QuestionSBA
QuestionChoice
Dermol cream does not commonly cause rash
34233
d
Dermol cream TOP OD
QuestionChoice
Salbutamol does not commonly cause rash
34231
b
Salbutamol 2 puff PRN INH
QuestionChoice
Hydrocortisone does not commonly cause rash
34234
e
Hydrocortisone 0.5% cream TOP BD
QuestionChoice
Fluticasone does not commonly cause rash
34232
c
Fluticasone 50 micrograms BD INH
QuestionChoice
Prescribing amoxicillin in patients presenting with infectious mononucleosis can result in a widespread maculopapular rash. Drug induced maculopapular eruptions are due to delayed type hypersensitivity reactions and these eruptions are enhanced by viral infections such as EBV, possibly due to molecular mimicry between amoxicillin and viral molecules, inducing a loss of tolerance state towards amoxicillin and a transient immune reaction
34230
a
Amoxicillin 500mg PO TDS
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
2789
Infectious mononucleosis 
Topic
91
Paediatrics
6857
Case Presentation: A 5-year-old boy was brought in to the GP three days ago by his parents following a cough and sore throat that has been present for the past 4 days. On examination, he was pyrexic with a temperature of 38.5oC, his cervical lymph nodes were tender and swollen. He was prescribed antibiotics by the GP who then provided the parents with safety-netting advice. Today, he re-attended the GP with a widespread, itchy, macular papular rash that developed this morning. PMH Atopic eczema, Asthma. DH His current regular medicines are listed (below).


Question: Select the prescription that is most likely to contribute to his rash.
a