When identifying drugs that are causing an adverse effect, you may sometimes find that the number of drugs that could be causing the effect is greater than the number of drugs that the question is asking for. In this case, you should take into consideration how commonly each drug causes the adverse effect and when the drug was started relative to when the adverse effect developed. If everything seems equal, then you should exclude from your answer the drug that is less likely to cause the adverse effect based on your own understanding of its pharmacology. All F1 doctors are required to pass the PSA to be awarded a Foundation Year 1 Certificate of Completion (F1CC) at the end of the first year of the foundation programme. that you have any inquiry or need to eliminate any substance recorded here if it's not too much trouble, go Savage MW, Sinclair-Hammersley M, Rayman G, Courtney H, Dhatariya K, Dyer P, et al. The Management of Diabetic Ketoacidosis in Adults: NHS Diabetes, 2010. The PSA is assessing that you have achieved the core competencies outlined in the GMC’s Outcomes for Graduates for ‘prescribing medicines safely’. Ensuring that you’re aware of what is included will undoubtedly go some way to helping you understand what will be expected of you in the exam. Use PSA practice papers

Finished Prepare for the PSA? Try the links below for more practice exam questions and information on prescribing.In some cases, it may be a common clinical practice to round certain doses or volumes to a certain nearest value. However, you should not round your final answer unless you are instructed by the question to do so. Sometimes different dosages of the same medication are posed as different options in a question so if you are completely sure of the treatment for a condition, the best thing to do is search up the medication on the BNF and select the correct dosage under the indications/dosage section. ECG in hyperkalemia [image on the internet]. 2010. Accessed 18/07/2012 Mikael Haggstrom. Public domain.

Enzyme inhibitors: AO DEVICES – allopurinol, omeprazole, disulfiram, erythromycin, valproate, isoniazid, ciprofloxacin, ethanol (acute intoxication), sulphonamides. Others: grapefruit juice, amiodarone, and SSRIs (fluoxetine, sertraline). Typically, you will be provided with 5 pieces of information and tasked with selecting the most important option to provide to the patient. Examples of the medicines that might be the focus of discussion include insulin, warfarin, salbutamol inhaler, methotrexate, or an oral hypoglycaemic medication. Hi! My name is Daniel Lim Jhao Jian. I am a male and my age is currently 28. My date of birth is 23 March 1995. I am a Malaysian Chinese and my religion is Buddhism. I speak English, Mandarin and Malay. My hobbies are surfing the internet, watching movies and listening to music.For the 2023 PSA, all medical schools may decide to offer re-sits, especially if the PSA is taken as a summative test. Medical schools where the test is formative should also offer re-sits. Medical schools are responsible for providing further training and support in prescribing for those re-sitting, and they will inform their students of the local re-sit dates. PSA question structures and layouts reproduced with permission of the Medical Schools Council and the British Pharmacological Society. These structures and layouts apply to the pilot PSA assessment and may not be precisely replicated in the final version of the PSA. The Geeky Medics P rescribing Safety Assessment (PSA) Question Bank contains over 500 prescribing questions. It has been crafted to accurately reflect the style and format of the prescribing safety assessment, with all questions adhering to official PSA guidelines. Selecting the correct answers from a list of 6-10 drugs (i.e. choose 1-3 correct answers): prescription review 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).

You will be given a clinical scenario where a drug (often new) has been prescribed. You will be asked to select the most appropriate monitoring actions.You must make sure that there are no contraindications or allergies to any drug you want to prescribe. The list of contraindications of each drug is available in the BNF. Prescribing a drug that is contraindicated will likely cause you to score 0 mark for the whole question. Based on the information provided, you have to decide whether to stop a drug, decrease the dose, increase the dose, prescribe another drug or make no changes. If you haven’t passed the PSA before starting your FY1 – for example, if you graduated outside of the UK – then you’ll be expected to undertake the exam with your foundation school.