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USMLE Step 1 > Classic/Relevant treatment (First Aid Rapid Review) > Flashcards

Classic/Relevant treatment (First Aid Rapid Review) Flashcards

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USMLE® Step 1 flashcards
1
Q

Absence seizures

A

Ethosuximide

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2
Q

Acute gout attack

A

NSAIDs

Colchicine

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3
Q

Acute promyelocytic leukemia (M3)

A

All-trans retinoic acid

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4
Q

ADHD

A

Methylphenidate

Amphetamines

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5
Q

Alcohol abuse

A

AA+ disulfiram for patient and Al-Anon for family

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6
Q

Alcohol withdrawal

A

Benzodiazepines

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7
Q

Anorexia

A

SSRIs

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8
Q

Anticoagulation during pregnancy

A

Heparin

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9
Q

Arrhythmia in damaged cardiac tissue

A

Class IB antiarrhythmic

lidocaine, mexiletine, tocainide

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10
Q

B12 deficiency

A

Vitamin B12 supplementation

work up cause with Schilling Test

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11
Q

Benign prostatic hyperplasia

A

Tamsulosin

Finasteride

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12
Q

Bipolar disorder

A

Lithium,
Valproate,
Carbamazepine,
Lamotrigine (mood stabilizers)

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13
Q

Breast cancer in postmenopausal woman

A

Aromatase inhibitor (anastrozole)

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14
Q

Buerger’s disease

A

Smoking cessation

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15
Q

Bulimia

A

SSRIs

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16
Q

Candida albicans

A 
Amphotericin B (systemic), 
Nystatin (oral thrush, esophagitis)
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17
Q

Carcinoid syndrome

A

Octreotide

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18
Q

Chlamydia trachomatis

A

Doxycycline (+ ceftriaxone for gonorrhea coinfxn),

Erythromycin eye drops (prophylaxis in infants)

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19
Q

Chronic gout

A

Probenecid (underexcretor),
Allopurinol (overproducer),
Febuxostat

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20
Q

Chronic hepatitis

A

IFN-alpha

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21
Q

Chronic myelogenous leukemia

A

Imatinib

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22
Q

Clostridium botulinum

A

Antitoxin

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23
Q

Clostridium difficile

A

Oral metronidazole;

If refractory: oral vancomycin

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24
Q

Clostridium tetani

A

Antitoxin + Vaccine booster + Diazepam

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25
Q

Crohn’s disease

A

Corticosteroids,

infliximab

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26
Q

Cryptococcus neoformans

A

Fluconazole

prophylaxis in AIDS patients

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27
Q

Cyclophosphamide-induced hemorrhagic cystitis

A

Mesna

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28
Q

Depression

A

SSRIs (1st line)

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29
Q

Diabetes insipidus

A

Desmopressin (central);
Hydrochlorothiazide,
Indomethacin,
Amiloride (nephrogenic)

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30
Q

Diabetes mellitus type 1

A

Dietary intervention (low sugar) + insulin replacement

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31
Q

Diabetes mellitus type 2

A

Dietary intervention,
Oral hypoglycemics,
Insulin (possible)

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32
Q

Diabetic ketoacidosis

A

Fluids,
insulin,
K+

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33
Q

Enterococci

A

Vancomycin/ampicillin + Aminoglycoside

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34
Q

Erectile dysfunction

A

Sildenafil,

Vardenafil

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35
Q

ER (+) breast Cancer

A

Tamoxifen

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36
Q

Ethylene glycol/methanol intoxication

A

Fomepizole

alcohol dehydrogenase inhibitor

37
Q

Haemophilus influenzae (B)

A

Rifampin

prophylaxis

38
Q

Generalized anxiety disorder

A

Buspirone

39
Q

Heparin toxicity (acute)

A

Protamine sulfate

40
Q

HER2/neu (+) breast cancer

A

Trastuzumab

41
Q

Hyperaldosteronism

A

Spironolactone

42
Q

Hypercholesterolemia

A

Statin

1st line

43
Q

Hypertriglyceridemia

A

Fibrate

44
Q

Immediate anticoagulation

A

Heparin

45
Q

Infertility

A

Leuprolide,

GnRH (pulsatile)

