PSA

Question 1

when cant you give osmotic laxative eg lactulose or macrogol

Answer 1

patient is bloated or dehydrated

Question 2

drugs taken with meals

Answer 2

insulin, creon

Question 3

maintenance fluids without loss

Answer 3

meet electrolyte intake
1000ml 8-12hours

Question 4

short acting insulin

Answer 4

insulin human (actrapid)

Question 5

what worsens heart failure

Answer 5

NSAIDs
CCB
thiazolidinediones

Question 6

adverse effect of quinolones eg ciprofloxacin

Answer 6

risk of tendon problems esp w steroids
QT prolonging
reduced seizure thresholds

Question 7

adverse effect of CCB

Answer 7

ankle swelling

Question 8

what worsens psoriasis

Answer 8

beta blockers
lithium

Question 9

long acting insulin

Answer 9

insulin detemir BD (levemir)

Question 10

HRT uterus intact LMP>12 months (oral and patch)

Answer 10

elleste duet conti - oral
evorel conti - patch

Question 11

HRT post hysterectomy

Answer 11

elleste-solo

Question 12

morphine oral/SC dose to PRN change

Answer 12

/6

Question 13

insulin given in pregnancy if >7mmol

Answer 13

short acting insulin

Question 14

What medications are taken SC

Answer 14

LMWH
insulin

Question 15

change in SGLT2i before surgery

Answer 15

omit day before and on the day

Question 16

reversal for LMWH

Answer 16

protamine sulphate

Question 17

general approach for opioid constipation

Answer 17

osmotic laxative + stimulant laxative

Question 18

diabetic drug to stop if gfr<30

Answer 18

metformin

Question 19

Fluid for emergency resuscitation

Answer 19

sodium chloride 0.9& 500 ml 10mins

Question 20

PAEDS emergency resuscitation

Answer 20

sodium chloride 0.9% 10ml/kg 10mins

Question 21

maintenance fluid with loss

Answer 21

fix electrolyte imbalance
1000ml 4-6hours

Question 22

drugs to stop before surgery

Answer 22

ACE
ARB
diuretics
HRT + COCP(4 weeks before)
anticoagulants + aspirin
lithium
NSAID

Question 23

Medications usually in mcg

Answer 23

levothyroxine
tamsulosin
digoxin
naloxone
fludrocortisone
inhalers
GTN spray
ipatropium

