ENDGAME 1 Flashcards
(31 cards)
Can levonelle be sold for under 16
No
EllaOne can be sold to children under the age of 16. .
Antimuscaranic side effects
Constipation
Dizziness
Dry Mouth
Tachycardia
Gina OTC sale + are blood tests required before
Gina tablets are indicated for the treatment of vaginal
atrophy due to oestrogen deficiency in postmenopausal
women aged 50 years and above, who have not had a
period for at least 1 year.
No blood tests are required
Factors that can lead to DKA
Hypothyroidsm
Pneumonia
Recent surgery
Salbutamol
How long to use miconazole cream for a fungal skin infection for
Apply BD continuing for ten days after lesions have healed (BNFC)
What needs to be monitored in children annually when using corticosteroids
Weight + Height
Which of the following is not one of the stages of behaviour
change?
A. Action
B. Maintenance
C. Pre-contemplation
D. Preparation
E. Reflection
Reflection
Does methadone prolong the QT interval
Yes- Avoid concomitant drugs that also prolong the QT (macrolides)
Denosumab MHRA
Serious and life-threatening hypercalcaemia has been
reported with denosumab 60mg (Prolia) in children and
adolescents in clinical trials for osteogenesis imperfecta
and during off-label use. Denosumab 60mg (Prolia) is
authorised for use in adults with osteoporosis and other
bone loss conditions – it should not be used in children
and adolescents younger than 18
What supplement and what dose of the supplement should be given for pregnant patients to prevent neural tube defects
Folic acid 400mcg for 12 weeks
What conditions would a dose of folic acid 5mg be required to prevent neural tube defects
Diabetes
On AED for epilepsy
3 year old in pain with severe pain and worsening of lower right abdominal cramps- requiring appendix to be removed.
What analgesia to recommend and which should be avoided
Morphine
Avoid: Aspirin, codeine, tramadol, fentanyl
Common side effect of benzoyl peroxide
Pruritis (itching)
Which vitamin is recommended as a daily supplement for all children in the Uk from ages 6 months- 5 years
Vitamin A (retinol)
Key Functions of Vitamin A:
Supports immune function – helps fight infections
Maintains healthy skin
Essential for vision – especially night vision
Supports growth and development in young children
C and D also recommend
High TSH and low T4
Hypothyroidism
How many hours after dose for a lithium level
12 hours
How many hours after dose for digoxin level
6 hours
First line in croup in children
First-line treatment:
- Reduces airway inflammation
- Shown to reduce symptom severity and hospital admission
- Works within hours; effect lasts up to 72 hours
When should desmopressin be taking for nocturnal enuresis
At night - prevent bed wetting
What would the target be for a young man taking lithium who is stable and benefiting from the medication
0.4-1mmol/L (lower end)
maintenance treatment, is young, and is doing well clinically, it is most appropriate to maintain him at the lower end of the range to minimise long-term side effects, such as:
Renal impairment
Thyroid dysfunction
Tremor
Weight gain
What to give if QOL is affected in parkisnons
Co-care/ co-ben
First line treatment in constipation in pregnancy
Bulk forming laxatives
When and why is progesterone given in HRT
Evorel 50 patch contains estradiol, a form of oestrogen, used in hormone replacement therapy (HRT) for menopausal symptoms.
However, when oestrogen is given alone to women with an intact uterus, it can stimulate the endometrial lining, increasing the risk of endometrial hyperplasia and endometrial cancer.
To protect the endometrium, progesterone is added — in this case, as Utrogestan (micronised progesterone).
mAX DURATION for metclopramide
5 days
