Planning management

Question 1

Drugs/ treatment to give in acute STEMI

Answer 1

MONA-BP

Morphine, Metoclopramide
Oxygen
Nitrate (GTN)
Aspirin 300mg

Beta blocker: Atenolol 5mg
PCI/ Thrombolysis

Question 2

Drugs/ treatment to give in acute NSTEMI

Answer 2

MONA-BEC

Morphine, Metoclopramide
Oxygen
Nitrate (GTN)
Aspirin 300mg

Beta blocker: Atenolol 5mg
Enoxaparin
Clopidogrel

Question 3

Drugs/ treatment to give in acute LV failure

Answer 3

Morphine, Metoclopramide
Oxygen
Nitrate (GTN)
Furosemide

Sit up

Question 4

4 treatments to give for anaphylaxis

Answer 4

1. Oxygen
2. Adrenaline 500 micrograms (0.5ml) of 1:1000 IM
3. Chlophenamine 10mg
4. Hydrocortisone 200mg

Question 5

Drug to give in tachycardia + unstable features (eg shock, heart failure)

Answer 5

Amiodarone

Question 6

Drug to give in regular VT

Answer 6

Amiodarone

Question 7

Drug to give in regular SVT or BBB

Answer 7

Adenosine

Question 8

Drug to give in irregular narrow QRS tachycardia

Answer 8

Adenosine

+ vagal manouvres beforehand

Question 9

Drug to give in regular narrow QRS tachycardia

Answer 9

Beta blocker OR diltiazem

if heart failure,
Digoxin OR amiodarone

Question 10

Between metoclopramide and domperidone, which is better for use in patients with Parkinson’s

Answer 10

Domperidone is safer. Dopamine antagonist but does not cross blood brain barrier

Question 11

First line drugs in heart failure managmeent

Answer 11

ACEi + beta blocker

then add on spironolactone after

Question 12

Treatment for hyperkalemia

Answer 12

10 units novorapid in 100ml of 20% dextrose over 30min IV

5mg neb salbutamol

Question 13

When is metformin not first line in T2DM

Answer 13

1. If creatinine >150 umol/L (lactic acidosis risk)

2. If patient is underweight/ normal weight

Question 14

What antiplatelets to give when after stroke

Answer 14

Aspirin for 14 days then

Clopidogrel

Question 15

Hypoglycaemia treatment

Answer 15

Glucose 10% (100-200ml) OR

Glucose 20% (50-100ml)

over 15min

Question 16

Name some medications that are taken weekly

• for osteoporosis
• for systemic disease

Answer 16

Weekly medication

Bisphosphonates
Methotrexate

Question 17

What type of drug is first line in treating acute dystonia eg from antipsychotics

Answer 17

Anti muscarinic eg procyclidine

Question 18

What antibiotic is used for repeated C Diff infections

Answer 18

Vancomycin (after first line therapy with metronidazole has failed)

Question 19

What drug to prescribe for flatulence

Answer 19

Peppermint oil

Question 20

Treatment for hepatic encephalopathy

Answer 20

Hepatic encephalopathy: Lactulose

Question 21

Treatment for nausea and vomiting in brain Mets

Answer 21

Dexamethasone (nausea is due to raised icp in brain Mets)

Question 22

How long after a mastectomy is tamoxifen given for

Answer 22

5 years after mastectomy

Question 23

Which is the only DMARD that is safe in pregnancy and breastfeeding

Answer 23

Sulfasalazine

Question 24

When is metoclopramide contraindicated

Answer 24

Parkinson’s

Bowel obstruction

Question 25

Which antiepileptics are safe in pregnancy

Answer 25

Levetiracetam | Lamotrigine

Question 26

Which antibiotic should be given in UTI + renal dysfuncion

Answer 26

Trimethoprim

Question 27

First line treatment for mild flare of Ulcerative Colitis

Answer 27

Oral Sulfasalazine (Aminosalicylate)

Question 28

First line treatment for moderate flare of Ulcerative Colitis

Answer 28

Infliximab

Question 29

First line treatment for severeflare of Ulcerative Colitis

Answer 29

IV Hydrocortisone

Question 30

Option for oral treatment of PE/VTE (if patient has needle phobia)

Answer 30

Oral apixaban

Question 31

What to use in diabetic neuropathy pain

Answer 31

Duloxetine 60g

Question 32

Atrial fibrillation management >48h

Answer 32

Verapamil 40–120 mg TDS

Question 33

Atrial fibrillation management <48h

Answer 33

Cardioversion, either DC or chemical Amiodarone 200 mg TDS Flecainide

Question 34

What drug prevents chest pain in angina long term

Answer 34

Bisoprolol

Question 35

In the BNF, Bisoprolol is authorised for htn, angina, and adjunct in heart failure. Which of these is the AF dose?

Answer 35

Adjunct in heart failure | 1.25mg OD then titrated up to max 10mg OD

Question 36

Drugs normally taken at night

Answer 36

Statins | Amitryptiline

Question 37

First treatment of Hyperkalemia with ECG changes

Answer 37

Calcium gluconate (before any other treatment for the Hyperkalemia itself)

Question 38

Drug for detrusor overactivity/ urge incontinence

Answer 38

Oxybutinin | unless has myasthenia gravis, then give duloxetine