A 49-year-old man undergoing chemotherapy for lymphoma presents with hyperkalemia, hyperphosphatemia, and hypocalcemia. Which condition is most likely responsible?

A 22-year-old patient who weighs 62kg is admitted to hospital after taking an overdose of propranolol tablets. She admits to taking 28 propranolol 40mg tablets. The patient is prescribed intravenous glucagon and given an initial bolus of 10mg over 10 minutes. Following the bolus, she is prescribed an intravenous infusion at a dose of 50microgram/kg/hour for 60 minutes. The glucagon solution used for the infusion is prepared at a concentration of 1mg/mL. How many milligrams of the glucagon will the patient receive in total Give your answer to ONE (1) decimal place.

Whilst conducting an NHS health check, you ask a patient about his alcohol consumption. He tells you he usually drinks two 750mL bottles of wine (12%ABV) spread across the week.   How many units of alcohol is he consuming each week?

A four-year-old patient who weighs 16.8kg is prescribed dexamethasone for croup. The standard dose is 150microgram/kg for one dose.    How many mL of dexamethasone 2mg/5mL liquid should be prescribed for this patient?   Give your answer to ONE (1) decimal place. 

Streptokinase reduces the rate of mortality associated with myocardial infarction from 0.12 to 0.075.  What is the number needed to treat (NNT) for streptokinase to prevent one death from stroke?  ARC = the absolute risk of events in the control group ART = the absolute risk of events in the treatment group ARR (absolute risk reduction) = ARC – ART RRR (relative risk reduction) = (ARC – ART) / ARC  NNT (number needed to treat) = 1 / ARR 

Recently published data shows that the prevalence of asthma in patients over 18-years-old is 1 in 20 and the prevalence of COPD in patients over 18-years-old is 1 in 32. Your surgery has 8,000 registered patients over the age of 18 years.   How many more patients aged over 18 would you expect to have asthma compared to the number who have COPD?

You are a foundation trainee who is running an event on salt content of OTC medicines. Co-codamol 8mg/500mg soluble tablets contain 19.1mmol of Na+ per tablet. The maximum recommended daily allowance (RDA) of salt for an adult is 6g (2.4g of sodium) per day. The atomic mass of sodium is 23. If an adult patient took two co-codamol soluble tablets, what percentage of their maximum recommended daily salt allowance would they have consumed? Round your answer to the nearest whole number.

A 36-year-old patient is currently prescribed lithium citrate (Priadel) 520mg/5ml liquid at a dose of 15mL AT NIGHT. To improve compliance, the decision is made to switch him to lithium carbonate (Priadel) 200mg MR tablets.   How many Priadel 200mg MR tablets should the patient be prescribed for each dose?   Extract from Online BNF for lithium

A 7-year-old patient weighing 24.4kg is prescribed treatment with oral sodium valproate 200mg/5mL solution for epilepsy. The prescriber would like to initiate the lowest starting dose to be taken twice a day. Each dose is rounded to the nearest whole number to aid administration. Extract from Online BNF for sodium valproate How many millilitres of sodium valproate should be prescribed for 28 days of treatment?

A specialist nurse prescriber sees a patient with end stage COPD and prescribes Heliox (helium 79% and oxygen 21%) gas to reduce airflow resistance. Each Heliox cylinder contains 3500L and is set to a flow rate of 15L/minute. The patient is expected to use the Heliox via a face mask when needed after exertion for up to ten minutes each day.   How many full days will each Heliox cylinder last if the patient uses the maximum dose?