Prescribing Safety Assessment (PSA) Exam
With Correct Answers
Name |the |most |common |enzyme |P450 |inducers? |- |CORRECT |ANSWER✔✔-PC |BRAS
Phenytoin
Carbamazepine
Barbiturates
Rifampicin |
Alcohol |
Sulphonylureas
Name |the |most |common |P450 |enzyme |inhibitors? |- |CORRECT |ANSWER✔✔-AODEVICES
Allopurinol |
Omeprazole |
Disulfram |
Erythromycin
Valproate |
Isoniazid |
Ciprofloxacin
Ethanol |
Sulphonamides
What |do |p450 |inhibitors |do? |- |CORRECT |ANSWER✔✔-They |will |increase |the |drug |levels |of |
other |drugs
,What |do |p450 |inducers |do? |- |CORRECT |ANSWER✔✔-They |will |increase |the |drug |levels |of |
other |drugs
What |is |the |impact |of |erythromycin |and |warfarin? |- |CORRECT |ANSWER✔✔-Erythromycin |is |a |
p450 |enzyme |inhibitor |and |will |lead |to |dangerous |increases |in |INR |in |patients |on |Warfarin.
What |is |a |fingertip |unit? |- |CORRECT |ANSWER✔✔-The |amount |of |medication |needed |to |
squeeze |from |the |tip |of |an |adult |finger |to |the |first |crease.
Which |medications |should |be |stopped |before |surgery? |- |CORRECT |ANSWER✔✔-I |LACK |OP
Insulin |
Lithium |
ARB
ACE |Inhibitors |
Potassium-sparing |diuretics |
Anticoagulants |
Antiplatelets
Oral |hypoglycaemics |
COCP |and |HRT
When |should |the |COCP |pill |and |HRT |be |stopped |before |surgery? |- |CORRECT |ANSWER✔✔-4 |
weeks
When |should |Lithium |be |stopped |before |surgery? |- |CORRECT |ANSWER✔✔-Day |before
, When |should |ACE |inhibitors |be |stopped |before |surgery? |- |CORRECT |ANSWER✔✔-The |day |of |
surgery
When |should |ARBs |be |stopped |before |surgery? |- |CORRECT |ANSWER✔✔-The |day |of |surgery
Which |2 |medications |would |be |detrimental |to |stop |before |surgery? |- |CORRECT |ANSWER✔✔-
Calcium |Channel |Blockers |
Beta |Blockers
What |precautions |should |be |taken |surrounding |patients |on |long |term |steroid |treatments |
undergoing |surgery? |- |CORRECT |ANSWER✔✔-These |patients |will |have |adrenal |atrophy |and |
will |experience |profound |hypotension |if |the |steroids |are |removed. |This |is |why |the |patients |
should |be |given |IV |steroids |at |induction.
What |is |the |PRESCRIBER |acronym |referring |to |and |why? |- |CORRECT |ANSWER✔✔-These |are |
the |common |mistakes |made |when |prescribing. |
Patient |details |
Reaction |to |allergies |
Sign |
Contraindications |
Route |for |each |drug
IV |fluids |if |needed |
Blood |clot |prophylaxis |
anti |Emetics |
pain |Relief
What |are |the |side |effects |of |steroids? |- |CORRECT |ANSWER✔✔-STEROIDS
With Correct Answers
Name |the |most |common |enzyme |P450 |inducers? |- |CORRECT |ANSWER✔✔-PC |BRAS
Phenytoin
Carbamazepine
Barbiturates
Rifampicin |
Alcohol |
Sulphonylureas
Name |the |most |common |P450 |enzyme |inhibitors? |- |CORRECT |ANSWER✔✔-AODEVICES
Allopurinol |
Omeprazole |
Disulfram |
Erythromycin
Valproate |
Isoniazid |
Ciprofloxacin
Ethanol |
Sulphonamides
What |do |p450 |inhibitors |do? |- |CORRECT |ANSWER✔✔-They |will |increase |the |drug |levels |of |
other |drugs
,What |do |p450 |inducers |do? |- |CORRECT |ANSWER✔✔-They |will |increase |the |drug |levels |of |
other |drugs
What |is |the |impact |of |erythromycin |and |warfarin? |- |CORRECT |ANSWER✔✔-Erythromycin |is |a |
p450 |enzyme |inhibitor |and |will |lead |to |dangerous |increases |in |INR |in |patients |on |Warfarin.
What |is |a |fingertip |unit? |- |CORRECT |ANSWER✔✔-The |amount |of |medication |needed |to |
squeeze |from |the |tip |of |an |adult |finger |to |the |first |crease.
Which |medications |should |be |stopped |before |surgery? |- |CORRECT |ANSWER✔✔-I |LACK |OP
Insulin |
Lithium |
ARB
ACE |Inhibitors |
Potassium-sparing |diuretics |
Anticoagulants |
Antiplatelets
Oral |hypoglycaemics |
COCP |and |HRT
When |should |the |COCP |pill |and |HRT |be |stopped |before |surgery? |- |CORRECT |ANSWER✔✔-4 |
weeks
When |should |Lithium |be |stopped |before |surgery? |- |CORRECT |ANSWER✔✔-Day |before
, When |should |ACE |inhibitors |be |stopped |before |surgery? |- |CORRECT |ANSWER✔✔-The |day |of |
surgery
When |should |ARBs |be |stopped |before |surgery? |- |CORRECT |ANSWER✔✔-The |day |of |surgery
Which |2 |medications |would |be |detrimental |to |stop |before |surgery? |- |CORRECT |ANSWER✔✔-
Calcium |Channel |Blockers |
Beta |Blockers
What |precautions |should |be |taken |surrounding |patients |on |long |term |steroid |treatments |
undergoing |surgery? |- |CORRECT |ANSWER✔✔-These |patients |will |have |adrenal |atrophy |and |
will |experience |profound |hypotension |if |the |steroids |are |removed. |This |is |why |the |patients |
should |be |given |IV |steroids |at |induction.
What |is |the |PRESCRIBER |acronym |referring |to |and |why? |- |CORRECT |ANSWER✔✔-These |are |
the |common |mistakes |made |when |prescribing. |
Patient |details |
Reaction |to |allergies |
Sign |
Contraindications |
Route |for |each |drug
IV |fluids |if |needed |
Blood |clot |prophylaxis |
anti |Emetics |
pain |Relief
What |are |the |side |effects |of |steroids? |- |CORRECT |ANSWER✔✔-STEROIDS
