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The Pharmacy Pre-Reg Exam Preparation Course
Prepare for the Pharmacy Pre-Reg exam with GPhC-style calculations, Single Best Answer (SBA) and Extended Matching Questions (EMQ) across 15 key areas.
Course Modules
- Multiple Choice Questions
- Multiple Choice Questions
- Multiple Choice Questions
- Multiple Choice Questions
- Multiple Choice Questions
- Multiple Choice Questions
- Multiple Choice Questions
- Multiple Choice Questions
- Multiple Choice Questions
- Multiple Choice Questions
- Multiple Choice Questions
- Multiple Choice Questions
- Multiple Choice Questions
- Multiple Choice Questions
- Multiple Choice Questions
Endocrine module
Multiple Choice Questions
First-line Treatment for Type 2 Diabetes
Risk of Steroid Withdrawal
Beta-blockers and Hypoglycaemia
Monitoring After Levothyroxine Start
Common Side Effect of Gliclazide
Serious Adverse Effect of Pioglitazone
Management of Suspected Agranulocytosis with Carbimazole
Mechanism of Action of Sitagliptin
Key Side Effect to Monitor with Canagliflozin
Contraindication to Metformin Use
First-line Treatment for Hyperthyroidism in Pregnancy
Electrolyte Disturbance with Fludrocortisone
Safety Concern with Desmopressin
Levothyroxine and Iron Supplement Interaction
Common Side Effect of Somatropin
Primary Action of Alendronic Acid
Reason for Monitoring Potassium in Insulin Therapy
Adrenal Suppression with Long-Term Drug Use
Drug-Induced Lactic Acidosis
Osteoporosis Risk from Drugs
Metformin Mechanism of Action
Advantage of Insulin Glargine
Empagliflozin Mechanism of Action
Purpose of Levothyroxine in Hypothyroidism
Carbimazole Mechanism of Action
Management of Carbimazole-Induced Agranulocytosis
Hydrocortisone in Addison’s Disease
Metyrapone Mechanism of Action
Fludrocortisone in Addison’s Disease
Alendronate Mechanism of Action
Teriparatide Mechanism of Action
Denosumab Mechanism of Action
Gliclazide Mechanism of Action
Liraglutide Mechanism of Action
Pioglitazone Mechanism of Action
Liothyronine Purpose in Hypothyroidism
Propylthiouracil Mechanism of Action
Managing Propylthiouracil Hepatotoxicity
Prednisolone in Addison’s Disease
Ketoconazole Mechanism of Action
Dexamethasone in Addison’s Disease
Risedronate Mechanism of Action
Strontium Ranelate Mechanism of Action
Zoledronic Acid Mechanism of Action
Sitagliptin Mechanism of Action
Canagliflozin Mechanism of Action
Dapagliflozin Mechanism of Action
Levothyroxine Monitoring Parameter
Radioactive Iodine Purpose
Propranolol Purpose in Hyperthyroidism
First-Line Treatment for Acromegaly
Dapagliflozin Monitoring Parameter
Radioiodine Therapy Contraindication
Long-Term Corticosteroids Risk
Hydrocortisone Mechanism of Action
Treatment, Risk, Cause or Condition etc
Treatment, Risk, Cause or Condition etc
Carbimazole Monitoring Test
Desmopressin Long-Term Concern
Lactic Acidosis Risk Drug Class
Fludrocortisone Primary Function
Treatment, Risk, Cause or Condition etc
Diabetes Medication Causing Weight Loss
Levothyroxine Overdose Effect
Agranulocytosis-Causing Drug
Drug Causing Hypothyroidism
First-Line Treatment for Prolactinoma
Thiazolidinediones Major Side Effect
Treatment, Risk, Cause or Condition etc
Adrenal Crisis Treatment
Metyrapone Mechanism of Action
Fludrocortisone Purpose in Addison’s
Hyperthyroidism – first-line drug
Insulin storage – patient counselling
Addison’s disease – replacement therapy
Steroid sick day rules
Osteoporosis – first-line bisphosphonate
Diabetic ketoacidosis – initial IV fluid
Liothyronine Purpose
Propylthiouracil Mechanism of Action
Propylthiouracil Hepatotoxicity Action
Prednisolone Purpose in Addison’s
Ketoconazole Mechanism of Action
Exenatide Mechanism of Action
Levothyroxine Monitoring Parameter
Radioactive Iodine Purpose
Propranolol Purpose in Hyperthyroidism
Hydrocortisone Purpose in Addison’s
Metyrapone Mechanism of Action
Fludrocortisone Purpose in Addison’s
Hypothyroidism – levothyroxine monitoring
Teriparatide Mechanism of Action
Denosumab Mechanism of Action
Gliclazide Mechanism of Action
Liraglutide Mechanism of Action
Pioglitazone Mechanism of Action
Liothyronine Purpose
Propylthiouracil Mechanism of Action
Propylthiouracil Hepatotoxicity Management
Prednisolone Purpose in Addison’s
Ketoconazole Mechanism of Action
Dexamethasone Purpose in Addison’s
Risedronate Mechanism of Action
Sick day rules – diabetes
Sitagliptin Mechanism of Action
Canagliflozin Mechanism of Action
Insulin regimen – basal bolus
Radioactive Iodine Purpose
Propranolol Purpose in Hyperthyroidism
Ear, Nose and Throat module
Multiple Choice Questions
Mechanism of Action of Fluticasone Nasal Spray
Side Effect of Fluticasone Nasal Spray
Contraindication for Fluticasone Nasal Spray
Mechanism of Action of Xylometazoline
Side Effect of Xylometazoline
Contraindication for Xylometazoline
Mechanism of Action of Loratadine
Side Effect of Loratadine
Contraindication for Loratadine
Mechanism of Action of Amoxicillin
Common Side Effect of Amoxicillin
Contraindication for Amoxicillin
Mechanism of Action of Gentamicin Ear Drops
Side Effect of Gentamicin Ear Drops
Contraindication for Gentamicin
Mechanism of Action of Beclometasone Nasal Spray
