QuestionSBA
QuestionChoice
Atorvastatin does not commonly cause renal stones
34212
c
Atorvastatin 10mg PO OD
QuestionChoice
Loop diuretics act by competing for the chloride site on the Na-K-2Cl cotransporter and inhibiting sodium and calcium reabsorption in the thick ascending limb of Loop of Henle. This results in an increased excretion of calcium in the urine and a hypercalciuric state, which results in the formation of renal calculi
34210
a
Furosemide 40mg PO OD
QuestionChoice
Dalteparin does not commonly cause renal stones
34213
d
Dalteparin 5000 units SC OD
QuestionChoice
Tamsulosin does not commonly cause renal stones
34214
e
Tamsulosin 400 micrograms PO OD
QuestionChoice
Bisoprolol does not commonly cause renal stones
34211
b
Bisoprolol 10mg PO OD
QuestionComment
Renal stones are not listed as a common side-effect in the BNF - the pathophysiology is nice to know, but if I can't find it on the BNF I would be at a loss. Is this a type of question I can expect to find in the PSA (one in which there's no indication on the drug's monograph other than 'electrolyte imbalance'?)
18391
QuestionComment
I found it in the page for renal and ureteric stones, in the causes it describes all diuretics can cause stones... so just went with the only diuretic in the options :)
44423
User
subscriber
Amnesia Defibrillator
User
subscriber
Roshimitsu
QuestionComment
Yes sir, assumed knowledge is what they call it :(

40214
User
subscriber
NS
Concept
Chapter
#### Monitoring

The BNF advises to monitor lung function (in patients with a history of obstructive airway disease).

#### Overdoses

Overdosages with beta-blockers may cause cardiac effects such as bradycardia, hypotension, syncope, conduction abnormalities, and heart failure. Bradycardia is the most common arrhythmia, but some beta-blockers may induce ventricular tachyarrhythmias secondary to prolongation of QT interval (e.g. sotalol) or QRS duration (e.g. propranolol).
Non-cardiovascular effects include central nervous system effects (including drowsiness, confusion, convulsions, hallucinations, and in severe cases coma), respiratory depression, and bronchospasm.

Management
 - Airway protection 
 - Activated charcoal within 1 hour
 - IV Fluids
 
IV glucagon is the first-line management.
 
For symptomatic bradycardia, IV atropine may be used.

2618
2785
Furosemide side effects
Topic
13
Neurosurgery
6853
Case Presentation: A 75-year-old gentleman was admitted to the acute medical unit two days ago due to acute pulmonary edema secondary to decompensated heart failure. Subsequently, he complained of severe loin to groin pain that started this morning and was subsequently reviewed by the urology team. PMH HTN, Familial hypercholesterolemia, Heart failure, BPH. DH His current regular medicines are listed (below).

Investigation
Non contrast CT scan revealed radiopaque stones in the right ureter.

Question: Select the prescription that is most likely to contribute to his renal stones
a