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Cases Flashcards

1
Q

H Pylori tx

A

Amoxicilin AND clarithromycin
Bismouth

Omeprizol

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2
Q

Hep C tx (w/ porphyria cutanea)

A

Ribavarin? or ID consult

Porphyria cutanea: Hydroxychloroquin

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3
Q

HIV PEP vs. PrEP

A

Tenofovir
Emtricitabine
Raltegravir

Tenofovir
Emtricitabine

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4
Q

Spontaneous abortion tx

A

D&C
(misoprostol)

abx: Doxy or metro

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5
Q

Myasthenia gravis

w/u
tx

A

CT chest (thymoma) **
Electromyography **
AcH antibody?

Management:
Prednisone
Pyridostigmine/Neostigmine ***
Surgically remove thymoma (which can resolve MG sx!!! W/out meds!!)

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6
Q

Lead toxicity management

A

EDTA (ethylenediaminetetraacetic acid)
AND dimercaprol
LR/NS
Lorazepam/diazepam/midazolam (control sz)

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7
Q
A
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8
Q

Management pre-E

A

Labatalol
Magnesium sulfate
dexamethasone (if <34 wks)

W/u
Check Doppler fetal heart rate
Cardiac monitor
24-hr U prot

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9
Q

Medication for e. coli prostatitis (or UTI)

A

floroquinalone
ctx
bactrim

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10
Q

intra-abdominal abscess
management

A

Cefepime, zosyn + metronidazol (not CTX)
Order abscess drainage
Zofran
tylenol

Abscess culture, blood culture, UA and Urine culture, gram stan abscess

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11
Q

If LIVER problem, then….

A

AVOID TYLENOL

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12
Q

If suspect ONE sexually transmitted disease, test for ALL!

A

Chlamydia
Gonorrhea
Trichamonas
HIV
Syphalis
Hep B
Hep C

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13
Q

PCOS w/u

Tx

A

Testosterone level, FSH, LH
lipid panel
HA1c

Diet
Exercise
Birth control (unless TRYING to get preg)

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14
Q

Sarcoidosis w/u

A

Biopsy most available lesion
TB test
HIV test

UA
Vit D level

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15
Q

Tx new afib

A

metoprolol
apixaban

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16
Q

Guillan Barre
w/u

tx

A

EKG, PFT, MRI, nerve conduction study
HIV, Syphalis, CK, TSH/T4
LP w/ CSF studies
Heavy metal screen
consult neuro

Plasma exchange (NO steroids)

17
Q

3rd degree heart block management?

A

w/u lyme serology

PACE MAKER

18
Q

PSGN tx

A

Furosemide
low-Na diet
fluid RESTRICTION
nutrition consult

19
Q

PSGN w/u

A

CXR
anti-neutrophil cytoplasmic ab
glomerular basement memb ab
cryoglobulin
ANA
Abd us

20
Q

acute coronary syndrome meds?

A

Heparin
Aspirin + Clopedagril
Statin
Beta Blocker

21
Q

Meds for Sickle Cell

A

Hydroxyurea
Penicillin
Folic Acid

Pneumo vax
Meningitis vax

22
Q

Cardiac concern?
order ALL

A

Troponin (BNP)
ECG
CXR
Echo
CARDIAC MONITOR!!!!!

Stress test?
Cardiac cath?

23
Q

Treatment alcohol withdrawal

A

Lorazepam/diazepam
Potassium chloride
Magnesium
B1/thiamine
B6/pyridoxine
B9/folate
LR

Acamprosate/Naltrexone

+/-Haloperidol (hallucination)

24
Q

Tuberculosis tx

A

Rifampin
Isoniazid (liver fxn pnl)
Pyrazinamide
Ethambutol (Ophtho consult)
Vitamine b6

Ophtho consult
Isolation

Do NOT order bronchoscopy if can diagnose w/o

25
Q

Hypertensive emergency tx
(drug and indication)

A

Hydralazine (pregnancy)
Nitroprusside sodium
Labatalol (encephalopathy)
Labatalol + esmolol (aortic disection)

NPO (if nausea)
Zofran (if nausea)

Remember check Utox!

26
Q

Acute diverticulitis
Triad
Tx

A

LLQ pain
leukocytosis
fever

Cefazolin/CTX + metronidazol
(got passed on Zosyn)
HIGH-fiber diet

27
Q

Meds to avoid R-ventricular MI?

A

Beta blocker
Morphine

28
Q

New cancer dx work up?

A

CXR
CT abdomen/pelvis
CT chest

council cancer diagnosis

29
Q

Surgery prep

A

pt/ptt
inr
type and cross
ECG

NPO
LR

Informed consent
council cancer diagnosis

30
Q

Infectious work up

A

CBC
ESR/CRP
Blood culture
Sputum culture
Sputum gram stain
Urine culture
UA
CXR
ECG

31
Q

orders if pt in shock?

A

CBC
Lactate
NS or LR
cardiac monitor

32
Q

IBS work up

A

CBC
BMP
ESR
CRP
UA
Abd x-ray
All the stool studies
anti-gliadin, anti-endomysial (celiac)
Lactose testing
Consult nutrition

AVOID colonoscopy

33
Q

SLE TX?

A

Prednisone
hydroxychloroquine

Avoid alcohol/smoking/SUN

Dexa scan (given longterm steroid use)

34
Q
A

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