Side Effect of Beclometasone Nasal Spray
Contraindication for Beclometasone Nasal Spray
Mechanism of Action of Dextromethorphan
Side Effect of Dextromethorphan
Contraindication for Dextromethorphan
Mechanism of Action of Carbocisteine
Use of Carbocisteine in Pregnancy
Contraindication for Carbocisteine
Mechanism of Action of Prednisolone
Most likely diagnosis
Most likely diagnosis
Mechanism of Action of Acetic Acid Ear Drops
Meniere’s Disease
Mechanism of Action of Fluticasone in Sinusitis
Otitis externa
Mechanism of Action of Loratadine
Most likely diagnosis
Otitis media
Otitis media - ear drops
Mechanism of Action of Mometasone Nasal Spray
Diagnosis of Foreign Body in Nose
Common Sinusitis Organism
Epistaxis – first-line acute management
Side Effect of Amoxicillin
Ménière’s disease – acute attack management
Mechanism of Action of Sodium Cromoglicate
Most likely diagnosis
Purpose of Saline Nasal Irrigation
Intranasal corticosteroids – counselling
Role of Hydrocortisone in Otic Preparation
Antibiotic stewardship in sore throat
Mechanism of Action of Oxymetazoline
Management of Foreign Body in Ear
Mechanism of Action of Montelukast
Otitis externa – acetic acid counselling
Side Effect of Co-amoxiclav
Sinusitis – when to consider antibiotics
Cardiovascular module
Multiple Choice Questions
First-line Treatment for Hypertension <55 Without Compelling contraindications
Renal Protection with Ramipril in Hypertension & Diabetes
Management of ACE Inhibitor–Induced Cough
First-line Beta-blocker in HFrEF
Mortality Reduction with Spironolactone in Heart Failure
Management of Spironolactone-Induced Hyperkalaemia
Most likely diagnosis
Purpose of GTN Spray in Stable Angina
Purpose of Dual Antiplatelet Therapy Post-MI
Stroke Prevention with Apixaban in AF
Rate Control with Digoxin in AF
Rate Control in AF with Beta-blocker
LDL Reduction with Atorvastatin Post-MI
Management of Statin-Induced Myalgia
LDL Reduction with Ezetimibe
Antiplatelet Therapy in Peripheral Arterial Disease
Improving Claudication with Naftidrofuryl
Purpose of Rivaroxaban in DVT
Treatment for DVT with pulmonary embolism
Antibiotic Prophylaxis for Dental Extraction in Valve Patients
Hypertension – first-line in under 55
AF stroke prevention – CHA₂DS₂-VASc
Initial Treatment of Cardiogenic Shock
Common Side Effect of Ramipril
Management of Amlodipine-Induced Oedema
Warfarin–Antibiotic Interaction
Monitoring
Early Sign of Digoxin Toxicity
Avoiding interactions with simvastatin
Treatment, Risk, Cause or Condition etc
Treatment, Risk, Cause or Condition etc
Treatment, Risk, Cause or Condition etc
Ezetimibe Mechanism of Action
GTN Spray Administration Method
Management of Elevated INR Without Bleeding
Treatment, Risk, Cause or Condition etc
Electrolyte Disturbance from Furosemide
Treatment, Risk, Cause or Condition etc
Advantage of Apixaban Over Warfarin
Caution with Beta-blocker in PVD
Risk, cause or side-effect
Doxazosin Mechanism of Action
Statin-Induced Myopathy Monitoring
First-Line HTN under 55
Ramipril in Hypertension with Diabetes
Managing Lisinopril Cough
First-Line HFrEF Therapy
Purpose of Spironolactone in HF
Managing Spironolactone Hyperkalaemia
Most likely diagnosis
Purpose of GTN Spray
Dual Antiplatelet Therapy Purpose
Purpose of Apixaban in AF
Purpose of Digoxin in AF
Treatment, Risk, Cause or Condition etc
Purpose of Atorvastatin 80 mg
Managing Simvastatin-Induced Myalgia
Purpose of Ezetimibe
Purpose of Clopidogrel in PAD
Purpose of Naftidrofuryl in Claudication
Purpose of Rivaroxaban in DVT
PE Treatment in DVT Patient
Antibiotic Prophylaxis for Colonoscopy in Prosthetic Valve
Most likely diagnosis
Surgery for Severe Aortic Stenosis
Initial Treatment of Cardiogenic Shock
Immediate Treatment of Hypertensive Emergency
Purpose of Permanent Pacemaker in Complete Heart Block
Hypertension medication side-effect
Ranolazine Mechanism
Amiodarone-Induced Hyperthyroidism Mechanism
Drug Causing Prolonged QT
Management of Elevated INR >9
Unique Property of Nebivolol
Electrolyte Imbalance with Furosemide
Serious Complication of Statin Myopathy
Monitoring DOACs in AF
Treatment, Risk, Cause or Condition etc
Warfarin Interaction: St John’s Wort
Risk, cause or side-effect
Antihypertensive Contraindicated in Pregnancy
Managing Aspirin-Induced Gastric Ulcer
Ivabradine Mechanism
First-Line HTN in Black <55
Ticagrelor Mechanism of Action
Primary Indication for Ivabradine
Clopidogrel–Omeprazole Interaction
Triple Therapy Bleeding Risk
Spironolactone Alternative for Gynaecomastia
Bisoprolol Initiation in Heart Failure
Clopidogrel Activation Enzyme
Losartan vs Ramipril Advantage
Electrolyte Risk in Digoxin Therapy
Timing of Furosemide Dose
Baseline Tests Before Ramipril
Managing Amlodipine-Induced Oedema
Target INR in AF on Warfarin
Naftidrofuryl Oxalate Mechanism
Isosorbide Mononitrate Administration Advice
Warfarin Reversal for Urgent Surgery
Anaesthesia module
Multiple Choice Questions
Propofol: Mechanism of Action
Propofol: Side Effect
Propofol: Contraindication
Sevoflurane: Mechanism of Action
Sevoflurane: Side Effect
Sevoflurane: Contraindication
Nitrous Oxide: Mechanism of Action
Nitrous Oxide: Side Effect
Nitrous Oxide: Monitoring
Desflurane: Mechanism of Action
