December 2013 Intern Written Exam Questions
What is an authority required script?
Don`t remember the options, but, it was pretty simple. You can work it out, by
reading all of the options, through process of elimination.
Which of the following requires authority to prescribe?
Temazepam
Clomiphene
Metformin
Subdivision 4: Authority required to supply certain restricted substances,
Poisons and Therapeutic Good Regulation 2008; page 27.
What is “Regulation 24”?
The answer was something like,
“A pharmacist dispenses the original supply and all repeats at the same time”.
By reading all options the answer can be easily established.
A patient presents at hospital after taking an unintentional overdose of a
medication. His plasma levels was measure at 35mg/mL. Assume first-order
kinetics and a half-life (t1/2) of 4 hours. What is the minimum amount of time,
before the patient`s plasma levels, retains to a therapeutic range of 20mg/L?
3.5 hours
A patient is prescribed 100mg of magnesium aspartate twice daily. The patient is
unable to swallow tablet. You have been asked to prepare a solution using
magnesium chloride. What weight of magnesium chloride (MgCl2) is required to
make a solution sufficient for 7 days treatment?
7.89 grams
A 75kg patient required Amiodarone 10mg/kg over 30 minutes followed by an
infusion of 7.5mg/kg over 24 hours. What is the total amount of Amiodarone
received in the first 24 hours?
1300mg
(exact answer : 1312mg)
A calculation which involved determining the most appropriate dose of
Enoxaparin, of a particular patient; whom we have to calculate the creatinine
clearance. The gives you the age, I think it was 80 years of age, the weight of the
patient and the serum creatinine.
We were required to calculate the creatinine clearance, then determine the most
appropriate dose.
You are required to administer Adrenaline to a patient from an ampoule which
contains 6mg of Adrenaline per 100mL. What flow rate is required to deliver the
dose of 1mcg/minute?
1mL/hour
What is the scheduling of Aciclovir lip balm?
Unscheduled
Patient-Profile. Which of the following combinations of drugs is MOST likely to
cause hypokalaemia?
Salbutamol and Enalapril
Which beta-blocker; is MOST commonly used for Heart Failure (HF)?
Atenolol
Carvedilol
Metoprolol
Nebivolol
Table 6-6 Comorbidities affecting antihypertensive choice
Page 242, 2013 AMH.
A question about dihydropyridine Calcium Channel Blockers (CCB`s),
They cause vasodilation
Which statin is MOST likely to cause CYP interactions?
Fluvastatin
Page 959, 2013 AMH.
What is the target INR; for a patient with Atrial Fibrillation?
2-3
What is the target INR; for a patient with a prosthetic cardiac valve?
2.5 – 3.5
Side-effects of Amiodarone
Page 276, 2013 AMH.
PATIENT-PROFILE. A patient has recently been diagnosed with Type II
Diabetes. With which of the of the following should the patient begin treatment?
Acarbose
Insulin
Metformin
Gliclazide
Which of the following is NOT a side-effect of corticosteroids?
Hyperglycaemia
Osteoporosis
Skin Atrophy
Another answer (which I remember is the correct answer)
Page 613, 2013 AMH
How long does the patient need to use Tuberculosis regimen?
6 weeks
12 months
6 months
3 months
“Use for 6 months, as part of the 6-month multidrug regimen..”
Page 140, 2013 AMH.
Something about Alendronate dosing and what to do if a dose of Alendronate is
missed.
Page 423, 2013 AMH.
Bisphosphonate Counselling
Page 423, 2013 AMH.
PATIENT-PROFILE. Interaction between Allopurinol between and Azathioprine?
Reduce the dose of Azathioprine. Page 622 & Page 642, 2013 AMH.
Side-effects of Opioids
Page 46, 2013 AMH.
Use of anti-epileptics in pregnancy.
Use the lowest dose for the shortest amount of time.
Which of the following anti-epileptics is most likely to cause weight gain?
