Nutrition

Question 1

What patient group has hypermagnesemia

Answer 1

Renal failure

Question 2

What is the treatment for hypermagnesemia

Answer 2

Calcium gluconate injection

Question 3

What is the treatment for hypo magnesemia

Answer 3

Severe: IV/ IM magnesium sulfate
Moderate : oral magnesium

Question 4

Who has low phosphate

Answer 4

Patients with alcohol dependence
Or DKA

Question 5

What drugs cause hypokalemia

Answer 5

ABCDEI

Question 6

What drugs cause hyperkalemia

Answer 6

THANKS-B

Question 7

What is hypokalemia treatment

Answer 7

Mild: oral potassium
Severe: iv kcl in nacl

Question 8

What is the treatment for hyperkalemia

Answer 8

• calcium carbonate / calcium gluconate 10%
• IV insulin 5-10 units in 50mL glucose 10% over 5-10 mins
• salbutamol
• stop hyperkalemia causing drugs THANKSB

Mild to mod: ion exchange resins (calcium resonium)

Question 9

What drugs cause hyponatremia

Answer 9

CERTAIN CARBEMAZ
DRUGS DIURETICS
DITCH DESMOPRESSION/VASOPRESSIN
SALT SSRIS

Question 10

What is the treatment for acute severe hypocalcemia

Answer 10

Calcium gluconate

Question 11

Why should calcium not be replaced too quickly

Answer 11

Arrhythmias

Question 12

How is hyPERcalcemia treated

Answer 12

• rehydrate and stop causative drugs
• bisphosphonates and pamidronate sodium

Question 13

What drug is used for hyPERcalcemia in malignancy

Answer 13

Calcitonin

Question 14

When are corticosteroids used for hyPERcalcemia

Answer 14

Vitamin D deficiency and sarcoidosis

Question 15

How is hyper calciuria treated

Answer 15

Bendro 2.5 and hydration

Question 16

How is hyperparathyroidism treated

Answer 16

Parathyroidectomy first line

If failed cinacalet
Also give a bisphosphonate

Question 17

How do we get IV nutrition

Answer 17

CVC or peripheral vein

Question 18

What does vitamin A deficiency cause?

Answer 18

Ocular problems

Question 19

What are the fat soluble vitamins?

Answer 19

ADEK

Question 20

What are the water soluble vitamins?

Answer 20

B and c

Question 21

What is the normal vitamin D dose?

Answer 21

10 mcg AKA 400 U

Question 22

Who should have hydroxylated vitamin D?

Answer 22

Renal failure / dialysis patients

Question 23

What are the 4 versions of vitamin D

Answer 23

Colecalciferol, ergocalciferol , alfacalciferol and calcitriok

Question 24

What is another name for vitamin E

Answer 24

Tocopherol

Question 25

What does vitamin E deficiency cause

Answer 25

Neuromuscular problems

Question 26

What is the water soluble derivative of vitamin K?

Answer 26

Menadiol

Question 27

What is another name for vitamin C

Answer 27

Ascorbic acid

Question 28

What are the 5 B vitamins and what do they treat?

Answer 28

B1 thiamine Wernickes encephalopathy B2 riboflavin nervous system skin eyes B6 pyroxidine, treats peripheral neuropathy associated with izoniazide B9 folic acid B12 hydroxocobalamin megaloblastic anaemia

Question 29

How can we treat mucositis caused my methotrexate?

Answer 29

Folinic acid

Question 30

Which drugs can cause mucositis?

Answer 30

Fluorouraxil Anthraxyclines Methotrexate

Question 31

Which chemo can cause palmar plantar syndrome

Answer 31

Fluoroauracil

Question 32

How I’m hyperuricemka treated in chemo?

Answer 32

Allopurinol 1 day before starting Febuxostat 2 days before starting

Question 33

What chemo causes bone marrow suppression?

Answer 33

All but bleomycin and vincristine

Question 34

When does bone marrow suppression occur after chemo?

Answer 34

7-10

Question 35

How is urothelial toxicity treated ?

Answer 35

Mesna

Question 36

What is the difference between acute and delayed vomitting in chemo

Answer 36

Acute within 24 hours Delayed after 24 hours

Question 37

Which chemo causes mild n&v

Answer 37

Fluorouracil Etoposide Methotrexate Vinca alkaloids

Question 38

Which chemo causes mild n&v

Answer 38

Fluorouracil Etoposide Methotrexate Vinca alkaloids

Question 39

Which chemo causes severe n&v

Answer 39

Ciclosporin Dacarbazine High dose cyclophosphamide

Question 40

Which chemo causes severe n&v

Answer 40

Ciclosporin Dacarbazine High dose cyclophosphamide

Question 41

Which chemos cause moderate nausea and vomiting?

Answer 41

Taxanes, Doxorubicin, high dose methotrexate, mitoxantrone, low dose cyclophosphamide

Question 42

How do we prevent acute nausea and vomitting

Answer 42

Low risk: Dex or loraz High risk: dex, ondansetron and aprepitant

Question 43

How do we prevent delayed nausea and vomitting

Answer 43

DODA Moderately emetogic: dex and ondansetron Highly emetogenjc: dex and aprepitang

Question 44

Which is prescribed by brand? Azathioprine Ciclosporin Mycophenolate mofet Or tacrolimus

Answer 44

Ciclosporin and tacrolimus

Question 45

Why should/ should not someone take vitamin c with iron

Answer 45

Increases absorption

Question 46

What are the side effects of oral iron

Answer 46

Black stools Constipation / diarrhoea

Question 47

Why would iron be taken before / after food

Answer 47

Before: increase absorption After: reduce side effects

Question 48

How long after haemoglovin back to normal is oral iron stopped

Answer 48

3 months

Question 49

What is iron toxicity treated with

Answer 49

desferrioxamine

Question 50

What is the MHRA safety alert with parentedal iron and what do we do

Answer 50

Hypersensitivity - monitor for 30 mins after and trained staff / resus facikities

Question 51

When do we use parenteral iron

Answer 51

Oral not working/not tolerated Cancer patients Haemoduysis oatients

Question 52

How is Vit b12 deficiency treated

Answer 52

Hydroxocobalamin Every 3 months

Question 53

How is folate deficiency treated

Answer 53

Folic acid For 4 months

Question 54

Who gets a higher dose of folic acid in pregnancy

Answer 54

Smokers Diabetics Epileptics On anti malarials Obesity Sickle cell anemia