Desflurane: Serious Side Effect
Desflurane: Contraindication
Midazolam: Mechanism of Action
Midazolam: Side Effect
Midazolam: Contraindication
Succinylcholine: Mechanism of Action
Preoperative anticoagulant management
Succinylcholine: Contraindication
Fentanyl: Mechanism of Action
Fentanyl: Side Effect
Fentanyl Contraindication in Anaesthesia
Atropine Mechanism of Action in Anaesthesia
Atropine Side Effect in Anaesthesia
Atropine Contraindication in Anaesthesia
Remifentanil Mechanism of Action
Atenolol: Preoperative Consideration
Treatment, Risk, Cause or Condition etc
Nitrous Oxide: Prolonged Use Risk
Contraindication
Spinal Anaesthesia Side Effect
Rocuronium Reversal Agent
Bradycardia Treatment During Anaesthesia
Epidural Anaesthesia Complication
Local anaesthetic systemic toxicity (LAST)
Ketamine Side Effect in Anaesthesia
Succinylcholine (suxamethonium) risk
Lidocaine Maximum Dose
Malignant Hyperthermia First-Line Treatment
Opioid Postop Pain Relief Side Effect
Anaphylaxis Management During Anaesthesia
Sevoflurane Characteristic
Epidural Hypotension Management
Bronchospasm Treatment During Anaesthesia
Propofol Injection Pain
Malignant hyperthermia trigger
Bupivacaine Maximum Dose
Treatment, Risk, Cause or Condition etc
Remifentanil Pharmacokinetics
PONV Treatment Options
Isoflurane Characteristic
Hypotension Management During Anaesthesia
Desflurane Characteristic
Anaphylaxis Management During Anaesthesia
Thiopental Induction Characteristic
Postoperative nausea – first-line
Infection module
Multiple Choice Questions
First-line Antibiotic for Uncomplicated CAP
First-line C. difficile Treatment
Antibiotic to Restrict to Reduce C. difficile
First-line Uncomplicated UTI Treatment
Rifampicin Side Effect
Sulfonamide Avoidance in Pregnancy
Vancomycin Mechanism of Action
Fluoroquinolone Avoidance in Children
Empirical Antibiotic for Adult Meningitis
Antibiotic Requiring Drug Monitoring
Treatment, Risk, Cause or Condition etc
First-line Treatment for Helicobacter pylori Infection
Antibiotic to Avoid in G6PD Deficiency
Serious Side Effect of Metronidazole
Antibiotic Associated with Cholestatic Jaundice
First-line Treatment for Syphilis
Antibiotic That Causes Disulfiram-like Reaction
Treatment for Gonorrhoea
Antibiotic to Avoid in Myasthenia Gravis
Antibiotic Associated with Photosensitivity
Safe UTI Antibiotic in Pregnancy
Antiviral for Herpes Zoster in Immunocompromised
Management of Dengue Infection
First-line Treatment for Giardiasis
Most likely diagnosis
Causative Organism of Infectious Mononucleosis
Treatment for Lyme-Associated Bell’s Palsy
Antibiotic for Carbapenem-Resistant Acinetobacter
Management of Enteroviral Meningitis
First-line Treatment for Pertussis
First-line Treatment for Pseudomembranous Colitis
Primary Purpose of Mebendazole
First-line for community-acquired pneumonia (non-severe)
Chemoprophylaxis for Meningococcal Contacts
Antibiotic in pregnancy – avoid
Contraindication to Nitrofurantoin in Renal Impairment
Counselling Point for Doxycycline
Key Advantage of Fidaxomicin over Vancomycin
Contraindicated Antidepressant Class with Linezolid
Main Safety Concern with Systemic Chloramphenicol in Neonates
Primary Purpose of Ganciclovir
Primary Purpose of Terbinafine
Primary Purpose of Fluconazole
Primary Purpose of Voriconazole
Primary Purpose of Artemether/Lumefantrine
Primary Purpose of Malathion
Primary Purpose of Metronidazole in Giardiasis
Primary Purpose of Fidaxomicin
Gonorrhoea – first-line UK treatment
Clostridioides difficile infection – first-line
First-line Treatment for Viridans Streptococcal Endocarditis
Most likely diagnosis
Most Likely Cause of Isoniazid-induced Liver Injury
Contraindicated Antibiotic in Children Under 12
First-line Antifungal for Vaginal Candidiasis
Antibiotic Most Likely to Cause Tendon Rupture
IV Antibiotic for Spreading MRSA Foot Ulcer
Infective endocarditis prophylaxis
Minocycline adverse effect
Antipseudomonal Antibiotic for Burns
First-line Treatment for Dengue Virus Infection
First-line Treatment for Giardiasis
Most likely diagnosis
Cause of Infectious Mononucleosis
Treatment of Lyme-associated Bell’s Palsy
IV Antibiotic for Carbapenem-Resistant Acinetobacter
Management of Aseptic Enterovirus Meningitis
First-line Macrolide for Pertussis
Treatment, Risk, Cause or Condition etc
First-line Antibiotic for Community-Acquired Pneumonia in COPD
Causative Organism After Clindamycin Course
Treatment for Neonatal Gonococcal Conjunctivitis
Antibiotic with Best Biofilm Penetration for Prosthetic Valve Infection
First-line Treatment for Giardiasis
Ring-Enhancing Lesions in HIV
First-line Treatment for Bacterial Vaginosis
First-line Treatment for Primary Syphilis
First-line Antibiotic for Pediatric Strep Throat
Likely Pathogen in Bloody Diarrhoea from Undercooked Chicken
Best Anti-pseudomonal Antibiotic for Catheter-associated UTI
Most likely diagnosis
Likely Diagnosis in Farmer with Elevated LFTs After Lamb Exposure
Organism in Reheated Rice Food Poisoning
First-line Treatment for Vulvovaginal Candidiasis
Appropriate Combination for Hospital-acquired Pseudomonas Pneumonia
First-line Treatment for Falciparum Malaria
Likely Cause of Neonatal Bullous Impetigo
