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Pass the PSA E-Book

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For example, patients require ~ 1mmol/kg/day of K+, this should not be infused at a rate >10mmol/hr.

Mnemonics can be super helpful. There are a few things like enzyme inducers and inhibitors that you will need to rote learn and mnemonics can help with that. Typically, the prescription review section involves reviewing 6-10 medications and identifying which medications should be stopped or could be a cause of a clinical problem such as impaired renal function.

The treatment is often tailored to individual patients and depends can potentially depend on factors such as gender (e.g duration of UTI treatment for men is 7 days), drug history and allergies. The PSA is a two hour prescribing exam taken in the final year of medical school. It is comprised of 8 sections totalling 200 marks over 120 minutes. These sections include: Read carefully whether you are being asked to assess that the treatment is working/ beneficial or whether you are assessing for adverse effects – you will do different tests for each of these.

The BNF can be used at any point during the PSA examination. Therefore, it is absolutely vital that candidates are confident with using the BNF prior to the exam. Know what to do in the event of a missed contraceptive pill (this varies depending on the type of pill being taken). Don’t make it too complicated. Remember, this exam is aimed at final year medical students and Foundation Year 1 doctors so the paper will not ask you to prescribe chemotherapy drugs or other specialist medications so don’t worry about learning those. This section will task you with selecting the most suitable plan of monitoring for either beneficial or harmful effects of a newly started medication.The Applicant’s masked NRIC number (for Singapore Citizen or Permanent Resident) FIN or Passport number (for foreigner); The prescribing items are marked using an automated system that compares the given answer with a mark scheme containing a number of correct answer(s) and suboptimal answers. The given answer must exactly match one of the answers in the mark scheme in all respects for credit to be given automatically. If unsure of how to manage ADR, the answers can often be found in the respective treatment summaries of the BNF. For examples – medication overdoses (poisoning, emergency treatment), hypoglycaemia (hypoglycaemia), reversal of a high INR (oral anticoagulants).

Prescribing is a fundamental part of the work of Foundation Year 1 doctors, who write and review many prescriptions each day. It is a complex task requiring knowledge of medicines and the diseases they are used to treat, careful judgment of risks and benefits of treatment, and attention to detail. Utilise the “Interaction” section for the medication on the BNF. This will give a list of all interactions with the particular medication you are interested in. Again, use the ‘Ctrl F’ function to speed up your search.

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However, if the questions asks “What IV treatment would be prescribed for a hypoglycaemic patient?” and you are unsure about what dextrose preparation to use, seach “hypoglycaemia” on the BNF under treatment summaries. This would then tell you that 10%/20% preparations are preferred over the 50% preparation.

Get familiar with the BNF. The BNF online is the best option if you are wondering, but it really helps with efficiency if you are already familiar with how to navigate it before sitting the exam.

These sections include:

In addition:• Introduces a simple, memorable and failsafe approach to prescribing (the ‘PReSCRIBER’ mnemonic). The beginning of Appendix 1 in the paper BNF contains several tables of ‘drugs that cause…’. This saves you from looking up each drug individually when being asked which drug is most likely to cause ‘x’. The PSA Pass Centre is open between 8.00am and 5.00pm from Monday to Friday only and is closed on Public Holidays. The last queue number will be issued at 4.30pm for any application and collection.

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