Teams

Question 1

3 Factors to decide if Apixaban dose reduction is required

Answer 1

A) Age ≥ 80 years
B) Body weight ≤ 60kg
C) Creatinine ≥ 133 micromol/l or clearance 15-29 ml/minute

Question 2

2 Scores used to decide if DOAC is necessary

Answer 2

HASBLED - Bleed risk

CHADS2VASC - Stroke risk

Question 3

Apixaban dosing

Answer 3

5mg BD
OR
2.5mg BD if 2 ABC factors present

Question 4

Statin treatment dose vs prophylactic dose

Answer 4

Atorvastatin 80mg - treatment
Atorvastatin 20 = Simva 40 = prophylactic

Atorvastatin primary prevention: 20mg OD
Atorvastatin secondary prevention: 80mg OD
Simvastatin prevention: 20-40mg OD
Simvastatin 80 only in severe

Question 5

HAP 1st Line

Answer 5

Co-Amoxiclav (Beta lactam + Beta lactamase inhibitor)

Question 6

Dabigatran dosing

Answer 6

110mg BD up to 220mg BD

Question 7

Rivaroxaban

Answer 7

Must be taken with food

2.5-20mg dose range

Question 8

Alcohol withdrawal

Answer 8

Benzos are GABA agonists (allosteric)
Long acting benzo: Chlordiazepoxide or Diazepam

If withdrawal seizures, short acting benzo: Lorazepam

Question 9

Alcohol dependence risks

Answer 9

Wernicke’s Encephalopathy
IV thiamine followed by Oral thiamine

Increased alcohol reduces thiamine in the body

https://pubs.niaaa.nih.gov/publications/arh27-2/134-142.htm

Question 10

How long to keep vet records

Answer 10

5 years

Question 11

How long to keep cd, pom records

Answer 11

2 years

Question 12

Paracetamol 8-9

Answer 12

360-375mg

Question 13

Paracetamol 10-11

Answer 13

480-500mg

Question 14

Paracetamol 12-15

Answer 14

480-750mg

Question 15

Paracetamol 16-17

Answer 15

500-1000mg

Question 16

Paracetamol 6-7

Answer 16

240-250mg

Question 17

Paracetamol 4-5

Answer 17

240mg

Question 18

Paracetamol 2-3

Answer 18

180mg

Question 19

Paracetamol 6-23mo

Answer 19

120mg

Question 20

Paracetamol 3-5 months

Answer 20

60mg

Question 21

Schedule 1

Answer 21

Street drugs like lsd mdma, cannabis, non medicinal. Home office license needed for production, possession or supply

Question 22

Schedule 2

Answer 22

Opiates: morphine, diamorphine, oxycodone, cocaine, ketamine, cannabis based products

Question 23

Schedule 3

Answer 23

Barbiturates except secobarbital
Buprenorphine, tramadol, gabapentin, pregabalin
Midazolam

Question 24

Schedule 4

Answer 24

Benzodiazapines except schedule 3 midaz and temaz
Sativex

Part 2: androgenic and anabolic steroids, HCG somatropin etc

Question 25

Schedule 5

Answer 25

Codeine, morphine liquid, pholcodine etc

Only need invoices for 2 years

Question 26

Drugs causing oral ulceration

Answer 26

ACE
Nicorandil
NSAIDS
Pancreatin
Penicillamine
Proguanil
Protease inhibitors

Question 27

Drugs that’s cause hyponatremia

Answer 27

SSRI
NSAIDS
Diuretics

Question 28

Anti muscarinic drugs e.g solifenacin, tolbutamide,oxybutinin, mirabegron

Can cause

Answer 28

Constipation