EMQ Flashcards
(124 cards)
1
Q
A
2
Q
Disease/Condition
A
First-line Treatment
3
Q
Parkinson’s Disease (motor symptoms affecting QoL)
A
Levodopa + Carbidopa or Benserazide
4
Q
Parkinson’s Disease (motor symptoms NOT affecting QoL)
A
Levodopa or Pramipexole or Selegiline or Rasagiline
5
Q
Parkinson’s Disease (non-oral option)
A
Rotigotine patch
6
Q
Levodopa-induced dyskinesia
A
Amantadine
7
Q
Parkinson’s hallucinations/delusions
A
Quetiapine
8
Q
Parkinson’s nocturnal akinesia
A
Levodopa or Rotigotine
9
Q
Parkinson’s constipation
A
Macrogol
10
Q
REM sleep behaviour disorder
A
Melatonin
11
Q
Parkinson’s drooling
A
Glycopyrronium Bromide
12
Q
Parkinson’s dementia
A
Rivastigmine
13
Q
Parkinson’s postural hypotension
A
Midodrine
14
Q
Depression (newly diagnosed)
A
Sertraline
15
Q
Depression with cardiovascular disease
A
Sertraline
16
Q
Depression with GI side effects or anxiety
A
Citalopram
17
Q
Depression with poor sleep or weight loss
A
Mirtazapine
18
Q
Bipolar acute manic episode
A
Haloperidol or Olanzapine or Quetiapine or Risperidone
19
Q
Bipolar mania and hallucinations
A
Olanzapine
20
Q
Bipolar long-term treatment
A
Lithium or Valproate
21
Q
Opiate withdrawal detoxification
A
Buprenorphine or Methadone
22
Q
Opiate withdrawal nausea/vomiting
A
Metoclopramide
23
Q
Opiate withdrawal diarrhoea
A
Loperamide
24
Q
Opiate withdrawal muscle aches/fever
A
Paracetamol or Ibuprofen
25
Opiate withdrawal abdominal cramps
Hyoscine butylbromide
26
Opiate withdrawal rhinorrhoea/lacrimation
Hyoscine hydrobromide
27
Opiate withdrawal anxiety/insomnia/restlessness
Diazepam or Zopiclone
28
Opioid substitution therapy
Methadone
29
Post-detox relapse prevention
Naltrexone
30
Opioid overdose reversal
Naloxone
31
Alcohol withdrawal symptoms
Chlordiazepoxide or Diazepam
32
Risk of Wernicke’s encephalopathy
Pabrinex or Thiamine IV
33
Delirium tremens or alcohol-related seizures
Diazepam or Lorazepam IV
34
Post-detox relapse prevention (alcohol)
Acamprosate or Naltrexone or Disulfiram
35
Alzheimer’s disease
Donepezil or Galantamine or Rivastigmine
36
Parkinson’s disease dementia
Rivastigmine
37
Lewy Body dementia
Donepezil or Rivastigmine
38
Schizophrenia (1st line)
Risperidone or Olanzapine or Quetiapine or Aripiprazole
39
Schizophrenia (concerned about weight gain)
Aripiprazole
40
Schizophrenia (with cardiovascular disease)
Aripiprazole
41
Schizophrenia (extrapyramidal side effects)
Quetiapine
42
Treatment-resistant schizophrenia
Clozapine
43
Anxiety
Sertraline
44
Performance anxiety
Propranolol
45
Acute anxiety crisis
Lorazepam or Diazepam
46
Vomiting (GI & biliary cause)
Metoclopramide
47
Vomiting (opioid or anaesthetic cause)
Cyclizine
48
ADHD
Lisdexamfetamine or Methylphenidate
49
Generalised tonic-clonic seizure
Sodium valproate or Lamotrigine (if pregnant)
50
Focal seizure
Carbamazepine
51
Status epilepticus
Buccal midazolam
52
Acute migraine
Sumatriptan + NSAID or Paracetamol
53
Acute migraine with vomiting
Add metoclopramide
54
Cluster headache
High flow oxygen + Subcutaneous sumatriptan
55
Cluster headache prophylaxis
Verapamil
56
Migraine prophylaxis
Topiramate or Propranolol
57
Nociplastic pain
Non-drug management
58
Nociceptive pain
Paracetamol or NSAID
59
Neuropathic pain
Amitriptyline or Duloxetine or Gabapentin or Pregabalin
60
Mild pain (WHO Step 1)
Paracetamol ± NSAIDs
61
Moderate pain (WHO Step 2)
