Peri-operative Medicine & Anaesthesia2 UKMLA questions
Polypharmacy — UKMLA Revision Notes
Polypharmacy is an important clinical condition in Peri-operative Medicine & Anaesthesia that is tested in the UKMLA Applied Knowledge Test (AKT). Medical students and doctors preparing for the UKMLA or PLAB 1 must understand the pathophysiology, clinical presentation, investigations, and evidence-based management of Polypharmacy as outlined in current NICE guidelines.
Key Facts
- Polypharmacy is a key condition on the GMC UKMLA Content Map
- Commonly tested in the Peri-operative Medicine & Anaesthesia section of the UKMLA Applied Knowledge Test
- Understand the pathophysiology, clinical features, investigations, and management
- NICE guidelines provide the evidence base for management decisions
- Consider differential diagnoses and red flag symptoms in clinical scenarios
Investigations
- FBC, U&E, clotting
- ECG
- CXR
- Echocardiogram (if indicated)
- Lung function tests
- Blood group & save
Management
- Pre-operative optimisation
- Anaesthetic assessment and consent
- Intra-operative monitoring
- Post-operative analgesia plan
- VTE prophylaxis
- Enhanced recovery pathway