2014 Classic Treatments

Question 1

Tx absence seizures

Answer 1

Ethosuximide

Question 2

Tx acute gout attack

Answer 2

NSAIDs, colchicine

Question 3

Tx acute promyelocytic leukemia (M3)

Answer 3

All-trans retinoic acid

Question 4

Tx ADHD

Answer 4

Methylphenidate, amphetamines

Question 5

Tx alcohol use disorder

Answer 5

AA + disulfiram, naltrexone, or acamproxate

Question 6

Tx alcohol withdrawal

Answer 6

Benzodiazepines

Question 7

Tx anorexia

Answer 7

Nutrition, psychotherapy

Question 8

Tx anticoagulation during pregnancy

Answer 8

Heparin

Question 9

Tx arrhythmia in damaged cardiac tissue

Answer 9

Class IB antiarrhythmics (lidocaine, mexiletine, tocainide)

Question 10

Tx B12 deficiency

Answer 10

Vitamin B12 supplementation (workup cause with Schilling)

Question 11

Tx BPH

Answer 11

tamsulosin, ginasteride

Question 12

Tx bipolar disorder

Answer 12

Lithium, valproate, carbamazepine, lamotrigine

Question 13

Tx breast cancer in postmenopausal woman

Answer 13

Aromatase inhibitor (anastrozole)

Question 14

Tx Buerger dz

Answer 14

smoking cessation

Question 15

Tx bulimia nervosa

Answer 15

SSRIs

Question 16

Tx Candida albicans

Answer 16

Amphotericin B (systemic), nystatin (oral thrush), azoles (vaginitis)

Question 17

Tx carcinoid syndroem

Answer 17

Octreotide

Question 18

Tx Chylamydia trachomatis

Answer 18

Doxycycline (+ceftriaxone for gonorrhea confection), erythromycin eye drops (prophylaxis in fangs)

Question 19

Tx chronic gout

Answer 19

Probenecid (underexcretor), allopurinol (overproducer), febuxostat

Question 20

Tx chronic hepatitis

Answer 20

IFN-alpha

Question 21

Tx CML

Answer 21

Imatinib

Question 22

Tx Clostridium botulinum

Answer 22

antitoxin

Question 23

Tx c diff

Answer 23

oral metronidazole; if refractory, oral vanco

Question 24

Tx c tetani

Answer 24

Antitoxin + vaccine booster + diazepam

Question 25

Tx CMV

Answer 25

Ganciclovir

Question 26

Tx Crohn disease

Answer 26

Corticosteroids, infliximab, methotrexate, azathioprine

Question 27

Tx Cryptococcus neoformans

Answer 27

Fluconazole (prophylaxis in AIDs patients)

Question 28

Tx cyclophosphamide-induced hemorrhagic cystitis

Answer 28

Mesna

Question 29

Tx depression

Answer 29

SSRIs (first-line)

Question 30

Tx diabetes insipidus

Answer 30

DDAVP (central); hydrochlorothiazide, indomethacin, amiloride (nephrogenic)

Question 31

Tx DM type 1

Answer 31

Dietary intervention (low sugar) + insulin replacement

Question 32

Tx DM type 2

Answer 32

Dietary intervention, oral hypoglycemics, insulin (if refractory)

Question 33

Tx DKA

Answer 33

Fluids, insulin, K+

Question 34

Tx enteroccoi

Answer 34

Vanco/ampicillin + aminoglycoside

Question 35

Tx erectile dysfunction

Answer 35

Sildenafil, vardenafil

Question 36

Tx ER + breast cancer

Answer 36

tamoxifen

Question 37

Tx Ethylene glycol/methanol intoxication

Answer 37

Fomepizole (alcohol dehydrogenase inhibitor)

Question 38

Tx HiB

Answer 38

Rifampin (prophylaxis)

Question 39

Tx generalized anxiety disorder

Answer 39

Buspirone

Question 40

Tx granulomatosis with polyangiitis (Wegener's)

Answer 40

Tx cyclophophamide, corticosteroids

Question 41

Tx heparin toxicity (acute)

Answer 41

protamine sulfate

Question 42

Tx HER2/neu + breast cancer

Answer 42

Trastuzamub

Question 43

Tx hyperaldosteronism

Answer 43

Spironolactone

Question 44

Tx hypercholesterolemia

Answer 44

statin (first-line)

