RPS mock 2016 Flashcards Preview

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Flashcards in RPS mock 2016 Deck (29):
1

for primary prevention a high intensity statin should be started, what are they?

Atorvastatin 20, 40 or 80mg
Rosuvastatin 10 20 or 40mg
Simvastatin 80mg

2

what are the interactions with nitrates e.g. isosorbide mononitrate

vasodilators for pulmonary hypertension/ED
e.g. sildenafil, vardenafil, taladafil

(significantly enhanced hypotensive effect - black dot interaction)

3

what is the effect of phenytoin on INR

reduces

4

what is the purpose of pyridoxine in TB treatment

prevent peripheral neuropathy

5

anitbiotic of choice for impetigo
and if pen allergy

fluclox
clarithromycin

6

what should be given for bites

co-amox
in pen allergic doxy and metronidazole

plus tetnus immunoglob
rabies prophylaxis if endemic country

7

what is the ONLY black dot interaction with penicillins

sodium valproate/ valproic acid - avoid

8

what are the interactions between ACEi and diuretics

hyperkalaemia with K sparing diuretics (black dot)
hypotension

9

what is the treatment for bacterial vaginosis

metronidazole

10

what is the crack with zero powered contrac lenses?

can only be sold under supervision of registered optician, dispensing optician or doctor

11

what schedule CDs could you NOT dispense off an EEA Rx

1,2,3

12

when should treatment for acne be commenced

early to prevent scarring

13

how long should pt be adviced that acne treatment takes to work

couple of months

14

what acne treament is reserved only for women

co-cyprindol

15

is topical or systemic acne treatment first line

then if unresponsive....

topical, then systemic

referral to dermatology for isotretinoin

16

when should li samples be taken in relation to the dose

12 hours after

17

how often is lithium taken in a day

ideally once daily for maintinance
initially the doses are divided throughout the day

18

for lithium maintance how often are levels taken

and how often when making dose changes

3 monthly

weekly

19

what level of lithium are we aiming for

0.8-1mmol/litre

20

what 3 perameters should routinely be monitored on Lithium

TSH (6 monthly)
Renal (6 monthly or more often if ACE, NSAID, diuretic)
Li levels (once stable 3 monthly)

21

name three drug classes that when started would need an increase in Lithium monitoring

NSAIDs
ACEi
Diuretics
require increase in how often renal function is checked

22

what action should be taken if side effects occur on iron therapy

change to another salt - but this just probably means you are absorbing less

best absorbed on empty stomach but can be taken with food to reduce side-effects

23

what could be the affect of iron supplementation in IBD

exacerbates dihorreah

24

with iron therapy, once the Hb is in normal range how long should iron be continued for

3 months to replenish iron stores

25

OTC treatment foe verucas

salicilic acid gel 13% OD

26

are the words for dental treatment only required on dental scripts

only for drugs with CD prescription requrements

27

what electrolyte imbalnces can be caused by vitamin D

high calcium and high phosphate

28

what are symptoms of vitamin D overdose

anorexia, lassitue, N&V, diarrhoea, constipation, weight loss, polyuria, swaeting, headache, thirst, verigo

29

what insulin is used for diabetic emergencies

act rapid