Competition answers

MIMS prescribing quiz

MIMS is the perfect place to refresh your prescribing knowledge and our monthly quiz to helps you keep up to date, with the added incentive of a prize draw for £50 of John Lewis vouchers.

Winner
Thank you for all your entries to the first MIMS Prescribing Quiz. The answers are published below along with original questions. The winner was Dr Ruth Chew, from Littleborough, Lancashire. The next quiz starts in the 28 March issue of GP.

Remember that MIMS now includes four resource chapters designed for the busy GP at the back of every issue. Each monthly edition of MIMS carries more than 200 product updates, plus 70 coloured pages of prescribing resources, including drug comparison tables, clinical guidelines, palliative care advice and visual guides to diabetes and respiratory devices.

Answers
Answers taken from the March edition of MIMS.

1. Acute bacterial prostatitis should be treated with trimethoprim 200mg bd for 21 days.

False - see two-page summary of antibiotic treatment options for common infections in Tables chapter, pages 397-8.

2. Fluoxetine should be reduced gradually and await one to two days before switching to duloxetine 60mg daily.

False - see recommended withdrawal, cross-tapering and wash-out periods when switching antidepressant therapy, Tables chapter, pages 392-3.

3. Patients on methotrexate should be monitored at each follow up visit for symptoms of pneumonitis (dyspnoea, cough and fever).

True - see monitoring requirements for DMARDs, Tables chapter, page 406.

4. Lantus and Levemir reach their peak activity in two hours after the injection.

False - see pictorial representation of the onset, duration of action and peak activity of insulins, Tables chapter, page 398.

5. Lyclear creme rinse should be rinsed 10 minutes after application to scalp and hair.

True - see comparison of formulation and treatment duration for lice and scabies treatments, Tables chapter, page 410.

6. Varenicline reduces the rewarding and reinforcing effects of smoking.

True - see comparison of smoking cessation treatments including treatment duration and use in pregnant or lactating mothers, Tables chapter, page 416.

7. Malarone should be taken for one week before travel to and for a week after return from affected area.

False - see malaria prophylaxis recommendations for travellers, Tables chapter, pages 417-21.

8. Amoxicillin resistance does not increase after the use of amoxicillin and clarithromycin combinations.

True - see summary of NICE guidance on combination regimens for eradication of H pylori, Guidelines chapter, page 426.

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