Hard bits

Question 1

name of IDA tablets

Answer 1

ferrous sulphate

Question 2

lymphoma

Answer 2

chemo/ radio

usually chemo for Hodgkins

non-Hodgkins often surveillance

Question 3

Macrocytic anaemia

Answer 3

B12 and folate injections

Question 4

Gout acute

Answer 4

high dose NSAIDs e.g. indomethacin

OR

Colchicine

OR steroids

Question 5

what is colchicine used to treat

Answer 5

gout acutely

Question 6

what is indomethacin used to treat

Answer 6

gout acutely

Question 7

one seizure which doesn’t follow the rule

Answer 7

focal-> lamotrigine/ carbamazepine then sodium valproate

Question 8

Meningitis

Answer 8

IV ceftriaxone, consider adding IV amoxicillin to cover listeria

Question 9

what is cerftriaxone used to treat and which org

Answer 9

meningitis

treats neiserria

Question 10

which organism do you add IV amoxicillin in meningitis to fight

Answer 10

listeria

Question 11

which steroid do you give in meningitis and why

Answer 11

dexamethasone

to reduce hearing loss and neurological damage

Question 12

prophylaxis of migraines

Answer 12

propanolol

Question 13

CI of triptans

Answer 13

IHD

Question 14

MS acute

Answer 14

IV Methylpred

gabapentin if neuropathic pain

Question 15

how do you treat spasticity in MS

Answer 15

qbaclofen

Question 16

how do you treat bladder dysfunction in MS

Answer 16

anticholinergics

Question 17

how do you treat pain in MS

Answer 17

gabapentin

Question 18

Parkinson

Answer 18

Co-benyldopa

Levodopa plus bensarazide

Question 19

what is bensarazide used to treat

Answer 19

parkinsons with levodopa -> co-benyldopa

Question 20

when can you give TPA in stroke

Answer 20

less than 4.5. hours after onset

Question 21

stroke secondary prevention

Answer 21

clopidogrel 75mg lifelong

high dose statin

ace inhibitor

anticoagulation

Question 22

2 BPH drugs

Answer 22

alpha 1 blockers e.g. tamsulosin (relaxes SM)

5 alpha reductase inhibitors e.g. finasteride (lowers testosterone)

Question 23

when do you remove a bladder

Answer 23

T2 or higher

muscle invasion

Question 24

2 hormones in prostate cancer

Answer 24

GnRH analogues e..g goserelin

Androgen receptor blockers e.g. bicalutamide

Question 25

what is goserelin used to treat

Answer 25

prostate cancer GnRH analogue

Question 26

what is bicalutamide used to treat

Answer 26

prostate cancer androgen receptor blocker

Question 27

which Abx for pyelonephritis

Answer 27

cefalexin IV

Question 28

when do you do AAA repair

Answer 28

if >5.5 cm or rapid expansion

Question 29

treatment of intermittent claudication (PVD)

Answer 29

``` Atorvastatin Clopidogrel Naftidrofuryl oxalate (Vasodilation) Endovascular clipping ```

Question 30

what is naftidrofuryl oxalate used to treat

Answer 30

intermittent claudication (PVD)

Question 31

UC treatment

Answer 31

remission: mesalazine can add oral pred acute: IV hydrocortisone can add IV ciclosporin

Question 32

Crohn's treatment

Answer 32

remission: azathioprine (methotrexate if CI) flare: oral pred or IV HC, can add azathioprine

Question 33

what do you add in stage 3/4 NYHA HF

Answer 33

aldosterone antagonist e.g. spironolactone ARB e.g. losartan