prescribing

Question 1

GORD

Answer 1

oral gaviscon infant powder sachet, one dose, max x6 daily, prn

Question 2

hypertension after pregnancy

Answer 2

100mg oral labetalol BD, 12 hrly

atenolol/metoprolol

nifedipine

Question 3

anaphylactic reaction

Answer 3

300 mcg IM adrenaline stat, immediately

Question 4

c.difficile infection

Answer 4

125 mg oral vancomycin QDS, 6 hrly

Question 5

otitis media

Answer 5

250 mg oral amoxicillin TDS, 8 hrly

Question 6

nausea and vomiting in pregnancy

Answer 6

1. PO cyclizine/promethazine
2. oral 10 mg metoclopramide TDS
   oral 4 or 8 mg ondansetron BD

Question 7

unstable angina

Question 8

acute asthma

Answer 8

oxygen

nebulised salbutamol 5mg stat

nebulised ipatropium

IV steroids

Question 9

dyspepsia

Question 10

thromboprophylaxis

Answer 10

S/C dalteparin 15000 units OD

S/C enoxaparin 120 mg OD

Question 11

analgesia

Answer 11

oral cocodamol 30/500, two tablets QDS

Question 12

IV fluids

Question 13

laxatives

Question 14

epiglottitis

Question 15

croup

Question 16

depression

Question 17

anxiety

Question 18

oral contraception

Question 19

HRT

Question 20

bladder instability

Question 21

hypercholesterolaemia

Question 22

hypertension

Answer 22

<55 yrs: acei or arb
oral enalipril 5 mg nightly

> 55 yrs or coloured: ca channel blocker

Question 23

UTI

Question 24

chronic ♡ failure

Answer 24

1. ACEi + beta blocker

oral enalipril 2.5 mg nightly

oral spironolactone 25 mg morning

Question 25

acute ♡ failure

Answer 25

oral furosemide 20 mg morning

Question 26

stable angina

Answer 26

sublingual GTN spray, 2 sprays

Question 27

atrial fibrillation

Answer 27

rate control
1 rate limiting ca channel blocker: verapamil or diltiazem

oral diltiazem 120 mg, daily

oral verapamil 40-120 mg, 8 hrly

2 beta blockers

rhythm control

Question 28

hyperkalaemia

Answer 28

calcium gluconate

IV 50% glucose 50 mL and insulin (actrarapid) 10-12 units, stat,

Question 29

epileptic drugs

Answer 29

focal: oral 25mg lamotrigine, daily