Planning Management

Question 1

What is the treatment of choice for neuropathic pain?

Answer 1

Amitriptyline 10mg at Night

Question 2

What is the dose for breakthrough pain opiate?

Answer 2

1/6th of total daily dose

Question 3

When should Rhythm control of AF be conducted? What is used?

Answer 3

<48 hours from onset (due to risk of thrombus)

Use - DC Cardioversion/Flecainide/Amiodarone (if structural heart defect)

Question 4

When should Rate control of AF be conducted? What is used?

Answer 4

> 48 hours from onset

Use - BB/Diltiazem/Digoxin (if other two ineffective/contraindicated)

Question 5

What should be checked before starting Azathioprine/6-mercaptopurine (for Crohn’s remission)

Answer 5

TPMT (Thiopurine S-Methyl Transferase)

Enzyme that metabolises the drug. If deficient, can lead to toxicity.

Question 6

Name 1 important rule for laxative use

Answer 6

NEVER give if there are signs of bowel obstruction

Question 7

What antiemetic should be avoided if there are signs of bowel obstruction?

Answer 7

Metoclopramide

As has pro-kinetic qualities

Question 8

What is used to treat non-infectious diarrhoea?

Answer 8

Loperamide 2mg/Codeine 30mg

Question 9

When should corticosteroids be given? And why?

Answer 9

In the morning

As can induce insomnia

Question 10

What should be given by the GP in suspected bacterial meningitis?

Answer 10

IM Benzylpenicillin Sodium + Arrange urgent hospital admission

Question 11

What antibiotic is commonly given for skin infections?

Answer 11

Flucloxacillin

Question 12

What drug reduces the effectiveness of hormonal contraceptions?

Answer 12

Carbamazepine (Enzyme inducer)

(Avoid in COCP, POP, Emergency contraception. Implants, Patches, Rings)