Rapid Fever and Rigors During IV Antibiotics in Penicillin Allergy
STI management
Meningococcal meningitis – immediate action
Most Likely Cause of Acute Meningitis in Young Adult
First-line RIPE Regimen for Pulmonary TB
Antibiotic choice – human bite wound
Treatment duration
Safest Antibiotic for UTI in Pregnancy
First-line Treatment for Genital Herpes
Management of Mumps in a Child
Next Option for Recurrent C. difficile Infection
Malignant Disease module
Multiple Choice Questions
Mechanism of Action of Doxorubicin
Mechanism of Action of Cisplatin
Mechanism of Action of 5-Fluorouracil
Mechanism of Action of Imatinib
Mechanism of Action of Trastuzumab
Mechanism of Action of Erlotinib
Mechanism of Action of Ipilimumab
Mechanism of Action of Pembrolizumab
Mechanism of Action of Nivolumab
Purpose of Ondansetron in Chemotherapy
Purpose of Filgrastim in Chemotherapy
Purpose of Leuprorelin in Prostate Cancer
Purpose of Tamoxifen in Breast Cancer
Purpose of Bevacizumab in Colorectal Cancer
Mechanism of Action of Paclitaxel
Mechanism of Action of Methotrexate
Mechanism of Action of Cyclophosphamide
Mechanism of Action of Sunitinib
Mechanism of Action of Vemurafenib
Mechanism of Action of Crizotinib
Mechanism of Action of Brentuximab Vedotin
Mechanism of Action of Atezolizumab
Mechanism of Action of Cetuximab
Purpose of Aprepitant in Chemotherapy
Purpose of Epoetin Alfa in Chemotherapy
Purpose of Dexamethasone in Chemotherapy
Mechanism of Action of Gemcitabine
Mechanism of Action of Bortezomib
Mechanism of Action of Ibrutinib
Methotrexate Mechanism in Cancer Treatment
Common Side Effect of Methotrexate
Contraindication for Cisplatin in Cancer Treatment
Mechanism of Action of Doxorubicin in Cancer Treatment
Common Side Effect of Doxorubicin
Monitoring Requirement for Doxorubicin
Contraindication
Monitoring Requirement for Bevacizumab
Side Effect of Vincristine
Mechanism of Imatinib in CML
Side Effect of Imatinib
Contraindication for Tamoxifen
Mechanism of Cyclophosphamide
Side Effect of Cyclophosphamide
Treatment, Risk, Cause or Condition etc
Monitoring High-Dose Methotrexate
Mechanism of Pembrolizumab
Mechanism of Docetaxel
Mechanism of Cytarabine
Mechanism of Vincristine
Imatinib in GIST
Mechanism of Pertuzumab
Mechanism of Gefitinib
Mechanism of Nivolumab
Mechanism of Atezolizumab
Mechanism of Avelumab
Purpose of Granisetron
Purpose of Pegfilgrastim
Purpose of Palonosetron
Purpose of Abiraterone
Purpose of Anastrozole
Purpose of Cetuximab
Mechanism of Carboplatin
Mechanism of Daunorubicin
Mechanism of Ifosfamide
Mechanism of Pazopanib
Mechanism of Dabrafenib
Mechanism of Osimertinib
Mechanism of Pembrolizumab in HL
Mechanism of Durvalumab
Mechanism of Pembrolizumab in H&N Cancer
Purpose of Fosaprepitant
Purpose of Darbepoetin Alfa
Mechanism of Erlotinib
Mechanism of Lenalidomide
Mechanism of Venetoclax
Mechanism of Paclitaxel
Side Effect of Paclitaxel
Monitoring Paclitaxel Therapy
Mechanism of Rituximab
Side Effect of Rituximab
Contraindication for Trastuzumab
Mechanism of 5-Fluorouracil
Side Effect of 5-Fluorouracil
Monitoring 5-Fluorouracil Therapy
Side Effect of Carboplatin
Monitoring Carboplatin Therapy
Mechanism of Pembrolizumab in Melanoma
Immune-Mediated Side Effects of Pembrolizumab
Contraindication for Pembrolizumab
Mechanism of Vinblastine
Side Effect of Vinblastine
Monitoring Vinblastine Therapy
Mechanism of Cyclophosphamide
Contraindications for Cyclophosphamide
Side Effect of Cyclophosphamide
Side Effect of Bevacizumab
Blood Nutrition module
Multiple Choice Questions
Mechanism of Heparin
Side Effect of Heparin
Monitoring aPTT on Heparin
Mechanism of Warfarin
Side Effect of Warfarin
Monitoring PT/INR on Warfarin
Mechanism of Iron Supplements
Side Effect of Oral Iron
Contraindication for Iron Supplements
Monitoring Iron Therapy
Mechanism of Vitamin B12 in Pernicious Anemia
Side Effect of Vitamin B12 Supplementation
Contraindication for Vitamin B12
Mechanism of Epoetin Alfa
Side Effect of Epoetin Alfa
Mechanism of Folic Acid
Side Effect of Folic Acid
Contraindication for Folic Acid
Purpose of Epoetin Beta
Monitoring Parenteral Nutrition
Purpose of Ferrous Sulfate
Purpose of Cyanocobalamin
Purpose of Folic Acid
Purpose of Ferrous Fumarate
Purpose of Hydroxocobalamin
Purpose of Methylfolate
Purpose of Colecalciferol
Purpose of Ascorbic Acid
Purpose of Retinol
Purpose of Oral Nutritional Supplements
Purpose of Parenteral Nutrition
Purpose of Enteral Nutrition
Purpose of Factor VIII Concentrate
Purpose of Desmopressin
Purpose of Romiplostim
Purpose of Erythropoietin
Purpose of Prednisolone
Purpose of Antithymocyte Globulin
Purpose of Phytomenadione
Purpose of Tocopherol
Purpose of Pyridoxine
Purpose of Thiamine
Purpose of Zinc Sulfate
Purpose of Selenium
Purpose of Factor IX Concentrate
Purpose of Eltrombopag
Purpose of Hydroxycarbamide
Purpose of Vitamin B12 Injections
Purpose of Hydroxocobalamin in Pernicious Anaemia
Purpose of Darbepoetin Alfa
Mechanism of Clopidogrel
Side Effect of Clopidogrel
Monitoring Clopidogrel
Mechanism of Fibrinolytics
Side Effect of Fibrinolytics
Contraindication for Fibrinolytics
Mechanism of Calcium Carbonate
Side Effect of Calcium Carbonate
Contraindication for Calcium Carbonate
