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Common drugs and doses etc. (In some cases there will be more than one correct answer, the commonest drugs are listed, but you are advised to double check the BNF if in doubt)
1.
Give an example (drug, route, dose, and /frequency) of an immediate drug treatment for cord compression caused by malignancy
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2.
Pharyngitis caused by streptococcal infection may be treated using: drugname dose range frequency duration range
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3.
Coma with hypotension, respiratory depression and decreased muscle tone suggests _______________ poisoning.
a) Barbituates or benzodiazepine
b) Tricyclic antidepressant
c) opioid
d) SSRI
e) salicylate
4.
Give an example of a 1st line alpha blocker used to treat BPH. Drugname, dose, frequency
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5.
What drug (and dose) may be given IV in an acute asthma attack after giving nebs?
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6.
Roughly how many deaths per year are caused by NSAIDs?
a) 10,000
b) 100,000
c) 1,000
d) 100
e) 10
7.
In DKA, 0.9% saline should be given stat. At what blood glucose level should this be changed to 5% dextrose? < ____ mmol/L
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8.
Following an acute asthma attack, a patient has been given nebs, steroids, and magnesium sulphate. They are still not improving. ITU and seniors have been informed. What other drug may be considered at this stage?
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9.
If bacterial meningitis (esp. meningococcal disease) is suspected, general practitioners are advised to give a single injection of ______________ IV (or IM) before urgent hospital transfer. A suitable adult dose is ______ , In cases of penicillin allergy, __________may be an alternative. (Answers separated by a comma)
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10.
Agitation, tremor, dilated pupils, tachycardia, suggest _____________ poisoning
a) salicylate
b) Tricyclic antidepressant
c) SSRI
d) opioid
e) Barbituates or benzodiazepine
11.
Give an example of a first line drug (but not a diuretic) for hypertension for an Afro Carribbean man. Give the dose as a range. The frequency is /24h
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12.
What would you give someone in a hypoglycaemic coma? dose as range in ml, concentration, and substance
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13.
If a patient has had a stroke and a haemorrhagic cause has been ruled out, what drug should be given next (drug and dose)
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14.
Rash is a common side effect of the drug used to treat paracetamol poisoning. What drug would you give if a patient has this reaction?
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15.
Give the name, dose and route (IM/SC/IV/PO) of the antihistamine commonly administed in anaphylaxis?
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16.
What would you use to correct metabolic acidosis in salicylate poisoning? (two words)
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17.
In an acute exacerbation of COPD, a patient has been given O2, nebs, steroids, and antibiotics. Which drug might be considered next if not improving?
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18.
In cases of meningitis, when should a LP be performed?
a) LP no longer used diagnostically
b) Either meningitic or septicaemic signs predominate, ICP not raised
c) In all cases, if meningitis is supected
d) Septicaemic signs predominate, ICP not raised
e) Meningitic signs predominate, ICP not raised
19.
A Ca2+ antagonist used in SAH that reduces vasospasm and consequent morbidity from cerebral ischaemia
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20.
What drug may be administered if viral meningitis is suspected?
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21.
how often may adrenaline be administed in analphylaxis? Every...
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22.
Which of the following should NOT be given to someone with a penicillin allergy?
a) metronizadole
b) erythromycin / vancomycin
c) doxycycline
d) cefuroxime
e) co-amoxiclav
23.
What drug (and dose) would you give someone having an allergic reaction (urticaria and itch) to a blood transfusion? Answer as: drugname dose units. The route is slow IV/IM
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24.
Give an example drug and dose for septic arthritis caused by gram -'ve bacilli. Answer as drugname dose as a range units/time period route
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25.
A polystyrene cation exchange resin which acts to remove excess potassium from the body by exchanging it for the cation ion (Ca++) in the resin. It is a relatively slow method of reducing serum potassium. Answer as drug name dose frequency method of delivery
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26.
What drug (drugname, dose range, frequency od/bd/tds/qds, and route) should be started immediately for someone diagnosed with temporal arteritis?
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27.
What class of drug is used to treat acute non-haemorrhagic stroke (after initial antiplatelet agent)
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28.
How many hours after ingestion of a paracetamol overdose should paracetamol levels in the blood be measured?
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29.