Codeine or Dihydrocodeine or Tramadol
62
Severe pain (WHO Step 3)
Morphine
63
Nausea & vomiting (GI tract or vomiting centre)
Cyclizine
64
Nausea & vomiting (delayed gastric emptying)
Metoclopramide
65
Pain adjuvants
Amitriptyline or Duloxetine or Gabapentin or Pregabalin
66
Mild eczema (children)
Hydrocortisone + emollient
67
Mild eczema
Emollient + Hydrocortisone 1%
68
Moderate eczema
Emollient + Betamethasone valerate 0.025% or Clobetasone 0.05%
69
Severe eczema
Emollient + Betamethasone valerate 0.1%
70
Itching with moderate eczema
Cetirizine or Loratadine or Fexofenadine
71
Infected eczema
Flucloxacillin or Erythromycin
72
Severe eczema affecting sleep
Cetirizine
73
Severe extensive eczema
Oral prednisolone
74
Scalp psoriasis
Betamethasone valerate or Coal tar shampoo
75
Psoriasis topical
Topical corticosteroid + Calcipotriol
76
Severe psoriasis
Methotrexate
77
Impetigo (localised)
Topical hydrogen peroxide 1% cream
78
Impetigo (widespread)
Oral Flucloxacillin
79
Bullous impetigo
Flucloxacillin
80
Bullous impetigo near eyes
Co-amoxiclav
81
Severe MRSA
IV Vancomycin or Teicoplanin
82
Cold sore/genital herpes
Acyclovir 5% cream
83
Ringworm/athlete’s foot
Imidazole cream
84
Cellulitis
Flucloxacillin
85
Facial cellulitis
Co-amoxiclav
86
Mild psoriasis with dry skin
Emollient (Epaderm or Diprobath)
87
Mild to moderate acne
Topical benzoyl peroxide + topical clindamycin
88
Moderate to severe acne
Topical adapalene + benzoyl peroxide + oral lymecycline or doxycycline
89
Rosacea persistent erythema
Topical brimonidine gel
90
Rosacea mild-moderate papules/pustules
Topical ivermectin
91
Rosacea moderate-severe papules/pustules
Topical ivermectin + doxycycline
92
Rosacea inflamed phymatous disease
Doxycycline
93
AKI oedema
Furosemide
94
AKI metabolic acidosis
Sodium bicarbonate
95
Hypovolaemic AKI
IV 0.9% sodium chloride or Hartmann’s solution
96
AKI hyperkalaemia (to protect heart)
Calcium gluconate
97
AKI hyperkalaemia (shift potassium)
Insulin + glucose
98
AKI hyperkalaemia (remove potassium)
Sodium zirconium cyclosilicate (Lokelma)
99
CKD 1st line
Ramipril
100
CKD new drug
Dapagliflozin
101
Raised intraocular pressure
Mannitol
102
Acute alcohol withdrawal
Diazepam
103
Wernicke’s encephalopathy
Pabrinex or Thiamine IV
104
Hepatic encephalopathy
Lactulose (add rifaximin if needed)
105
Portal hypertension
Propranolol or Carvedilol
106
Ascites
Spironolactone
107
Spontaneous bacterial peritonitis
Tazocin (or ciprofloxacin if pen allergy)
108
SBP prophylaxis
Co-trimoxazole
109
Oesophageal & abdominal varices
Terlipressin
110
Hepatitis B
Tenofovir or Entecavir
111
Wilson’s disease
D-penicillamine or Trientine
112
Acute otitis media
Amoxicillin (clarithromycin if pen allergic)
113
Viral sore throat
Paracetamol or ibuprofen
114
Bacterial sore throat
Phenoxymethylpenicillin (clarithromycin if pen allergic)
115
Acute sinusitis
Intranasal corticosteroid
116
Allergic rhinitis
Cetirizine or loratadine
117
Glaucoma (IOP > 24 mmHg)
Latanoprost or Travoprost
118
Osteoarthritis step 1
Paracetamol
119
Osteoarthritis step 2
Topical or oral NSAID
120
Osteoarthritis step 3
Higher dose NSAIDs + Paracetamol or opioid
121
Rheumatoid arthritis
Methotrexate
122
Acute gout (NSAID intolerance)
Colchicine
123
Acute gout
Naproxen or Colchicine or Prednisolone
124
Chronic gout
Allopurinol or Febuxostat