Mechanism of Folic Acid in Pregnancy
Monitoring Folic Acid Therapy
Mechanism of Dabigatran
Side Effect of Dabigatran
Contraindication for Dabigatran
Mechanism of Epoetin Alfa (CKD)
Side Effect of Epoetin Alfa
Monitoring Epoetin Alfa Therapy
Mechanism of Enoxaparin
Side Effect of Enoxaparin
Monitoring Enoxaparin Therapy
Purpose of Ferrous Gluconate
Purpose of Methylcobalamin
Purpose of Folinic Acid
Purpose of Ferric Carboxymaltose
Purpose of Adenosylcobalamin
Purpose of Levomefolate
Purpose of Ergocalciferol
Purpose of Sodium Ascorbate
Purpose of Beta-Carotene
Purpose of Sip Feeds
Purpose of Total Parenteral Nutrition
Purpose of Modular Feeds
Purpose of Emicizumab
Purpose of von Willebrand Factor Concentrate
Purpose of Eltrombopag in ITP
Purpose of Darbepoetin Alfa (ACD)
Purpose of Rituximab in Haemolytic Anaemia
Purpose of Cyclosporine
Purpose of Phytomenadiol
Purpose of Alpha-Tocopherol
Purpose of Pyridoxal Phosphate
Purpose of Multivitamins in Refeeding
Purpose of Zinc Gluconate
Purpose of Selenium Yeast
Purpose of Recombinant Factor IX
Purpose of Romiplostim in ITP
Purpose of Folic Acid in Megaloblastic Anaemia
Purpose of Cyanocobalamin in Pernicious Anaemia
Management of B12 Deficiency with IM Hydroxocobalamin
Choice of Anticoagulant in CKD AF
Eye module
Multiple Choice Questions
Mechanism of Latanoprost
Side Effect of Latanoprost
Monitoring Latanoprost Therapy
Mechanism of Timolol Eye Drops
Side Effect of Timolol Eye Drops
Contraindication for Timolol Eye Drops
Mechanism of Prednisolone Acetate
Side Effect of Corticosteroid Eye Drops
Contraindication for Corticosteroid Eye Drops
Mechanism of Brimonidine
Side Effect of Brimonidine
Contraindication for Brimonidine
Mechanism of Acetazolamide
Side Effect of Acetazolamide: Acidosis
Contraindication for Acetazolamide
Mechanism of Sodium Hyaluronate
Risk, cause or side-effect
Mechanism of Gentamicin Eye Drops
Side Effect of Gentamicin Eye Drops
Contraindication for Gentamicin Eye Drops
Mechanism of Hydrocortisone Eye Drops
Side Effect of Hydrocortisone Eye Drops
Mechanism of Sodium Cromoglicate
Most Common Side Effect of Latanoprost
Most likely diagnosis
Contraindication for Betaxolol Eye Drops
First-line in Acute Angle-Closure Glaucoma
Use of Hypromellose Eye Drops
Duration of Chloramphenicol Eye Drops
Treatment, Risk, Cause or Condition etc
Dosing of Aciclovir Eye Ointment
Mechanism of action of Brimonidine
Administration of Ranibizumab
Systemic Effects of Timolol Eye Drops
Mechanism of Olopatadine
Mechanism of Dorzolamide
Mechanism of Ciclosporin Eye Drops
Dosing of Fusidic Acid Eye Gel
Mechanism of Travoprost
Monitoring
Mechanism of Pilocarpine
Dosing of Ofloxacin Eye Drops
Mechanism of Brinzolamide
Mechanism of Ketotifen
Side Effect of Bimatoprost
Use of Carbomer Eye Gel
Mechanism of Apraclonidine
Duration of Azithromycin Eye Drops
Mechanism of Timolol Eye Drops
Use of Sodium Hyaluronate Eye Drops
Mechanism of Levobunolol Eye Drops
Mechanism of Nedocromil Eye Drops
Gastroenterology module
Multiple Choice Questions
Preferred Laxatives in Diverticulosis
Risk of Diverticular Perforation
Treatment of Severe Crohn's Exacerbation
Maintenance Therapy in Crohn's Disease
Diarrhoea Management in Crohn's
First-line for Proctitis
Acute Severe Ulcerative Colitis
Treatment, Risk, Cause or Condition etc
Least Dyscrasia Risk
Yellow-orange Discoloration
Insomnia Side Effect
First-line PUD Treatment
H. pylori Triple Therapy
First-line GORD Treatment
Persistent GORD Management
Flare-up Treatment in Crohn's
Azathioprine Purpose in UC
Most likely diagnosis
Lactulose in Cirrhosis
Diagnosis of IBS
First-line IBS-C Treatment
Most likely diagnosis
Gluten Avoidance in Coeliac Disease
Calcium and Vitamin D in Coeliac Disease
Most likely diagnosis
Propranolol in Cirrhosis
Most likely diagnosis
Pancreatic Enzyme Supplements
Diagnosis of IBS
First-line IBS-D Treatment
Treatment, Risk, Cause or Condition etc
Oral Vancomycin for C. difficile
Safe Grain in Coeliac Disease
Iron Deficiency Anemia in Coeliac
Most likely diagnosis
Surgical Intervention for Gallstones
Source of Melena in NSAID Use
IV Omeprazole in Upper GI Bleeding
First-line H. pylori Eradication
Drug-induced Oesophagitis
Biologic for Steroid-Refractory UC
First-Line Hepatic Encephalopathy
Antibiotic Risk for C. difficile
Macrocytosis in Crohn’s
Contraindication to Metoclopramide
Primary Prophylaxis of Varices
Anaemia Pattern in Coeliac Disease
Duodenal Ulcer Presentation
Hyponatraemia Management in Cirrhosis
Most likely diagnosis
IBD Extra-intestinal Manifestation
First-Line Diuretic for Ascites
C.difficile second line treatment
Next Step in Gastric Ulcer
Refractory Crohn’s Next Step
Coeliac Diagnosis by Antibodies
Acute Pancreatitis Management
PPI-Induced Electrolyte Disturbance
Azathioprine Pre-Therapy Check
Treatment, Risk, Cause or Condition etc
Monitoring Mesalazine
Mechanism of Lactulose
Antibiotic Risk for C. difficile
Metoclopramide Extrapyramidal Side Effect
Ondansetron-Induced Constipation
Methotrexate Supplement
Sulfasalazine and Anaemia
Propranolol in Variceal Bleeding
Drug-Induced Gallstones
Rifaximin Adverse Effect
Drug-Induced Pancreatitis
Contraindication in GI Obstruction
Warfarin–Omeprazole Interaction
PPI–Phenytoin Interaction