Comparing LMWH to unfractioned Heparin, which of the following is FALSE?
a) There is a smaller risk of heparin-induced thrombocytopenia
b) There is a smaller risk of osteoporosis in long-term use.
c) Protamine sulfate is better at reversing the effects of LMWH than unfractionated heparin
d) Monitoring of APTT is not required when using the standard prophylactic regimen
e) Once-daily dosing is by subcutaneous injection, rather than a continuous infusion.
30.
A patient is in acute LVF. You have sat them up, given them oxygen, and pain relief. What drug might you wish to give them next (include dose as a range)
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31.
What is the treatment goal for non-diabetics when treating hypertension? Write answer as < XXX/XX
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32.
To prevent rebleeding in endoscopically proven high risk GI bleed cases, what has been tried? answer as drugname, route, dose over X time period - followed by an infusion of 8mg/h for 72 h, then 20mg/24h for 8 weeks.
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33.
Coma with pinpoint pupils and slow respiration is typical of _____________ poisoning
a) opioid
b) Barbituates or benzodiazepine
c) salicylate
d) SSRI
e) Tricyclic antidepressant
34.
In DKA, if plasma glucose is >20 mmol/L, how much insulin should be prescribed and via what route? (answer as a range, units, route)
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35.
Which of the following would NOT point to cardiogenic shock?
a) pulsus paradoxus
b) muffled heart sounds
c) JVP raised on expiration
d) falling BP
e) tachycardia
36.
Before discharging a patient following an acute asthma attack, a number of criteria should be met. Which of the following is NOT one of these criteria?
a) have a GP appointmentment within a fortnight
b) peak flow > 75% predicted or best
c) own a PEF meter and been shown how to use
d) Been given 5 days of 40-50mg prednisolone od po
e) been on stable discharge meds for 24 hours
37.
What is the alternative treatment for paracetamol poisoning (lessened by charcoal). Drug name, dose / time period, route, for total time period?
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38.
What is a common treatment for a lower UTI in an otherwise healthy woman? name dose/frequency route
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39.
Give an example of a drug treatment for severe hyperkalaemia dose range, drug, dilution, route
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40.
Tinnitus, deafness, hyperventilation, sweating, nausea and tachycardia are typical of _____________ poisoning
a) Barbituates or benzodiazepine
b) Tricyclic
c) salicylate
d) opioid
e) SSRI
41.
In an acute life threatening asthma attack, you have given nebs, plus IV and oral steroids . There is another IV drug you may wish to consider. What is it? name and dose range.
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42.
In an acute asthma attack, give ___________ 5mg plus ________________ _____ nebulized with O2 (separate answers with comma and give dose for second drug).
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43.
Give an example of a beta blocker and dose to be given post ST elevation MI.
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44.
In DKA, K+ should be added to the fluid replacement regime when urine output is > ____ mL/h
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45.
What drug should be given to patients with meningitis when septicaemic signs predominate on arrival to hospital? drugname, dose and route
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46.
As part of a patient's post MI management, they have been put on aspirin, a beta blocker, and an ACE inhibitor. What else might you wish to put them on? Answer as: brandname dose
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47.
How long is the typical course of treatment for CGA?
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48.
200mg of what is commonly administered in anaphylaxis and by what route (answer as drug route (IM/IV/SC/PO)
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49.
Apart from insulin, what esle moves potassium into cells and may be used in hyperkalaemia. Answer as drug name dose administration route
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50.
what may produce a dramatic improvement in cardiac rhythm and output following an overdose of tricyclic antidepressants? (2 words)
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51.
Antibiotics give a modest benefit in symptom relief (8hrs) in bacterial causes of tonsillitis. What antibiotic drug (and dose range/frequency) is recommended?
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52.
What drug should be given first to patients with meningitis when meningitic signs predominate on arrival to hospital? drugname, dose range/ frequency and route
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53.
How often may nebulised salbutamol be given in an acute life threatening asthma attack? Every __________
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54.
What would you give to someone with iron deficiency anaemia? (two words)
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55.
what is the first drug you should give in anaphylaxis after oxygen? (give dose and route as SC/IM/IV/PO etc)
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56.
What is the recommended dose for enoxaparin as DVT thromboprophylaxis? Give a range and time i.e. XX-XYunits/YYhr
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57.
Give an example of a positive ionotrope (and dose) given in the management of cardiogenic shock if pulmonary capillary wedge pressure is >15 mmHg. Answer as: drug, dose range/weight/time
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58.
Give an example of a common thiazide diuretic used in the treatment of hypertension and suggest a starting dose.
