Exam question

Question 1

Hormone therapy can be used in the treatment of prostate cancer to reduce the amount of testosterone in the body. It may be used alongside other treatments such as radiotherapy and chemotherapy, or as standalone treatment when other interventions are declined or unsuitable.

Which of the following is NOT a hormone therapy for prostate cancer?A.Anastrozole
B.Bicalutamide
C.Goserelinacetate
D.Leuprorelin
E.Triptorelin

Answer 1

A - anastrozole

bicalutamide, goserelinacetate, leuprorelin, triptorelin is for prostate cancer

Question 2

You are reviewing a patient with asthma who is prescribed fluticasone/vilanterol inhaler.

the patient also has a diagnosis of COPD and have ahd two exacerbations and a report of a high cat score today

which of the following would be most appropriate copd therapy for this patient

A. Clenil(beclometasone)
B.Incruse(umeclidinium)
C.Spiolto(tiotropium/olodaterol)
D.Spiriva(tiotropium)
E.Trelegy (fluticasone / umeclidinium / vilanterol

Answer 2

E

Question 3

Answer 3

E

Question 4

Answer 4

C

Question 5

Answer 5

C

Question 6

Answer 6

D

Question 7

Answer 7

C

if patient is taking ritonavir then can exacerbate the symptoms of sildenafil so cannot take

Question 8

Answer 8

E

Question 9

Answer 9

C

Question 10

Answer 10

B - Co-careldopa is safe to take on day of surgery

Question 11

Answer 11

B - nausea, vomitting and diarrhea are not a serious side effect of methotrexate

Question 12

Answer 12

B - cephalexin and clindamycin can be used safely while on warfarin

Question 13

Answer 13

D - propranolol has a known overdose toxicity and is the most abused for suicide!!!

Question 14

Answer 14

E - Weight is a monitoring requirement for rivastigmine

Question 15

Answer 15

C - fluoxetine has the longest half life while paroxitine has a short halflife

Question 16

Answer 16

C - lamotrigine can accumulate more easily due to slow metabolism by baby

Question 17

when you have questions asking for dose conversions remember that patches aren’t appropriate for breakthrough pain

Answer 17

when you have questions asking for dose conversions remember that patches aren’t appropriate for breakthrough pain

Question 18

Answer 18

FINASTERIDE FOR HAIRLOSS!!!!

Question 19

what is the age range for naproxen

Answer 19

15-50

Question 20

what schedule drugs does a private cd form need to be filled out

Answer 20

2 and 3

Question 21

what are the red flags for dapagliflozin

Answer 21

Fournier’s gangrene: This is a severe deep skin infection that often causes
pain, swelling and/or redness around the genital area. If you develop such
symptoms whilst taking these drugs, you should seek urgent medical
attention

Question 22

IOANNIS WAS WRONG!!!

Answer 22

IOANNIS WAS WRONG!!!

Question 23

When a patient starts on ramipril when should they have their bloods taken

Answer 23

1-2 weeks after starting

Question 24

Answer 24

hyponatraemia is a common side effect of citalopram

Question 25

Answer 25

C - best to see gp as it is not a serious side effect and is a side effect of the medication. - for high risk drugs its straight referral

Question 26

Answer 26

A - this is the only criteria that best fits and is the correct advice as the rest are slightly incorrect.

Question 27

Answer 27

E - sit down before taking GTN Sit down. If you have not used your spray for over a week, do 1 spray into the air before you use it. Hold the nozzle in front of your mouth, with your finger on the button, and take a deep breath. Open your mouth and lift your tongue up. Spray the GTN under your tongue by pressing once firmly. Do not breathe in while you spray. Close your mouth immediately. Breathe through your nose keeping your mouth closed. Rest for a while before you stand up slowly.

Question 28

Answer 28

D - metazolone

Question 29

Answer 29

take whilst sitting or standing

Question 30

Answer 30

high blood pressure as sepsis often causes LOW blood pressure

Question 31

Answer 31

First line for tonic / clonic in 9 is levitiracetem

Question 32

Answer 32

Atorvastatin 20 as its primary prevention and not secondary ANY SECONDARY PREVENTION = 80MG!

Question 33

What are the contraindications of ellaone

Answer 33

Cannot take with asthma controlled by oral glucocorticoids

Question 34

Answer 34

Rivastigmine is the first line in moderate to mild alzheimers if this isn't tolerated then we go to memantine!

Question 35

Answer 35

A 35-year-old-man who had thrush 5 years ago. He reports burning around the head this is because 15 years is too young pregnancy needs to be treated by gp thrush for the first time should be seen by gp 61 is to old

Question 36

Answer 36

monitoring for carbimazole = When you first start treatment, you'll have blood tests every 6 weeks or so. Once your hormone levels are stable, you'll have a blood test every 3 months, for as long as you continue to take carbimazole.

Question 37

Answer 37

Question 38

Answer 38

They are all BAD but grapefruit has the least effect out of all the options.

Question 39

Answer 39

Question 40

Answer 40

advise on lifestyle first

Question 41

Answer 41

WATER CANS celiprolol atenolol nadolol sotalol

Question 42

A regular patient comes in to pick up their repeat prescription. You ask how they are getting on with their medicines and they mention they have been passing blood in their urine for the past 3 days. Which antidiabetic are they likely to be taking

Answer 42

pioglitazone

Question 43

A 56-year-old man with established cardiovascular disease and a BMI of 28 kg/m2 brings in a prescription for a drug aimed to reduce his cardiovascular risk when used alongside dietary measures and increased physical activity. which antidiabetic are they taking

Answer 43

semaglutide

Question 44

A 58-year-old woman has been diagnosed with heart failure with preserved ejection fraction. She is taking furosemide daily, but this is not adequately controlling the symptoms so her GP has asked for a recommendation from a heart failure specialist

Answer 44

dapagliflozin

Question 45

103.A 35-year-old woman with circulatory disease who requires a combined oral contraceptive.

Answer 45

Question 46

What is the best advice for cardiovascular disease in relation to diet

Answer 46

5 portions of fruit and veg a day think VARIETY fresh frozen dried juiced tinned (in juice or water). reduce saturated fats reduce salt intake reduce caffiene intake

Question 47

what is the nhs max of alcohol units

Answer 47

14 units

Question 48

what is the max caffiene a day

Answer 48

400mg

Question 49

what is the best exercise duration to lower risk of cardiovascular disease

Answer 49

at least 150 minutes of moderate-intensity physical activity a week, such as 30 minutes a day, 5 days a week

Question 50

What is the first line antiepileptic in males and females who cant give birth for tonic clonic seizures

Answer 50

sodium valporate lamotrigine levetiracetem * cannot be used in under 12 for tonic/clonic

Question 51

What is the first line antiepileptic for focal seizures with or without secondary generalization

Answer 51

lamotrigine levetiracetem

Question 52

What is the first line antiepileptic in males and females who cant give birth for myoclonic seizures

Answer 52

sodium valporate

Question 53

What is the first line antiepileptic in males and females who can give birth for myoclonic seizures

Answer 53

levetiracetem

Question 54

What is the first line antiepileptic in males and females who cant give birth for atonic/tonic seizures

Answer 54

sodium valporate

Question 55

What is the first line antiepileptic in males and females who can give birth for atonic/tonic seizures

Answer 55

lamotrigine