Clarithromycin–Ciclosporin Interaction
Sucralfate–Levothyroxine Interaction
Diuretic Monitoring in Cirrhosis
Mesalazine Primary Purpose
Infliximab Primary Purpose
Most likely diagnosis
Purpose of Lactulose
Most likely diagnosis
Purpose of Pancreatic Enzymes
Diagnosis of IBS
Treatment of IBS-D
Causative Organism in Foodborne Gastroenteritis
Reason for Oral Vancomycin in C. difficile
Source of Melena in NSAID Use
IV Omeprazole in Upper GI Bleed
H. pylori Eradication Regimen
Management of Perforated Peptic Ulcer
First-line GERD Treatment
PPI counselling – omeprazole
First-line Treatment for Hepatic Encephalopathy
Pre-infliximab Screening
Urgent PPI in Upper GI Bleed
Steroid Therapy in Severe UC
Enzyme Supplement Counselling
First-line C. difficile Therapy
Symptom Relief in IBS-D
Purpose of Propranolol in Varices
Triple Therapy for H. pylori
Coeliac Serology in IgA Deficiency
Genitourinary Tract module
Multiple Choice Questions
First-line treatment for uncomplicated UTI
Treatment for pyelonephritis
Contraindicated antibiotic in first trimester UTI
Most common cause of community-acquired UTI
Organism in catheter-associated UTIs
First-line treatment for chlamydia
First-line treatment for gonorrhoea
Treatment for bacterial vaginosis
First-line treatment for trichomoniasis
Characteristic of nephrotic syndrome
Drug causing hemorrhagic cystitis
Chlamydia – first-line treatment
Medication causing nephrotoxicity
Primary risk factor for testicular cancer
Cause of post-infectious glomerulonephritis
Electrolyte disturbance in CKD
Condition associated with recurrent kidney stones
Medication for overactive bladder
Mechanism of action of finasteride
Management of priapism
Side effect of loop diuretics
Hormone for water reabsorption in kidneys
First-line management for acute prostatitis
Potential side effect of loop diuretics
Monitoring requirement for spironolactone
Contraindicated antibiotic in first trimester
Common side effect of alpha-blockers
Contraindication for thiazide diuretics
Common side effect of sildenafil
Monitoring of renal function in CKD
Side effect of metronidazole in liver dysfunction
Medication to manage acute urinary retention in BPH
Monitoring requirement for warfarin
Contraindicated pain relief in peptic ulcer disease
Medication causing sexual dysfunction in BPH
Monitoring for metformin therapy
Major side effect of NSAIDs in kidney disease
Antibiotic associated with nephrotoxicity and ototoxicity
Monitoring for potassium-sparing diuretics
Medication to avoid in urinary retention
ED medications interacting with nitrates
Common side effect of thiazide diuretics
Monitoring when prescribing ACE inhibitors for CKD
Primary purpose of nitrofurantoin in UTI
Primary purpose of trimethoprim in UTI
Primary purpose of fosfomycin in UTI
Primary purpose of tamsulosin in BPH
Primary purpose of finasteride in BPH
Primary purpose of dutasteride in BPH
Primary purpose of sildenafil in ED
Primary purpose of tadalafil in ED
Primary purpose of vardenafil in ED
Primary purpose of COCP
Primary purpose of POP
Primary purpose of contraceptive implant
Primary purpose of HRT
Primary purpose of tibolone
Primary purpose of clonidine in menopause
Primary purpose of oxybutynin in overactive bladder
Primary purpose of tolterodine in overactive bladder
Primary purpose of mirabegron in overactive bladder
Primary purpose of potassium citrate in kidney stones
Primary purpose of allopurinol in kidney stones
Recurrent genital herpes – prophylaxis
Primary purpose of doxycycline in chlamydia
Primary purpose of ceftriaxone in gonorrhoea
Primary purpose of aciclovir in genital herpes
Primary purpose of leuprorelin in prostate cancer
Primary purpose of bicalutamide in prostate cancer
Primary purpose of abiraterone in prostate cancer
Primary purpose of bethanechol in urinary retention
Primary purpose of tamsulosin in urinary retention
Primary purpose of finasteride in urinary retention
Primary purpose of cefalexin in UTI
Primary purpose of amoxicillin in UTI
Primary purpose of co-amoxiclav in UTI
Primary purpose of alfuzosin in BPH
Primary purpose of doxazosin in BPH
Primary purpose of terazosin in BPH
Primary purpose of avanafil in ED
Primary purpose of alprostadil in ED
Primary purpose of Evra patch
Primary purpose of NuvaRing
Primary purpose of Depo-Provera injection
Primary purpose of estradiol in menopause
Primary purpose of conjugated estrogens
Primary purpose of raloxifene
Primary purpose of solifenacin in overactive bladder
Primary purpose of darifenacin in overactive bladder
Primary purpose of fesoterodine in overactive bladder
Primary purpose of thiazides in calcium phosphate stones
Primary purpose of penicillamine in cystine stones
Primary purpose of antibiotics in struvite stones
Primary purpose of benzathine penicillin in syphilis
Primary purpose of metronidazole in trichomoniasis
Primary purpose of imiquimod in genital warts
Primary purpose of goserelin in prostate cancer
Primary purpose of flutamide in prostate cancer
Primary purpose of enzalutamide in prostate cancer
Primary purpose of neostigmine in urinary retention
Primary purpose of prazosin in urinary retention
Primary purpose of dutasteride in urinary retention