46
Q

Influenza

A

Rimantadine, oseltamivir

47
Q

Legionella pneumophila

A

Erythromycin

48
Q

long term anticoagulation

A

Warfarin

49
Q

Malaria

A

Chloroquine/mefloquine (for blood schizont),

Primaquine (for liver hypnozoite)

50
Q

Malignant hyperthermia

A

Dantrolene

51
Q

Medical abortion

A

Mifepristone

52
Q

Migraine

A

Sumatriptan

53
Q

MRSA

A

Vancomycin

54
Q

Multiple sclerosis

A

ß-interferon,
Immunosuppression,
Natalizumab

55
Q

Mycobacterium tuberculosis

A

RIPE

rifampin, INH, pyrazinamide, ethambutol

56
Q

Neisseria gonorrhoeae

A

Ceftriaxone

add doxycycline to cover likely concurrent Chlamydia

57
Q

Neisseria meningitidis

A

Penicillin/ceftriaxone

Rifampin (prophylaxis)

58
Q

Neural tube defect prevention

A

Prenatal folic acid

59
Q

Osteomalacia/rickets

A

Vitamin D supplementation

60
Q

Osteoporosis

A

Bisphosphonates

Calcium and vitamin D supplementation

61
Q

Patent ductus arteriosus

A

Indomethacin

62
Q

Pheochromocytoma

A

alpha-antagonists

e.g. phenoxybenzamine

63
Q

Pneumocystis jirovecii

A

TMP-SMX

Prophylaxis in AIDS patient

64
Q

Prolactinoma

A

Bromocriptine

Dopamine agonists

65
Q

Prostate cancer/uterine fibroids

A

Leuprolide

GnRH (continuous)

66
Q

Prostate carcinoma

A

Flutamide

67
Q

Pseudomonas aeruginosa

A

Antipseudomonal penicillin + Aminoglycoside

68
Q

Pulmonary arterial HTN (Idiopathic)

A

Sildenafil
Bosentan
Epoprostenol

69
Q

Rickettsia rickettsii

A

Doxycycline

Chloramphenicol (esp. in context of aplastic anemia)

70
Q

Ringworm infections

A

Terbinafine
Griseofulvin
Imidazole

71
Q

Schizophrenia (negative symptoms)

A

5-HT(2A) antagonists

e.g. second generation antipsychotics

72
Q

Schizophrenia (positive symptoms)

A

D2 receptor antagonists

First and second generation antipsychotics

73
Q

SIADH

A

Demeclocycline
Lithium
Vasopressin receptor antagonists

74
Q

Sickle cell anemia

A

Hydroxyurea

Increased fetal hemoglobin

75
Q

Sporothrix schenckii

A

Oral potassium chloride

76
Q

Stable angina

A

Sublingual nitroglycerin

77
Q

Staphlococcus aureus

A

MSSA: nafcillin, oxacillin, dicloxacillin (anti-staphylococcal penicillins)

MRSA: vancomycin

78
Q

Streptococcus bovis

A

Penicillin prophylaxis

Evaluation

79
Q

Streptococcus pneumoniae

A

Penicillin/cephalosporin (Systemic infection, pneumonia)

Vancomycin (Meningitis)

80
Q

Streptococcus pyogenes

A

Penicillin prophylaxis

81
Q

Temporal arteritis

A

High-dose steroids

82
Q

Tonic-clonic seizures

A

Phenytoin
Valproate
Carbamazepine

83
Q

Toxoplasma gondii

A

Sulfadiazine + pyrimethamine

84
Q

Treponema pallidum

A

Penicillin

85
Q

Trichomonas vaginalis

A

Metronidazole

Patient AND partner

86
Q

Ulcerative colitis

A

5-ASA

Infliximab

87
Q

UTI prophylaxis

A

TMP-SMX

88
Q

Warfarin toxicity

A 
Fresh frozen plasma (acute)
Vitamin K (chronic)
89
Q

Wegener’s granulomatosis with polyangiitis

A

Cyclophosphamide

Corticosteroids

USMLE Step 1 (4 decks)

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