Valproate
A question regarding the problem using low-dose oestrogen?
Increases the risk of breakthrough bleeding
When is it the best time to use oestrogen-only tablets?
When the patient had a hysterectomy (when the uterus has been removed).
Griseofulvin counselling and precautions.
Page 165 and Page 166, 2013 AMH
Which of the following; is NOT recommended in pregnancy?
Fexofenadine, Category B2.
I searched for the pregnancy categories for all options. Fexofenadine; indicated
the highest risk, of Cat. B2.
One option was Category B1; and the other two options were Category A.
Which of the following is INCORRECT in regards to Paracetamol?
It is effective for neuropathic pain.
Conversion of Morphine to Fentanyl patches
Which organism causes which bacterial infection?
I don`t remember the exact options, but, I just searched the AMH; for all options,
in the beginning of the “anti-infectives” chapter.
A question asking which medications, does NOT interact and/or interfere with
alcohol. I remember Metronidazole, was one option, which, of course, isn`t
correct.
What is the dosing of Doxycycline, for Malaria Prophylaxis?
Begin taking Doxycycline 2 days before entering, and continue for 4 weeks
after leaving, and endemic area.
Page 135, 2013 AMH.
Which of the following is required to be taken at night to increase concentration?
Trimethoprim
- Practice Point, “give at night to maximise urinary concentration for UTI”
Page 152, 2013 AMH.
A question about Ostelamivir indication, and use.
Page 175-176 2013 AMH
Which of the following can be used to treat threadworms; when a woman is
pregnant or breastfeeding?
Pyrantel
Table 5-11 Anthelmintics comparative information, Page 221; 2013 AMH.
PATIENT-PROFILE. A patient is experiencing low potassium levels. What is
best option to increase potassium levels?
Add Potassium Chloride supplements
Reduce the dose of Frusemide
Two other options
Side-effects of oral Isotretinoin
Page 361, 2013 AMH.
Counselling points of Isotretinoin (including Skin and Oral)
Page 360 – Page 363, 2013 AMH.
Don`t remember the exact questions, but, there was a question asking about fungal
skin infections (Tinea).
Page 365 – Page 367, 2013 AMH.
Don`t remember the exact question, but, there was also a question about scabies.
Page 373, 2013 AMH.
Which of the following drugs MUST NOT be used in a patient with a Creatinine
Clearance of 18mL/minute?
Metformin
Page 413, 2013 AMH ; “….do not use when <30mL/minute”.
Which of the following is used for opioid-induced constipation?
Docusate (w/Senna)
Page 497, 2013 AMH.
There was a question on soft tissue injuries
Page 655, 2013 AMH.
Which of the following is INCORRECT about simple febrile seizures?
Page 661, 2013 AMH.
PATIENT-PROFILE. If a patient misses a dose of a Norethisterone, how long
does she needs to use extra protection, before she is covered?
24 hours
36 hours
48 hours
72 hours
Page 724, 2013 AMH.
PATIENT-PROFILE. A patient is complaining of menopausal symptoms. Which
of the following will provide short-term relief of menopausal symptoms?
Tibolone
Page 732, 2013 AMH.
Don`t exactly remember, but, it was about the indication of BCG vaccine. For
which group of people can/can`t we use, BCG vaccine?
Page 828, 2013 AMH.
There was also a question on the MMR vaccine.
Page 834, 2013 AMH.
A question about Sulfasalazine or Mesalazine, and their use in inducing or
maintaining remission, asking which option is INCORRECT?
Page 510 - Page 511, 2013 AMH.
I think there was a question about which is best in prophylaxis of VTE?
I remember reading, “Safe and effective prophylaxis in moderate risk general
surgical patients….” Page 301, 2013 AMH, which was the point, allowing me
to answer the question.
Low-Dose Heparin
Which of the following medications, causes discolouration of urine?
Warfarin (Page 169, APF 22).
Which of the following must not be crushed?
Pantoprazole (Page 74, APF 22).
