endocrine

Question 1

which insulin comes in 100 and 200 units

Answer 1

insulin degludec

Question 2

which insulin can be used for weight loss

Answer 2

liraglutide

Question 3

this insulin is contraindicated in severe heart failure

Answer 3

liraglutide

Question 4

class of liraglutide

Answer 4

human glucagon peptide 1 analogue

Question 5

which two diabetic classes causes hypoglycaemia

Answer 5

insulin and sulphonylurea

Question 6

tx for dka

Answer 6

iv insulin soluble human (actrarapid) at fixed rate and normal basal insulin

Question 7

glargine is a…

Answer 7

long acting insulin

Question 8

liraglutide side effect

Answer 8

pancreatitis

Question 9

alcohol with tolbutamide causes…

Answer 9

hypoglycaemia

Question 10

what decreases tolbutamide

Answer 10

ginkgo biloboa

Question 11

name a short acting sulfonylurea

Answer 11

tolbutamide

Question 12

name a long acting sulfonylurea

Answer 12

glibenclamide

Question 13

which drug should be avoided in elderly

Answer 13

glibenclamide

Question 14

which drug is given to diabetics with poor renal function

Answer 14

gliclazide

Question 15

which drug causes hypoglycaemia with sulfonylurea

Answer 15

chloramphenicol

Question 16

what do you do with metformin when it comes to surgery?

Answer 16

discontinue 48 hrs before and 48 hrs after

Question 17

what should you do with metformin if high creatinine but low egfr

Answer 17

review

Question 18

two benefits of metformin

Answer 18

helps with insulin resistances issues and helps lose weight

Question 19

metformin counselling point

Answer 19

with food

Question 20

severe hypercalcaemia tx

Answer 20

pamidronate

Question 21

gliptins should only be continued if…

Answer 21

hba1c is reduced by at least 0.5% points within 6 months

Question 22

what is added as a triple therapy with metformin and sulfonylurea

Answer 22

vildagliptin

Question 23

if a pt is hypoglycaemic at a specific time you add…

Answer 23

gliptins

Question 24

which drug causes hypoglycaemia when added with metformin, sulfonylurea and insulin

Answer 24

linagliptin

Question 25

which drug causes pancreatitis and what should you do?

Answer 25

alogliptin (abdominal pain? - stop)

Question 26

which drug is intensively monitored and should be reported to MHRA?

Answer 26

dapagliflozin

Question 27

which drug causes utis

Answer 27

dapagliflozin

Question 28

what to do if you feel dizzy and faint with flozins

Answer 28

see gp asap

Question 29

flozins cause...

Answer 29

dka

Question 30

dka symptoms

Answer 30

n&v, fast + deep breathing, sleepiness

Question 31

which drug is contraindicated in hf

Answer 31

pioglitazone

Question 32

pioglitazone can cause...

Answer 32

bladder cancer

Question 33

maximum dose for nateglinide

Answer 33

180mg tds

Question 34

what do you do if a diabetic is confused, dizzy, tachycardic

Answer 34

glucagon

Question 35

hypoglycaemic 10 day old tx not responding to standard tx

Answer 35

diazoxide

Question 36

hypoglycaemia symptoms

Answer 36

sweating and dizzy

Question 37

hypoglycaemia tx

Answer 37

glucagon

Question 38

action to be taken if heartburn with alendronic acid

Answer 38

stop until you see gp

Question 39

when do you refer a fungal nail

Answer 39

if they are diabetic

Question 40

name a risk factor of acute pyelonephritis

Answer 40

kidney stones

Question 41

zolendronic acid se

Answer 41

dental pain

Question 42

name two se of prednisolone

Answer 42

hyperglycaemia and gastric ulcers

Question 43

after how many years do you reassess alendronic acid

Answer 43

5 years

Question 44

blood glucose is <4mmol tx

Answer 44

4-5 dextrose tabs, 4+ eat carbs

Question 45

lab test for carbimazole

Answer 45

neutrophil count

Question 46

at what age do you prescribe low dose thyroxine

Answer 46

50+

Question 47

croup tx

Answer 47

dexamethasone

Question 48

levothyroxine 4 side effects

Answer 48

weight loss, anxiety, tachycardia, insomnia

Question 49

ulcerative colitis exacerbation tx and dose

Answer 49

hydrocortisone 100mg qds iv

Question 50

normal alcohol units and advice

Answer 50

14 units a week spread over 3 days or more

Question 51

insulin must be prescribed by brand t/f

Answer 51

true

Question 52

what to report - pt taking prednisolone for first time

Answer 52

call GP straightaway if any breathless, swelling, vision change, bruising/bleeding, black poo, dark vomit

Question 53

basal is

Answer 53

long

Question 54

bolus is

Answer 54

short

Question 55

example of basal

Answer 55

isophane

Question 56

dose of prednisolone for acute exacerbation of copd

Answer 56

40mg daily for five days

Question 57

dose of prednisolone for acute exacerbation of asthma

Answer 57

30mg daily for five days

Question 58

hypothyroidism 4 symptoms

Answer 58

tired, constipation, weight gain, weakness

Question 59

swallowing too much pool water can cause

Answer 59

hyponatraemia