QuestionMultiA
QuestionChoice
50051
b
Lymecycline;408mg;PO (Oral);Once daily
QuestionChoice
50058
i
Paracetamol;1g;PO (Oral);PRN
QuestionChoice
50053
d
Benzoyl Peroxide;1 Application;Topically;Once daily (after washing)
QuestionChoice
50057
h
Propranolol;80mg;PO (Oral);Once daily
QuestionChoice
50054
e
Rigevidon (Ethinylestradiol with Levonorgesterel);1 Tablet;PO (Oral);Once daily
QuestionChoice
50055
f
Sumatriptan;100mg;PO (Oral) PRN for migraine;(max dose 300mg per day)
QuestionChoice
50052
c
Adapalene;1 Application (thinly);Topically;Once nightly
QuestionChoice
50056
g
Hydrocortisone cream;1 Application (thinly);Topically;Once daily
QuestionChoice
50050
a
Aveeno cream;1;Application Topically;Twice daily
QuestionComment
i thought there is no evidence that COCP could cause weight gain, and the only one is the injection
39823
QuestionComment
I'd like to see what the reasoning for this is too, almost everything I've read says there is no actual evidence for weight gain
40036
User
subscriber
obturator foramen
User
subscriber
Inpatient Body
QuestionComment
Reassured that everyone else is on the same page RE the COCP
40425
User
subscriber
Werk the Ward Round
Concept
Chapter
Osteoporosis, otherwise known as thin bones, is a condition associated with high risk of low trauma fractures due to reduced bone mineral density. Osteoclast activity exceeds osteoblast activity, meaning that bone resorption is occurring at a greater rate than bone formation.

**Symptoms and Signs**

- Generally asymptomatic until a fragility fracture occurs
- Back pain
- Kyphosis (stooped posture)
- Fragility fractures

**Risk factors**

- Female sex
- Increasing age
- Smoking
- Corticosteroid use
- Low BMI (< 20-25kg/m<sup>2</sup>)
- Low body weight (<58kg)
- Vitamin D deficiency

**Protective factors**

- Higher BMI
- Exercise - mechanical loading stimulates bone formation

**Diagnosis**
Osteoporosis can be detected on dual-energy x-ray absorptiometry (DEXA) scan.
A T score of < -2.5 indicates osteoporosis

**Management**

- Fall prevention
- Vitamin D and calcium supplementation
- Hormone replacement therapy (postmenopausal women)
- Oral bisphosphonates
2657
3593
Combined Oral Contraceptive pill; adverse reactions
Topic
9
Internal Medicine
1. Rigevidon (Ethinylestradiol with Levonorgestrel) is a combined oral contraceptive pill (COCP). This patient suffers from migraine with aura. The COCP is contraindicated in patients with migraine with aura due to the increased risk of stroke.
2. A common side effect of the COCP is weight gain.
10061
e
e
Case presentation: A 23-year-old female attends the GP with migraines. 


**PH** Acne, Eczema, Anxiety, Migraines with aura.
**DH** Her regular medicines are listed (below).

**On Examination**

Temperature 37.2°C, HR 84, RR 16, BP 124/78
Weight 60kg

**Investigations**

Negative human chorionic gonadotrophin (HCG) pregnancy test

Question 1: Select the ONE prescription that is contraindicated in this patient (mark them with a tick in column A)

Question 2: Select the ONE prescription that is the most likely to cause weight gain (mark them with a tick in column B)