PSA Level 2

Question 1

In what unit is the effective dosage measured?

Accepted Answer

Sievert (Sv)

Answer

The Sievert (Sv) is the unit used to measure the effective dose of radiation, which accounts for the biological effects of different types of radiation on human tissue. It quantifies the health risk from exposure to ionizing radiation. This differs from Gray (Gy), which measures absorbed dose, and Becquerel (Bq), which measures radioactivity.

Question 2

What would you typically recommend for an Adult with Edentulous?

Accepted Answer

Individualized exam based on clinical signs/symptoms

Answer

For an edentulous adult (lacking teeth), the recommendation is an individualized examination based on clinical signs and symptoms. This approach ensures that any oral health issues, such as ill-fitting dentures, mucosal lesions, or underlying systemic conditions affecting oral tissues, are properly identified and addressed. A tailored assessment is essential for maintaining oral health and function in these patients.

Question 3

What are the sick day regulations for prednisolone?

Accepted Answer

Double the dose

Answer

For patients on long-term prednisolone, 'sick day rules' often involve doubling the dose during periods of acute illness or stress. This is because the body's natural cortisol production is suppressed by exogenous steroids, and during illness, the body requires higher corticosteroid levels to cope with stress. Failing to increase the dose can lead to adrenal crisis.

Question 4

Which common medicine is contraindicated in PVD?

Accepted Answer

Beta blockers

Answer

Beta-blockers are generally contraindicated or used with extreme caution in patients with severe peripheral vascular disease (PVD). They can worsen symptoms by causing vasoconstriction in already compromised limbs, reducing blood flow and potentially exacerbating claudication or critical limb ischemia. Non-selective beta-blockers are particularly problematic.

Question 5

What is a good medicine for sleep?

Accepted Answer

Zopiclone 3.75mg On PRN

Answer

Zopiclone 3.75mg is a common starting dose for insomnia, particularly in elderly patients or those sensitive to sedatives, and is often prescribed 'as needed' (PRN). This lower dose helps minimize side effects such as excessive sedation, dizziness, and dependence. It is typically used as a short-term treatment for insomnia.

(PSA) Prescribing Safety Assessment Practice Test

(PSA) Prescribing Safety Assessment Practice Test

PSA Level 2