamitone

Hydrocortisone cream (over 10 yrs old)

Question 10

Ears blocked

Answer 10

Olive oil eardrops
Sodium bicarbonate eardrops
Get ear wax removed

Question 11

Otitis media

Answer 11

Corticosteroids eardrops

Referred

Question 12

Fungal infections

Answer 12

Mouth candidiasis:Corticosteroids inhaler people more prone
Daktarin gel (Miconazole) 

Vaginal Candidiasis: clotrimazole 2.0% pesserie. At night.

Fluconazole tab & cap ( oral contraception interaction)

Thrush if repeatedly 3 time refer to Dr for check up.

Athletes foot : terbinafine .

Ringworm: Daktarin

Scalp: selenium sulfide, ketoconazole shampoo

Question 13

Gastroenteritis

Food poison

Answer 13

Gaviscon
Esomeprazole
Ranitidine

Question 14

Headache

Answer 14

Paracetamol 3 to 4 times a week

Migraine: sumitripton (18 65,yrs old with more than 5 attacks)
Over 50 first attack refer to physician

Question 15

Lice

Answer 15

Wet combing
Dimethicone 4%

Cyclomethicone

Question 16

Insect bite

Answer 16

Antihistamine
Calamine lotion
Crotamitone
Mepyramine
Maleate 2%

Question 17

Impetigo (skin infection) yellow red sores

Answer 17

Refer

Question 18

Jet lag/ insomnia

Answer 18

Diphenhydramine
Antihistamine
Shouldn’t be given for more than 7 days.
Refer to physician if regular occurrence or pregnant women

Question 19

Kidney stones

Answer 19

STAY HYDRATED & referal

Question 20

Labyrinthitis

Answer 20

Inner ear effection ( effects balance)
Nausea, double vision, Vertigo tinnitus headache

Stay hydrated
Avoid alcohol
Avoids bright light

Anti emetic Prochlorperazine 3mg

Severe : referal

Question 21

Lower back pain

Answer 21

Pain killers
Exercise ( strength)
Reduce wt for obese
Posture correction
Lift things by putting and bending your knees

Question 22

Menstrual cramps

Answer 22

Dysmenorrhea : paracetamol, ibuprofen, mefanamic acid (NMR 7 days)

Menorrhagia: Trenaxamic Acid (over 18 yrs old and normal cycle. Use for only 5 days or less)

Question 23

Contraception

Answer 23

Morning pills.
Levenogestrol : take within 72 hrs of intercourse (for over 16 yr old)

Ulipristal acetate (Ella) 120 hours of intercourse. Over 16 yr old

(Carbamazepine, st John’s worts , Crohn’s disease, phenobarbital interaction)

Question 24

Morning sickeness

Answer 24

Hydrated
Small frequent meals
Ginger products ( tea)

Question 25

Nappy rash

Answer 25

Clean the baby daily . Dry them properly. Keep nappy off for sometime Sudocrem (barrier cream )

Question 26

Nose bleeds

Answer 26

Pinch nose and lean Forward Under 2 yrs old, anticoagulant, shortness of breath, frequent unexplained REFER

Question 27

Obesity

Answer 27

Orlistat 1 to 3 times a day | Fat soluble vitamins ADEK

Question 28

Pain

Answer 28

Paracetamol NSAID Codiene Refer

Question 29

Psoriasis

Answer 29

Emollient | Refer

Question 30

Smoking quitter

Answer 30

Nicotine patch 16 hr or 24hr | Mints lozenges inhalations

Question 31

Reyes syndrome

Answer 31

In children . Allergic reaction to Aspirin. ``` Vomiting Tiredness Rapid breathing Agitation Slurred speech ``` REFER

Question 32

STIs

Answer 32

``` White discharge (fungal thrush) Yellowy greeny smelly discharge ( STIs) ``` Azithromycin . Refer

Question 33

Shingles

Answer 33

One side of the body . Painful rash. Burning sensation, fever Paracetamol, pain killers Refer for antivirals

Question 34

Sinusitis

Answer 34

Greeny yellow discharge Headache Eyes forehead tender Fever Paracetamol Ibuprofen Pseudoephedrine ( strict criteria) Saline nasal sprays

Question 35

Sprains & strains

Answer 35

``` DO PRICE protect Rest Ice Compress Elevate ``` ``` Avoid HARM HEAT ALCOHOL RUNNING MASSAGE ``` Don't take ibuprofen tabs. Use gels

Question 36

Threadworms

Answer 36

Whole household needs to be treated Mbendazole 800mg 1 dose (over 2 yrs old) Symptoms after 2 weeks give another. Wash all their sleepware , mattresses, towels Take shower immediately in the morning.

Question 37

Motion

Answer 37

Reduce movement Avoid big heavy meals before travel. Don't read or watch anything during travel Hyoscyine butyl bromide (buscopan) Hyoscine hydrobromide (kwells) Cenarizine ( before travelling)

Question 38

Allergy

Answer 38

Oral Antihistamine Loratirine cetrizine less sedation Chlorphenaramine more sedation Na cromoglycate eye watery puffy Beclamethasone nasal spray

Question 39

UTIs

Answer 39

cystitis: Cranberry juice or products Blood, severe pain. More than 3 times a year. For pregnant or male or children. REFER

Question 40

Mouth ulcers

Answer 40

Bonjela

Question 41

Vomiting

Answer 41

Refer ``` More tham 48 hrs Blood Green color ( bile) Severe stomach pain Dizzy, Little urine (dehydration) ```

Question 42

Verruca's | Warts

Answer 42

Salicylic acid products Soak warts for 5 min Put petroleum jelly around wart (protect surrounding skin) Put salicylic acid Once a week pumice stone ( for filing down)