Musculoskeletal System module
Multiple Choice Questions
Mechanism of action of NSAIDs
NSAID-induced gastric ulceration
Monitoring for long-term NSAID therapy
Methotrexate mechanism in RA
Methotrexate side effect
Monitoring for methotrexate
Bisphosphonate mechanism
Bisphosphonate side effect
Monitoring for bisphosphonates
SSRI mechanism in fibromyalgia
Common side effect of SSRIs
Contraindication for SSRIs in fibromyalgia
Colchicine mechanism in gout
Colchicine side effect
Colchicine contraindication
Paracetamol mechanism
Paracetamol overdose side effect
Paracetamol contraindication
Prednisone mechanism
Corticosteroid side effect
Monitoring for corticosteroids
Allopurinol mechanism in gout
Nervous System module
Multiple Choice Questions
Common side effect of carbamazepine
Risk, cause or side-effect
Drug that reduces levodopa effectiveness
Valproate hepatotoxicity
Mechanism of action of sumatriptan
Amitriptyline anticholinergic effects
First-line for generalized anxiety disorder
Serious side effect of lamotrigine
Mechanism of action of entacapone
Acute tonic-clonic seizure treatment
Clozapine safety concern
Gabapentin side effect management
QT prolongation risk with antidepressants
First test in lithium toxicity
Medication associated with serotonin syndrome
Donepezil side effect
First-line neuropathic pain treatment
Opioid least likely to cause serotonin syndrome
Topiramate renal stone risk
Most likely diagnosis
Reason for slow lamotrigine titration
Management of carbamazepine-induced hyponatraemia
Monitoring for sodium valproate
Role of benserazide with levodopa
Managing levodopa-induced hallucinations
Common side effect of ropinirole
Purpose of interferon beta-1a in MS
Spasticity treatment in MS
Monitoring for natalizumab
Use of sumatriptan in migraine
Propranolol for migraine prevention
Management of sumatriptan-induced chest pain
Use of pregabalin in diabetic neuropathy
Amitriptyline side effect profile
Monitoring gabapentin therapy
Managing agitation in Alzheimer’s
Purpose of apixaban in AF
Purpose of alteplase in acute stroke
Use of gabapentin in post-herpetic neuralgia
Common side effect of duloxetine
Monitoring phenytoin therapy
Topiramate for migraine prevention
Metoclopramide for migraine nausea
Entacapone mechanism
Managing levodopa-induced dyskinesias
First-line for absence seizures
Risk, cause or side-effect
Migraine prophylaxis alternative to propranolol
Contraindication
Management of phenytoin-induced gingival hyperplasia
Lamotrigine serious side effect
Indication of baclofen in multiple sclerosis
Most sedating antidepressant
Antipsychotic associated with weight gain
Serious concern with carbamazepine rash
Cause of levodopa-induced dyskinesias
Risk in tricyclic antidepressant overdose
Benzodiazepine with longest half-life
Monitoring
Test for sodium valproate-induced hepatotoxicity
Mechanism of action of pregabalin
First-line for generalised tonic-clonic seizures
Risperidone endocrine side effect
Treatment, Risk, Cause or Condition etc
First-line for restless legs syndrome
First-line for GAD
Lithium monitoring parameter
Sumatriptan contraindication in cardiovascular disease
Immediate action for carbamazepine rash
First-line for diabetic neuropathic pain
Valproate contraindication in pregnancy
Treatment, Risk, Cause or Condition etc
First-line status epilepticus treatment
Clozapine essential monitoring
SSRI and triptan interaction risk
Anticholinergic side effects of oxybutynin
First-line for mild Alzheimer’s
MAOI cold remedy contraindication
Treatment, Risk, Cause or Condition etc
Methotrexate monitoring in RA
Phenobarbital monitoring parameter
Ethosuximide seizure type
Selegiline purpose in Parkinson’s
Dose reduction for levodopa hallucinations
Glatiramer acetate purpose in MS
Spasticity treatment in MS
Sumatriptan primary purpose
Propranolol primary purpose in migraine
First-line treatment for focal epilepsy
SSRI-induced SIADH mechanism
Pregabalin contraindication in angioedema
Phenytoin level monitoring
Extrapyramidal symptoms from risperidone
Acute panic attack first-line treatment
Memantine dose adjustment in renal impairment
Treatment, Risk, Cause or Condition etc
First-line for restless legs in anemia
Valproate Pregnancy Prevention Programme
Opioid-induced constipation management
Respiratory System module
Multiple Choice Questions
First-line treatment for mild asthma
Mechanism of action of montelukast
Mechanism of action of tiotropium
Combination ICS/LABA inhaler
Treatment, Risk, Cause or Condition etc
Theophylline toxicity concern
Salmeterol monotherapy contraindication
Antibiotic for acute COPD exacerbation
Treatment, Risk, Cause or Condition etc
Oxygen saturation target in COPD
Adverse effect of high-dose beta-2 agonists
Mechanism of action of roflumilast
SAMA inhaler identity
Treatment, Risk, Cause or Condition etc
Function of sodium cromoglicate
Oxygen safety concern in COPD
Biologic for severe eosinophilic asthma
Theophylline drug interaction
Treatment, Risk, Cause or Condition etc
Contraindication for propranolol in respiratory disease
Mechanism of salbutamol
Side effect of salbutamol
Treatment, Risk, Cause or Condition etc
Mortality risk of LABA monotherapy in asthma