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59.
Acute exacerbations of chronic otitis media may require systemic treatment with __________ (or ___________ if penicillin-allergic). Separate answer with comma
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60.
What is the name of the scoring system for prognosis in GI bleeds, and a score of > what means a high risk of death? answer1, answer2
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61.
Give an example of an infusion you may wish to give someone who has severe hyperkalaemia. Answer as Volume of dilution of fluidname with dose range of drugname
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62.
Give an example of an ACE inhibitor (and dose) that you may wish to start post ST elevation MI
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63.
Give an example of a first line drug for a white man < 55 years with hypertension? Give the starting dose as a range. The frequency is 24h
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64.
With regards to the treatment of infectious mononucleosis, which of the following is FALSE?
a) Advise to avoid alcohol for duration of illness.
b) Advise to avoid contact sports for 6 weeks
c) Ampicillin and amoxicillin may be beneficial
d) A short course of corticosteroids may be beneficial
65.
What drug (and dose) may be considered in resistant VF/VTapart from adrenaline?
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66.
Give an example of a drug and dose (as a range) for sedation in acute confusional state
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67.
A patient is in acute LVF. You have sat them up and given them oxygen. What pain relief might you wish to give them? Include dose as a range i.e. X-X
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68.
What is used to treat iron overdose? name and dose/weight/duration route
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69.
Respiratory failure is defined as a PaO2 less than...
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70.
What class of drugs is commonly used in the treatment of dementia?
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71.
What would be a good choice of drug to give someone with septic shock who has a penicillin alergy?
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72.
What drug (and dose range) may be given orally in an actute asthma attack following nebs and IV steroids if the patient is very ill?
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73.
A patient has taken 16 paracetamol tablets 8.5 hours ago. What drug (generic name and dose) will you give? answer like so: generic drug name, dose/kg in amount of fluid name and concentration over what time period
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74.
A patient with ACS without ST segment elevation has been given aspirin, clopidogrel, a beta blocker, and nitrates. What other drug might you wish to consider at this stage? Answer as: brandname/dose/kg/frequency route (e.g. IM/IV/SC/PO)
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75.
What two drugs (in alphabetical order) are commonly used in antibiotic prophylaxis for biliary and colorectal surgery?
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76.
In cases of meningitis, household contacts in droplet range can be given a single dose of ___________ (drug, dose, route)
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77.
In anaphylaxis, adrenaline is usually given IM, unless the patient is severly ill or there is no pulse. What is the *IV* dose of adrenaline when treating anaphylaxis?
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78.
In an acute exacerbation of COPD, a patient has been given 02, nebs, and steroids. Which drug might be considered next if evidence of infection (name and dose/frequency and route)
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79.
Suppose someone has had an MI. In the community you've given them 300mg Aspirin PO and 5mg morphine IV. What other drug (and dose) might you wish to give them at this stage, apart from clopidogrel? The route is IV
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80.
In cases of meningitis, household contacts in droplet range can be given a two day course of ___________ (drug, dose/frequency, route)
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81.
Give an example of an antibiotic drug (and dose) you may wish to prescribe in septic shock? dose units/Xh
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82.
Name a respiratory stimulant drug that may be considered in COPD exacerbations (name, dose range/frequency route.
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83.
If a delay in treatment >1 hr for glaucoma is likely, what drug can be given? name, dose, route.
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84.
Coma with dilated pupils, divergent squint, tachycardia, increased muscle tone, increased reflexes and extensor plantars suggests ___________________ poisoning
a) SSRI
b) salicylate
c) Tricyclic antidepressant
d) opioid
e) Barbituates or benzodiazepine
85.
Give a treatment option for an acute UTI in men. Drug, dose, route, frequency, duration range
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86.
Which of the following is not an acetylcholinesterase inhibitor used in the treatment of dementia?
a) Galantamine
b) Memantine
c) Rivastigmine
d) Donepezil
87.
Give an example of a treatment regime for pyelonephritis with severe symptoms. Drug, dose, route, frequency, duration in days
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88.
What drug (and dose) would you give to a patient in Asystole/PEA as soon as IV access is achieved?
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89.
What is the treatment goal for diabetics when treating hypertension? Write answer as < XXX/XX
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90.
If treating respiratory failure in a patient with COPD, and 24% O2 has been administered, after how many minutes should ABGs be re-checked?
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