UCL

Question 1

Which of these vaccines is taken at 12 to 13 months and then must be repeated later in life?
- meningococcal group Bvaccine (rDNA, component, adsorbed)

• haemophilus influenza type Bwith meningococcal group C vaccine
• live measles, mumps, rubella vaccine
• pneumococcal polysaccharide conjugate vaccine (adsorbed)

Answer 1

• live measles, mumps, rubella vaccine

Question 2

Which of the following drugs may cause a sudden onset of sleep?

omeprazole
adrenaline
pyrazinamide
levodopa
ondansetron

Answer 2

levodopa

Question 3

Does aminophylline require a loading dose when administering as infusion for asthma?

Answer 3

no

Question 4

Which of the following is least likely to be a side effect of procyclidine?
- blurred vision
- constipation
- drowsiness
- yellow vision
- urinary retention

Answer 4

yellow vision

Question 5

What of the following is a toxic effect of theophylline?
- bruising
- drowsiness
- convulsions
- goitre
- watering eyes

Answer 5

convulsions

Question 6

Treatment for blepharitis

Answer 6

cold compress for 5 to 10 minutes

Question 7

Which of the following is contra-indicated with sildenafil?
- isosorbide 20 mg mononitrate
- simvastatin 40 mg tablets
- amlodipine 5 mg tablets
- warfarin 5 mg tablets
- aspirin 75 mg tablets

Answer 7

Isosorbide Mononitrate

Question 8

What do troponin 1 levels indicate

Answer 8

damage to heart muscle

Question 9

which of the following is not necessary for secondary prevention of cardiovascular events?
- aspirin
- diltiazem
- atorvastatin
- ramipril
- bisoprolol

Answer 9

Atorvastatin

Question 10

Does iron exhibit diarrhoea or constipation

Answer 10

both

Question 11

Patients on iron should stop consuming large amounts of what foods and why

Answer 11

tea, coffee, milk
as they can reduce the absorption of iron

Question 12

What is a first line treatment for focal siezures

Answer 12

Lamotrigine

Question 13

Which of these medications can lower HBA1C levels
- aspirin
- lisinopril
- prednisolone
- warfarin

Answer 13

Lisinopril (ace inhibitors)

Question 14

What is a red flag side effect when taking clindamycin and what should you do

Answer 14

Nausea and Diarrhoea

stop taking as get urgent help

Question 15

What specific toxicity does pioglitazone induce and what are the symptoms and what should you do

Answer 15

Liver toxicity

dark urine, abdominal pain, N+V

stop taking and go to GP

Question 16

Which of these drugs exhibits these symptoms: nausea, dizzy, tired, affected vision

• ipratropium
• digoxin
• amiodarone
• minocyline
• aspirin

Answer 16

Digoxin

Question 17

Does vitamin B repel mosquitoes

Answer 17

no

Question 18

Which of these anaesthics have the quickest recovery and least hangover effects

• etomidate
• ketamine
• nitrous oxide
• propofol
• thiopental sodium

Answer 18

Propofol

Question 19

Which of these medications lowers seizure thresholds
- paracetamol
- senna
- ibuprofen
- ciprofloxacin

Answer 19

ciprofloxacin

Question 20

Can you give emergency supply to a patient from a different country? And which countries

Answer 20

yes, but only in EEA (EU)

Question 21

Which laxative can you give during pregnancy

Answer 21

lactulose

Question 22

When should a patient contact their doctor while using tranexamic acid

Answer 22

if medication is ineffective after 3 cycles

Question 23

What is the treatment of croup and what is it

Answer 23

dexamethasone or budesonide

respiratory illness, barking cough and difficulty breathing

Question 24

CEFALOSPORIN ALLERGY MEANS NO AMOXICILLIN TOO

Answer 24

AMOXICILLIN ALLERGY MEANS NO CEPHALOSPORIN TOO

Question 25

What is the OTC treatment for roundworm

Answer 25

Mebendazole 100mg BD for 3 days

Question 26

Which electrolyte in excess can cause fatal cardiac arrhythmias

Answer 26

Potassium

Question 27

What substance is often raised in liver blockage

Answer 27

ALP

Question 28

What substance deficiency causes fatigue, muscle spasm and numbness

Answer 28

Magnesium

Question 29

What substance binds to acidic drugs

Answer 29

albumin

Question 30

What substance is found in dark chocolate, seeds and avocado

Answer 30

magnesium

Question 31

What substance is a by product of muscle breakdown

Answer 31

creatinine

Question 32

What is meniere's disease and what is a licensed treatment

Answer 32

Prochlorperazine (a rare inner ear disorder that causes vertigo, hearing loss, tinnitus, and a feeling of fullness in the ear)

Question 33

what is a licensed treatment of neuropathic pain

Answer 33

Haloperidol

Question 34

Which medication would you need to keep a consistent diet, especially salt

Answer 34

Lithium

Question 35

Which medication would need neutrophil and leucocyte monitoring

Answer 35

Clozapine

Question 35

Licensed treatment of non responding dementia symptoms to non pharmacological treatments

Answer 35

Flupentixol

Question 36

Treatment for a patient who has been complaining of the following symptoms: sharp and stabbing pain in the leg and weakness when walking

Answer 36

Gabapentin

Question 37

Treatment for a patient who is taking capecitabine who is suffering from a dose limiting toxicity that can lead to severe dehydration if left unmanaged

Answer 37

Loperamide

Question 38

Treatment for a patient who is receiving treatment for leukaemia whose laboratory results are indicating they have tumour lysis syndrome

Answer 38

Urate Oxidase

Question 38

Treatment for a patient who is taking fluorouracil and has developed small sores in the mouth and has swollen gums

Answer 38

Benzydamine Hydrochloride

Question 39

Treatment for a patient who is about to start their second cycle of chemotherapy which has been delayed as they suffered from neutropenic sepsis following their first cycle

Answer 39

Granulocyte-Colony Stimulating Factor

Question 40

Treatment for a patient who is receiving treatment with a high dose of cyclophosphamide and experiencing hemorrhagic cystitis

Answer 40

Mesna

Question 41

Flecainide infusion must given over what time

Answer 41

10 minutes

Question 42

Avoid nitrofurantoin when eGFR is...

Answer 42

below 45

Question 43

What alternative to give when eGFR too low for nitrofurantoin

Answer 43

trimethoprim