Medications

Question 1

Which anti-biotics contain penicillin?

Answer 1

Amoxicillin
Co-amoxiclav (augmentin)
Flucloxacillin
Etc.

Question 2

Name some beta blockers.

Answer 2

Acebutolol
Atenolol
Bisoprolol
Carvedilol
Metoprolol
Nadolol
Nebivolol
Propanolol

Question 3

What should you check before giving a beta blocker?

Answer 3

Heart rate and blood pressure.

Question 4

What should you check before giving co-codamol?

Answer 4

If paracetamol has been prescribed or given?

Question 5

Gabapentin

Answer 5

Epilepsy - focal seizures
Neuropathic pain
Migraine prophylaxis

Question 6

How often can paracetamol be given?

Answer 6

Every 4-6 hours with 4g max daily in people over 50kg.

Question 7

What is the WHO pain ladder?

Answer 7

See picture

Question 8

What is the difference between codeine, codeine phosphate and dihydrocodeine?

Answer 8

DHC is not a pro drug so does not mean that it has to be broken down by the liver. Therefore metabolism is more regular and it can be x1-1.5 stronger than codeine.

Question 9

What significance does eating grapefruit have when taking certain medications?

Answer 9

Grapefruit inhibits cytochrome P450, CYP3A4 which is involved in the metabolising drugs such as a calcium channel blocker. Therefore the levels of the drug are increased when grapefruit is consumed.

Question 10

Side effect of an ACE inhibitor?

Answer 10

Dry cough

Question 11

What is a sign of aspirin toxicity?

Answer 11

Tinnitus or hearing loss due to aspirin-induced ototoxicity.

Question 12

Amiodarone

Answer 12

Anti-arrhythmias e.g. SV, AF

Normal dose 200mg OD (after loading dose)

Question 13

Amlodipine

Answer 13

Calcium channel blocker used in nhypertension and stable angina
Normal dose 5mg OD
Interacts with grapefruit and st john’s wort

Question 14

Digoxin

Answer 14

Heart failure (62.5-125mcg OD) SVA (125-250mcg)

Question 15

Frusemide

Answer 15

Loop diuretic, usedin oedema, CI Hepatic impairment

20-40mg OD

Question 16

GTN (Glyceryl Trinitrate)

Answer 16

Vasodilator used in management of stable angina, ACS

0.3-1mg sublingual, IV 10-200mcg/min

Question 17

Bendroflumethiazide

Answer 17

Thiazide diuretic

Question 18

Prednisolone

Answer 18

Steroid

Question 19

Salbutamol (Ventolin)

Answer 19

Beta 2 agonist

Question 20

Glimepramide

Answer 20

Actrapid

Question 21

Simvastatin

Answer 21

Statin

Question 22

Omeprazole

Answer 22

PPI

Question 23

Lansoprazole

Answer 23

PPI

Question 24

Atenolol

Answer 24

Beta blocker

Question 25

Sodium docusate

Answer 25

Laxatives

Question 26

Bisoprolol

Answer 26

Beta blocker

Question 27

Phosphate enema

Answer 27

Laxatives

Question 28

Novomix

Answer 28

Insulin

Question 29

Cyclizine

Answer 29

Anti-emetic

Question 30

Metoclopramide

Answer 30

Anti-emetic

Question 31

Ondansetron

Answer 31

Anti-emetic

Question 32

Amozicillin

Answer 32

Abx

Question 33

Cephalexin

Answer 33

Abx

Question 34

Ciprofloxacin

Answer 34

Abx

Question 35

Co-Amoxyclav

Answer 35

Abx

Question 36

Flucloxacillin

Answer 36

Abx

Question 37

Metronidazole

Answer 37

Abx

Question 38

BenzylPenicillin

Answer 38

Abx

Question 39

Erythromycin

Answer 39

Abx

Question 40

Trimethoprim

Answer 40

Abx

Question 41

Clarithromycin

Answer 41

Abx

Question 42

Cefuroxime

Answer 42

Abx

Question 43

Tazocin

Answer 43

Abx

Question 44

Paracetamol

Answer 44

Pain killer

Question 45

Codeine phosphate

Answer 45

Pain killer

Question 46

Tramadol

Answer 46

Pain killer

Question 47

Ibuprofen

Answer 47

Pain killer

Question 48

Diclofenac

Answer 48

Pain killer

Question 49

Gabapentin

Answer 49

Pain killer