Question 45

Tx hypertriglyceridemia

Answer 45

fibrate

Question 46

Tx immediate anticoagulation

Answer 46

heparin

Question 47

Tx infertility

Answer 47

leuprolide, GnRH (pulsatile), clomiphene

Question 48

Tx influenza

Answer 48

Rimantadine, oseltamivir

Question 49

Tx Legionella pneumophila

Answer 49

Erythromycin

Question 50

Tx long-term anticoagulation

Answer 50

warfarin

Question 51

Tx malaria

Answer 51

chlorquine/mefloquine (for blood schizont), primaquine (for liver hypnozoite)

Question 52

Tx malignant hyperthermia

Answer 52

Dantrolene

Question 53

Tx medical abortion

Answer 53

Mifepristone

Question 54

Tx migraine

Answer 54

sumatriptan

Question 55

Tx MRSA

Answer 55

vancomycin

Question 56

Tx MS

Answer 56

beta-interferon, immunosuppression, natalizumab

Question 57

Tx mycobacterium tuberculosis

Answer 57

RIPE (rifampin, INH, pyrazinamide, ethambutol)

Question 58

Tx Neisseria gonorrhoeae

Answer 58

Ceftriaxone (add doxycycline to cover likely concurrent Chlamydia)

Question 59

Tx Neisseria meningitidis

Answer 59

Penicillin/ceftriaxone, rifampin (prophylaxis)

Question 60

Tx neural tube defect prevention

Answer 60

Prenatal folic acid

Question 61

Tx osteomalacia/rickets

Answer 61

Vitamin D supplementation

Question 62

Tx osteoporosis

Answer 62

Bisphosphonates; calcium and vit D supplementation

Question 63

Tx PDA

Answer 63

Indomethacin

Question 64

Tx pheochromocytoma

Answer 64

alpha-antagonists (phenoxybenzamine)

Question 65

Tx pneumocystis jirovecii

Answer 65

TMP-SMX (prophylaxis in AIDs patient)

Question 66

Tx prolactinoma

Answer 66

bromocriptine (dopamine agonists)

Question 67

Tx prostate cancer/uterine fibroids

Answer 67

Leuprolide, GnRH (continuous)

Question 68

Tx prostate carcinoma

Answer 68

Flutamide

Question 69

Tx pseudomonas aeruginosa

Answer 69

antipseudomonal penicillin + aminoglycoside

Question 70

Tx pulmonary arterial hypertension (idiopathic)

Answer 70

Sildenafil, bosentan, epoprostenol

Question 71

Tx Rickettsia rickettsii

Answer 71

Doxycycline, chloramphenicol (associated with aplastic anemia)

Question 72

Tx ringworm infections

Answer 72

Terbinafine, griseofulvin, imidazole

Question 73

Tx schizophrenia (negative symptoms)

Answer 73

5-HT2A antagonists (e.g. 2nd generation antipsychotics)

Question 74

Tx schizophrenia (positive symptoms)

Answer 74

D2 receptor antagonists (e.g. 1st- and 2nd-generation antipsychotics)

Question 75

Tx SIADH

Answer 75

demeclocylcine, lithium, vasopressin receptor antagonists

Question 76

Tx sickle cell anemia

Answer 76

hydroxyurea (inc fetal hemoglobin)

Question 77

Tx sporothrix schenckii

Answer 77

oral potassium iodide

Question 78

Tx stable angina

Answer 78

sublingual nitroglycerin

Question 79

Tx MSSA

Answer 79

nafcillin, oxacillin, dicloxacillin (antistaphylococcal PCNs)

Question 80

Tx MRSA

Answer 80

vanco

Question 81

Tx Strep bovis

Answer 81

PCN prophylaxis; eval for colon cancer if linked to endocarditis

Question 82

Tx strep pneumo

Answer 82

penicillin/cephalosporin (systemic infection, pneumonia), vanco (meningitis)

Question 83

Tx strep pyogenes

Answer 83

penicillin prophylaxis

Question 84

Tx temporal arteritis

Answer 84

high-dose steroids

Question 85

Tx tonic clonic seizures

Answer 85

phenytoin, valproate, carbamazepine

Question 86

Tx toxoplama gondii

Answer 86

sulfadiazine + pyrimethamine

Question 87

Tx Treponema pallidum

Answer 87

PCN

Question 88

Tx Trichomonas vaginalis

Answer 88

Metronidazole (pt and partner)

Question 89

Tx trigeminal neuralgia (tic douloureux)

Answer 89

carbamazepine

Question 90

Tx ulcerative colitis

Answer 90

5-ASA, infliximab, colectomy

Question 91

Tx UTI prophylaxis

Answer 91

TMP-SMX

Question 92

Tx warfarin toxicity

Answer 92

fresh frozen plasma (acute), vitamin K (chronic)