Mock Answers Flashcards
(22 cards)
Route of prednisolone in oedema and breathlessness
IV
When should allopurinol dose be reduced
Allopurinol can accumulate in renal dysfunction so BNF advises max daily dose of 100mg
When should nitrofurantoin be avoided
In eGFR <45
When should vitamin K be given before surgery
Warfarin stopped 5 days before
Oral vit K given day before surgery if INR is >1.5
(IV preparation to be used orally)
How to assess beneficial effects of B blockers after a few days
Heart rate
Treatment of vaginal thrush during pregnancy
Clotrimazole pessary 7 days
Symptoms and treatment of scarlet fever
Sx: macular red rash, strawberry tongue, red throat, fever >38.8
Mx: antibiotics 10 days (phenoxymethypenicillin)
Monitoring option required before starting azathioprine
TPMT activity
How to assess beneficial effects of diuretics
Weight
How to treat a warfarin patient who is bleeding and shocked
Stop warfarin
If INR >5 then give phytomenadione and dried prothrombin complex
How to identity and treat thyrotoxicosis
Low TSH, high T3 and T4
Ensure to withhold amiodarone
Why does empagliflozin cause postural hypotension
Because it causes hypovolaemia
Management of gestational diabetes with fasting plasma glucose <7
Lifestyle changes
When should bulk forming laxatives be avoided
In opioid induced constipation
Treatment of atrial flutter
Bisoprolol
Fluids treatment for hypercalcaemia
Sodium chloride
How to treat significant arrhythmias in poisoning
Sodium bicarbonate
Sign of hepatic necrosis in paracetamol overdose
RUQ tenderness
Common side effect of flozins
UTI
Threshold for continuing statin in hepatic impairment
Continue the statin at current dose if serum transaminases are less than 3x the upper limit of normal
Monitoring for hydrocortisone / fludrocortisone monthly
U&E
Monitoring of LMWH
Platelet count
