long term smoking urgent

Question 1

IM benpen for meningitis dose per age

Answer 1

less than 1 - 300mg, 1-9 600mg, 10 and above 1.2g

Question 2

MOST frequent clinical manifestation ofa pulmonary embolism?

Answer 2

Dyspnoea

Question 3

scoring system to assess further risk of stroke after tia

Answer 3

not abcd2, no scoring systyem

Question 4

uterine displacemnt for pregnant woman resus, where

Answer 4

left

Question 5

The DVLA states that driving should cease for a period of– following a significant head injury.

Answer 5

6-12 months

Question 6

Which of the following clinical findings can be an EARLY feature of febrile neutropenia (neutropenic sepsis)?

Answer 6

Diarrhoea

Question 7

Your practice is looking to use a tool to identify and risk-stratify frail patients using their routine medical records.

Answer 7

Electronic Frailty index (eFI)

Question 8

In a child who has survived a primary cancer, which is the SINGLE MOST common site of a SUBSEQUENT primary cancer from the options below?

Answer 8

thyroid and central nervous (brain)

Question 9

bloods used to monitor bladder cancer

Answer 9

none

Question 10

most common dementia for cerebral palsy

Answer 10

alzheimers dementia

Question 11

Which is the SINGLE MOST frequent medical cause for long-term sickness absence?

Answer 11

Mental Health Conditions

Question 12

With regard to screening and health promotion for people with HIV:

Answer 12

Women aged 25–64 are recommended to have annual cervical cytology testing
Men and women aged 40 years and above are recommended to have annual lipids and HbA1c
Men and women aged 50 years and above should have a three-yearly FRAX score

Question 13

tax-free benefit for people who have reached State Pension age who need help with personal care because of physical or mental disability.

Answer 13

Attendance allowance

Question 14

In maintenance treatment of heroin addiction, which substitute therapy has strong evidence to suggest it is more likely to retain patients in treatment?

Answer 14

Methadone

Question 15

recreational drug can cause renal artery thrombosis or CVD complications

Answer 15

cocaine

Question 16

recreational drug can cause jaw clenching

Answer 16

ecstasy

Question 17

recreational drug can cause lung bulla

Answer 17

cannabis

Question 18

drug can be detectable for more than 2 weeks

Answer 18

cannabis

Question 19

opiates can be detectable until how many days

Answer 19

3 days

Question 20

cocaine can be detectable until

Answer 20

36 hours

Question 21

Contraindications to the use of disulfiram

Answer 21

cardiac failure, coronary artery disease, history of cerebrovascular accident (CVA), hypertension, psychosis and suicide risk

Question 22

Acamprosate should not be used in

Answer 22

severe hepatic impairment, renal impairment (avoid if creatinine is > 120 micromol/l) and pregnancy.

Question 23

Bupropion is contraindicated where there

Answer 23

history of seizures or of eating disorders, bipolar disorder and pregnancy.

Question 24

weanong zopiclone ue what

Answer 24

diazepam 5mg

Question 25

What SINGLE smoking-cessation technique is most appropriate, practicable and effective in primary care

Answer 25

Ask, Advise, Act

Question 26

pain syndrome next treatment if CBD not worked

Answer 26

Acceptance and commitment therapy

Question 27

In the absence of current susceptibility data, first-choice oral antibiotics for empirical treatment of an exacerbation of bronchiectasis include

Answer 27

amoxicillin, doxycycline or clarithromycin for 7–14 days

Question 28

can be used to relieve the pain of bony metastases (apart from opioids)

Answer 28

Zolendronate (bisphosphonates)

Question 29

resident care home patient agiytated at night, caloiming measures done, what to do next

Answer 29

lorazepam, psychtopics prescribed only by specialists

Question 30

Which is the SINGLE MOST common reason why benzodiazepines are inappropriately prescribed long-term?

Answer 30

Insomnia

Question 31

Cancers most likely to spread to bone include

Answer 31

breast, thyroid, bowel, kidney, prostate and myeloma.

Question 32

Equality Act 2010 defines 'long term' as being likely to last for at least

Answer 32

12 months.

Question 33

palliative: An intractable cough may be relieved by

Answer 33

morphine

Question 34

According to current NICE guidance on suspected cancer, WHAT PERCENTAGE of adult patients referred within guideline criteria can be expected to have cancer?

Answer 34

3

Question 35

use for opiod detoxification

Answer 35

Buprenorphine

Question 36

sed to reduce cravings following alcohol cessation

Answer 36

Acamprosate

Question 37

At a population level, which is the SINGLE MOST likely cause of a raised gamma glutamyl transferase (GGT)?

Answer 37

Raised body mass index (BMI)

Question 38

likely benefit of methadone therapy compared with treatments that do not involve opioid replacement therapy

Answer 38

Reduced heroin use

Question 39

those with alcohol dependence syndrome with a group 2 license (bus and lorry drivers) should refrain from driving until

Answer 39

3 years from abstinence

Question 40

group 1 driver cannot drive until how long for alcohol dependence

Answer 40

1 year from abstinence

Question 41

temazepam to diazepam conversion

Answer 41

half temazepam (10mg temazepam = 5mg diazepam)

Question 42

commonly used in opioid substitution therapy (OST)

Answer 42

Methadone

Question 43

brief motivational interviewing tool

Answer 43

FRAMES

Question 44

When opioid users are treated with methadone, they are at the HIGHEST risk of death at which SINGLE point in their treatment programme

Answer 44

In the month following cessation of treatment

Question 45

MOST important diagnosis to exclude on someone who uses cocaicen and the developed chest pain

Answer 45

Myocardial infarction

Question 46

What is the MOST suitable drug for managing acute alcohol withdrawal?

Answer 46

Chlordiazepoxide

Question 47

screening tools would be suitable to assess whether she has an alcohol problem

Answer 47

AUDIT

Question 48

side effect of vareniclicne for smoking cessation - risk

Answer 48

suicidal thought

Question 49

When assessing which medication to try, which of the following has evidence for the GREATEST odds of smoking cessation?

Answer 49

Varenicline

Question 50

acute confusional state associated with tremor and autonomic dysfunction

Answer 50

Delirium tremens

Question 51

how to reduce diazepam

Answer 51

reduce by 1/8 of those every 2 weeks