PSA

Question 1

tests for agranuloctosi - carbimazole

Answer 1

FBC and TFT

Question 2

emergency resus fluids

Answer 2

NA CL 0.9% 500ml 15min

Question 3

emergency hypoglycaemia fluids

Answer 3

glucose 20% 100ml 15min

Question 4

emergency hypokalaemia fluids

Answer 4

NACL 0.9% + KCL 0.3% 1000ml 4hr

Question 5

emergency hypercalcaemia fluids

Answer 5

NACL 0.9% 1000ml 4hr

Question 6

maintainence fluids without deficits or losses

Answer 6

25-30ml/lg/24hr water
1mmol/kg/24hr NA and K
50-100g / 24hr glucose

aim 1000ml 8-12hr

Question 7

maintainence fluids with deficits of losses

Answer 7

minimum 30ml/kg/24hr water
ensure electrolytes replaced
aim 1000ml 4-6hr

Question 8

emergency resus fluids for children

Answer 8

NACL 0.9% 10ml/kg 15min

Question 9

maintainence fluids without deficits of losses for children

Answer 9

100ml/kg/24hrs for <10kg
50ml/kg/24hr for 10-20kg
20ml/kg/24hr for >20kg

Question 10

diabetic w T2DM tx

Answer 10

ACEi

Question 11

LMWH monitoring

Answer 11

anti-factor XA

Question 12

unfractioned heparin monitoring

Answer 12

aPTT

Question 13

NOAC monitor

Answer 13

monitor clinically

Question 14

mx of hyocalcaemia

Answer 14

calcium gluconate 10% 10ml over 10m

Question 15

hypercalcaemia tx

Answer 15

0.9% sodium chloride, 1000ml over 4h

Question 16

hypokalaemia tx

Answer 16

0.3% potassium chloride
1000ml over 4hr

Question 17

hyperkalaemia tx

Answer 17

calcium gluconate 10%
30ml over 10m

Question 18

uterus intact and LMP <12 months

Answer 18

oral sequential combined ostreogen + progesterone
#1 estradiol with norethisterone

Question 19

uterus intact + LMP > 12 months

Answer 19

oral continuous combined oestrogen + progesterone

Question 20

post hysterectomy HRT

Answer 20

oral or patch oestrogen or tibolone
#1 estradiol

Question 21

post menopausal OP

Answer 21

alendronic acid or risedronate sodium

Question 22

vasmotor symptoms in someone who cant take HRT

Answer 22

clonidine

Question 23

menopausal atrophic vaginitis

Answer 23

topical vaginal oestrogen (pessary or ring)

Question 24

neuropathic pain

Answer 24

amitriptyline, pregabaline or gabapentinm

Question 25

acute tx for migrain

Answer 25

no aura = aspirin or ibuprofen aura = sumatriptan

Question 26

prevention for migraine

Answer 26

propranolol

Question 27

lower back pain and sciatica

Answer 27

NSAID

Question 28

vertigo / motion sickness / vestibular disorders

Answer 28

cyclizine

Question 29

post op sickness

Answer 29

ondansetron

Question 30

palliative care sickness

Answer 30

cyclizine / haloperidol / levopromazine

Question 31

chemo induced sickness

Answer 31

acute - ondansetron delayed - metoclopramide

Question 32

parkinsons sickness tx

Answer 32

domperidone

Question 33

hyperemesis gravidarum sickness mx

Answer 33

promethazine

Question 34

drugs which are CI in asthma

Answer 34

NSAIDs beta-blockers adenosine

Question 35

note for paracetamol + cocodamol

Answer 35

max 4g

Question 36

VTE prophylaxis for elective hip replacement

Answer 36

LMWH 10 days + low dose aspirin for 28 days if unstuitable - apixaban or dabigatran etexilate