Question 24

Insulin control before surgery

Answer 24

long acting - reduce by 20% and continue
all others - stop

Question 25

analgesia for neuropathic pain/tension type headache

Answer 25

amitriptyline -TCA

Question 26

diabetic drug that causes hypoglycaemia

Answer 26

sulfonylurea

Question 27

reversal for DOACs

Answer 27

idarucizumab for dabigatran andexanet alpha for others

Question 28

POP name

Answer 28

cerazette

Question 29

what worsens myasthenia gravis

Answer 29

antibiotics beta blockers local anaestehtic sedatives

Question 30

reversal for unfractionated heparin

Answer 30

protamine sulphate

Question 31

post menopausal osteoporosis

Answer 31

alendronic acid

Question 32

PAEDS maintenance without loss

Answer 32

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

Question 33

meds taken in g

Answer 33

paracetamol lithium calcium carbonate NAC

Question 34

drugs commonly taken at night

Answer 34

statins, night sedation

Question 35

drug used for NMS

Answer 35

bromocriptine or dantrolene

Question 36

change in sulfonylurea before surgery

Answer 36

omit on day

Question 37

what drugs are taken SL

Answer 37

GTN

Question 38

drugs that impair renal function

Answer 38

DAMN diuretics ACE/ARB Metformin NSAID

Question 39

prescribing error units

Answer 39

Question 40

drugs related to ototoxicity

Answer 40

gentamicin bumetanide furosemide vancomycin

Question 41

diabetic drug with heart failure side effect

Answer 41

thiazolidinediones

Question 42

fluid for emergency hypokalaemia

Answer 42

sodium chloride 0.9%/potassium chloride 0.3% 1000ml 4hrs

Question 43

drugs to stop if trying to conceive

Answer 43

isotretinoin methotrexate warfarin

Question 44

daily requirements

Answer 44

25-30ml/kg/24 hrs water 1mmol/kg/24hrs Na + K 50-100g 24 hrs glucose

Question 45

emergency hypercalcaemia

Answer 45

sodium chloride 0.9% 1000ml 4hrs

Question 46

diabetic drug that causes pancreatitis

Answer 46

GLP 1 analogue DDP inhibitor

Question 47

drugs taken weekly

Answer 47

bisphosphonates methotrexate/folate patches

Question 48

enzyme inducers (reduce conc of drug)

Answer 48

SCRAP GP sulfonylurea carbamazepine rifampicin alcohol phenytoin griseofulvin phenobarbitone

Question 49

drugs commonly taken in the morning

Answer 49

diuretics, steroids

Question 50

enzyme inhibitors (increase conc of drug)

Answer 50

SICK FACES sodium valp isoniazid cimetidine ketoconazole fluconazole alcohol chloramphenicol eryhtromycin sulfonamides

Question 51

vasomotor symptoms for someone who cant take HRT

Answer 51

clonidine or SSRI

Question 52

Blood glucose >15 insulin management

Answer 52

novorapid (rapid acting insulin)

Question 53

fluid for emergency hypoglycaemia

Answer 53

glucose 20% 100ml 15m

Question 54

What medications are taken PR

Answer 54

laxatives diazepam diclofenac

Question 55

what worsens parkinsons

Answer 55

antipsychotics antiemetics (metoclopramide) antidepressants

Question 56

intermediate acting insulin

Answer 56

isoform insulin (humulin I)

Question 57

HRT uterus intact LMP<12 months (oral and patch)

Answer 57

elleste duet 1mg or 2mg - oral evorel sequi - patch

Question 58

Which diabetic classes increase weight

Answer 58

thiazolidinedione sulfonylurea

Question 59

reversal for warfarin

Answer 59

vitamin K, PCC

Question 60

meds taken in mg (low 100s to 1g)

Answer 60

some antibiotics metformin some antiepileptics

Question 61

menopausal atrophic vaginitis

Answer 61

topical vaginal oestrogen (pessary or ring)

Question 62

post operative pain ladder

Answer 62

reg paracetamol reg codeine reg/PRN morphine sulfate MR reg/PRN morphine sulfate immediate release

Question 63

drugs to stop when youre ill

Answer 63

metformin statins SGLT2i

Question 64

what is vitamin K name

Answer 64

phytomenadione

Question 65

when cant you give bulk form laxative eg ispaghula husk

Answer 65

inadequate fibre intake patient is bloated takes 72 hours to work

Question 66

When cant you give stimulant laxatives eg senna

Answer 66

bowel obstruction

Question 67

change in metformin before surgery

Answer 67

BD - continue TDS - omit lunchtime dose

Question 68

drugs to stop before surgery

Answer 68

DOACS -48hrs clopidogrel - 7 days warfarin (bridging plan)

Question 69

COCP name

Answer 69

microgynon

Question 70

treatment for tonsillitis

Answer 70

phenoxymethylpenicillin

Question 71

fluid to give in surgery with diabetic person with variable rate insulin infusion running alongside

Answer 71

sodium chloride 0.45%/glucose 5%/potassium chloride 0.15% over 12hrs

Question 72

How do you work out dehydration volume in a kid

Answer 72

% dehydration * weight in kg * 10

Question 73

fluid for HHS

Answer 73

1000L over 1hr

Question 74

emergency hypocalcaemia

Answer 74

calcium gluconate 10% 20ml 10mins

Question 75

emergency hyperkalaemia

Answer 75

calcium gluconate 10% 30ml 10mins