Risk, cause or side-effect
Target SpO₂ in chronic hypoxic COPD
Treatment, Risk, Cause or Condition etc
Action of montelukast in exercise-induced asthma
Prednisolone tapering requirement
Mechanism of carbocisteine
RSV prophylaxis in premature infants
Mechanism of roflumilast in COPD
Anaphylaxis monitoring post-omalizumab
Mechanism of mepolizumab in eosinophilic asthma
Treatment, Risk, Cause or Condition etc
Risk, cause or side-effect
Monitoring
Theophylline toxic level
Glaucoma concern with tiotropium
Frequent SABA use indicates poor control
Route of administration of benralizumab
Purpose of salbutamol in asthma
Purpose of piperacillin/tazobactam in pneumonia
Purpose of pyridoxine in TB therapy
Classification of salmeterol/fluticasone inhaler
Risks of high-dose beta-agonists
Duration of oral corticosteroids in acute asthma
Advantage of spacer use with inhaler
Treatment, Risk, Cause or Condition etc
Antibiotic for long-term prophylaxis in COPD patients
Preferred bronchodilator in acute COPD
Mechanism of omalizumab
Risk factors for theophylline toxicity
Chronic cough from ACE inhibitors
Bronchospasm risk with beta-blockers
LTOT criterion in COPD
First-line latent TB treatment
Treatment for pneumocystis pneumonia
Treatment, Risk, Cause or Condition etc
Treatment, Risk, Cause or Condition etc
Treatment, Risk, Cause or Condition etc
Mechanism of mepolizumab
Purpose of dornase alfa in CF
Purpose of ivacaftor in CF
First-line treatment in acute asthma
Next step for dyspnoea in COPD on tiotropium
Initial regimen for drug-sensitive pulmonary TB
DOAC contraindicated in severe renal impairment
Height/weight monitoring in high-dose ICS
Treatment, Risk, Cause or Condition etc
Pyridoxine prophylaxis with isoniazid
MRSA-active antibiotic in HAP
Immediate reversal in warfarin major bleed
Key side effect of roflumilast
Rifampicin-warfarin interaction
DVT treatment in pregnancy
Add LABA to low-dose ICS in uncontrolled asthma
LTOT eligibility PaO₂ threshold
Reassurance about rifampicin discoloration
CAP treatment for low-severity
Spacers and MDIs counseling
Skin module
Multiple Choice Questions
Mechanism of action of topical hydrocortisone
Side effect of prolonged topical corticosteroid use
Contraindication for topical hydrocortisone
Mechanism of action of terbinafine
Side effect of terbinafine
Contraindication for terbinafine
Mechanism of action of topical clindamycin
Side effect of clindamycin
Contraindication for clindamycin
Mechanism of action of adapalene
Side effect of adapalene
Contraindication for adapalene
Mechanism of action of zinc oxide in diaper rash
Side effect of zinc oxide
Mechanism of action of mupirocin
Side effect of mupirocin
Contraindication for mupirocin
Mechanism of action of calcipotriol
Side effect of calcipotriol
Contraindication for calcipotriol
Mechanism of action of permethrin
Side effect of permethrin
Contraindication for permethrin
Mechanism of action of topical tretinoin
Side effect of topical tretinoin
Most likely diagnosis
Purpose of emollients in atopic eczema
Most likely diagnosis
Mechanism of action of calcipotriol
Most likely diagnosis
Mechanism of action of topical tacrolimus
Most likely diagnosis
Mechanism of action of benzoyl peroxide
Most likely diagnosis
Mechanism of action of methotrexate in psoriasis
Most likely diagnosis
Mechanism of action of oral doxycycline in acne
Most likely diagnosis
Mechanism of action of hydrocortisone in eczema
Most likely diagnosis
Mechanism of action of coal tar in psoriasis
Most likely diagnosis
Monitoring during isotretinoin therapy
Mechanism of action of cetirizine
Mechanism of action of phototherapy in psoriasis
Mechanism of action of topical adapalene
Most likely diagnosis
Purpose of wet wrap therapy in eczema
Mechanism of action of oral erythromycin in acne
Most likely diagnosis
Vaccines module
Multiple Choice Questions
Live attenuated MMR vaccine
BCG vaccine mechanism
MMR vaccine side effects
MMR contraindications
HPV vaccine and cervical cancer
First DTaP dose timing
Hib vaccine mechanism
Treatment, Risk, Cause or Condition etc
First dose hepatitis B timing
HPV vaccine contraindication
Tetanus booster interval
Influenza vaccine route
Meningococcal vaccine side effect
RSV prophylaxis in infants
BCG vaccine function
Treatment, Risk, Cause or Condition etc
Treatment, Risk, Cause or Condition etc
Hep B post-exposure prophylaxis
Flu vaccine in egg allergy
HPV vaccine schedule UK
Yellow fever vaccine timing
MMR after neomycin allergy
Rotavirus vaccine contraindication
Shingles vaccine for immunocompromised
Tetanus booster after wound
Influenza vaccine in GBS history
Rabies post-exposure schedule
Varicella vaccine contraindication
Injectable typhoid vaccine schedule
MMR with gelatin allergy
Oral cholera vaccine schedule
Japanese encephalitis vaccine schedule
HPV vaccination in yeast allergy
MenACWY single-dose requirement
Hepatitis B vaccine with yeast allergy
Influenza vaccine after prior anaphylaxis
Rabies vaccine in egg allergy
BCG in latex allergy
Pneumococcal vaccine and diphtheria toxoid allergy
Tetanus vaccine in aluminium allergy
HPV vaccine in latex allergy
Influenza vaccine in formaldehyde allergy
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