Planning management and providing information

Question 1

compare treatment for vaginal candidiasis and bacterial vaginosis?

Answer 1

vaginal candidiasis (cottage cheese) = clotrimazole

bacterial vaginosis (fishy discharge) = metronidazole

Question 2

what do you search on the BNF to find out about overdoses?

Answer 2

“poisoning, emergency treatment”

Question 3

after a paracetamol OD, what is the earliest that a blood paracetamol level can be taken?

Answer 3

minimum 4 hours from consumption

Question 4

where to find opioid conversion charts on BNF?

Answer 4

Prescribing in palliative care

Question 5

name 5 sick day rules for diabetic patients taking insulin?

Answer 5

1. continue taking insulin even if you’re not eating as much
2. monitor BMs more regularly
3. check for ketones if you have T1DM
4. stop SGLT2 inhibitors if you take them
5. continue to try and eat and drink

Question 6

how frequently is methotrexate taken ?

Answer 6

once a week

Question 7

why can’t antipsychotics be stopped suddenly?

Answer 7

risk of rebound psychosis - they must be titrated down and stopped gradually

Question 8

in a patient on warfarin, when should immediate medical advice be sought?

Answer 8

any unexplained bleeding

Question 9

name the 1st line hormonal emergency contraception?

Answer 9

ullipristal acetate

Question 10

what is one of the main adverse effects of ciprofloxacin?

Answer 10

tendonitis and tendon rupture

Question 11

what can metoclopramide induce and how can this be reversed?

Answer 11

metoclopramide can induce acute dystonic reactions including an oculugyric crisis

can be reversed with procyclidine

Question 12

name 3 main drugs to cause oculogyric crisis?

Answer 12

1. phenothiazines (chlorpromazine, levomepromazine)
2. haloperidol
3. metoclopramide

Question 13

when should blood be taken for a plasma-concentration digoxin assay?

Answer 13

blood should be taken at least 6 hours after a dose

Question 14

what is the most important monitoring option for children on long term steroids?

Answer 14

growth monitoring

Question 15

what is the most appropriate thing to monitor in patients on lithium?

Answer 15

TFTs checked 6 monthly

Question 16

name the 3 diabetes meds that increase weight?

Answer 16

sulphonylureas
TZDs
insulin

Question 17

name the only diabetes med that reduces weight

Answer 17

GLP-1 analogues (exenatide)

Question 18

which diabetes med is contraindicated in HF?

Answer 18

TZDs (pioglitazone)

Question 19

which diabetes med is preferred in patients with HF?

Answer 19

SGLT-2 inhibitors (-gliflozins)

Question 20

what do you search on BNF to find info on warfarin management during heamorrhage?

Answer 20

“oral anticoagulants”