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Step1 > Classic/Relevant Treatments > Flashcards

Classic/Relevant Treatments Flashcards

1
Q

absence seizures

A

ethosuximide

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2
Q

acute gout attack

A

NSAIDs, colchicine, glucocorticoids

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3
Q

acute promyelocytic leukemia (M3)

A

all trans retinoic acid

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4
Q

ADHD

A

methylphenidate, CBT, atomoxetine

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5
Q

alcoholism

A

disulfiram, acamprosate, naltrexone, supportive care

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6
Q

alcohol withdrawal

A

long acting benzodiazepines

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7
Q

anorexia

A

nutrition, psychotherapy, mirtazapine

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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 anti arrhythmic (lidocaine, mexiletine)

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10
Q

B12 deficiency

A

vit B12 supplement

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11
Q

benign prostatic hyperplasia

A

alpha 1 antagonists, 5 alpha reductase inhibitors, PDE5 inhibitors

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12
Q

benign prostatic hyperplasia

A

alpha 1 antagonists, 5 alpha reductase inhibitors, PDE5 inhibitors

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13
Q

bipolar disorder

A

mood stabilizers (ex lithium, valproic acid, carbamazepine), atypical antipyschotics

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14
Q

breast cancer in postmenopausal woman

A

aromatase inhibitor (anastrozole)

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15
Q

buerger disease

A

smoking cessation

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16
Q

bulimia nervosa

A

SSRIs

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17
Q

Candida albicans

A

topical azoles (vaginitis), nystatin, fluconazole, caspofungin (oral/eso), fluconazole, caspofungin, amphotericin B (systemic)

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18
Q

carcinoid syndrome

A

ocreotide

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19
Q

Chlamydia trachomatis

A

doxycycline (plue ceftriaxone for gonorrhea confection), erythromycin eye drops (prophylaxis in infants)

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20
Q

chronic gout

A

xanthine oxidase inhibitors (ex allopurinol, febuxostat)

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21
Q

chronic hepatitis B or C

A

IFN alpha (hep B and C), ribavirin, simeprevir, sofosbuvir (hep C)

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22
Q

chronic myelogenous leukemia

A

imatinib

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23
Q

Clostridium botulinum

A

antitoxin

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24
Q

Clostridium difficile

A

oral metronidazole, if refractory oral vancomycin

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25
Q

Clostridium tetani

A

antitoxin

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26
Q

CMV

A

ganciclovir, foscarnet, cidofovir

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27
Q

Crohn’s disease

A

corticosteroids, infliximab, azathioprine

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28
Q

Cryptococcus neoformans

A

fluconazole (in AIDS pts)

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29
Q

cyclophosphamide induced hemorrhagic cystitis

A

mesna

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30
Q

depression

A

SSRIs first line

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31
Q

diabetes insipidus

A

desmopressin (central)

hydrochlorothiazie, indomethacin, amiloride (nephrogenic)

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32
Q

diabetes mellitus type 1

A

dietary intervention (low carbs) and insulin

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33
Q

diabetes mellitus type 2

A

dietary intervention, oral hypoglycemics, and insulin (if refractory)

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34
Q

diabetic ketoacidosis

A

fluids, insulin, postassium

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35
Q

enterococci

A

vancomycin, aminopenicillins/cephalosporins

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36
Q

erectile dysfunction

A

sildenafil, tadalafil, vardenafil

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37
Q

ER + breast cancer

A

tamoxifen

38
Q

ethylene glycol/methanol intoxication

A

fomepizole (alcohol dehydrogenase inhibitor)

39
Q

Haemophilus influenzae B

A

rifampin (prophylaxis)

40
Q

generalized anxiety disorder

A

SSRIs, SNRIs (first line), buspirone (second line)

41
Q

granulomatosis with polyangiitis (Wegener)

A

cyclophosphamide, corticosteroids

42
Q

heparin reversal

A

protamine sulfate

43
Q

HER2/neu + breast cancer

A

trastuzumab

44
Q

hyperaldosteronism

A

spironolactone

45
Q

hypercholesterolemia

A

statin (first line)

46
Q

hypertriglyceridemia

A

fibrate

47
Q

immediate anticoagulation

A

heparin

48
Q

infertility

A

leuprolide, GnRH (pulsatile), clomiphene

49
Q

influenza

A

oseltamivir, zanamivir

50
Q

Kawasaki disease

A

IVIG, high dose aspirin

51
Q

Legionella pneumophila

A

macrolides (ex azithromycin)

52
Q

long term anticoagulation

A

warfarin, dabigatran, rivaroxaban, apixaban

53
Q

malaria

A

cholorquine, mefloquine, atovaqoune/proguanil (for blood schizont), primaquine (for liver hypnozoite)

54
Q

malignant hyperthermia

A

dantrolene

55
Q

medical abortion

A

mifepristone

56
Q

migraine

A

abortive therapies: sumatriptan, NSAIDs

prophylaxis: propranolo, topiramate, CCVs, amitripyline

57
Q

multiple sclerosis

A

disease modifying therapies: B interferon, natalizumab

acute flares: IV steroids

58
Q

mycobacterium tuberculosis

A

rifampin, isoniazid, pyrazinamide, ethambutol

59
Q

Neisseria gonorrhoeae

A

ceftriaxone (add doxycycline to cover likely concurrent C trachomatis)

60
Q

neural tube defect prevention

A

prenatal folic acid

61
Q

osteomalacia/rickets

A

vit D supplement

62
Q

osteoporosis

A

calcium/vitD supplement for prophylaxis

treatment: bisphosphonates, PTH analogs, SERMs, calcitonin, denosumab

63
Q

patent ductus arteriosus

A

close with indomethacin, open with PGE analogs

64
Q

pheochromocytoma

A

alpha antagonists (ex phenoxybenzamine)

65
Q

pneumocystitis jirovecii

A

TMP-SMX (prophylaxis if AIDS)

66
Q

prolactinoma

A

cabergoline/bromocriptine (dopamine agonists)

67
Q

prostate adenocarcinoma/uterine fibroids

A

leuprolide, GnRH (continuous)

68
Q

pseudomonas aeruginosa

A

antipseudomonal penicillins, aminoglycosides, carbapenems

69
Q

pulmonary arterial hypertension (idiopathetic)

A

sildenafil, bosentan, epoprostenol

70
Q

rickettsia rickettsii

A

doxycycline, chloramphenicol

71
Q

schizophrenia (negative sympts)

A

atypical antipyschotics

72
Q

schizophrenia (positive sympts)

A

typical and atypical antipsychotics

73
Q

SIADH

A

fluid restriction, IV hypertonic saline, conivaptan/tolvaptan, demeclocycline

74
Q

SIADH

A

fluid restriction, IV hypertonic saline, conivaptan/tolvaptan, demeclocycline

75
Q

sickle cell disease

A

hydroxyurea (increase fetal Hb)

76
Q

sprorothrix schenckii

A

itraconazole, oral potassium iodide

77
Q

stable angina

A

sublingual nitroglycerin

78
Q

staphylocccus aureus

A

MSSA: nafcillin, oxacillin, dicloxacillin
MRSA: vancomycin, daptmycin, linezolid, ceftaroline

79
Q

streptococcus bovis

A

penicillin prophylaxis, evaluation for colon cancer if endocarditis

80
Q

streptococcus pneumoniae

A

penicillin/cephalosporin (systemic)

vancomycin (meningitis)

81
Q

streptococcus pyogenes

A

penicillin prophylaxis

82
Q

temporal arteritis

A

high dose steroids

83
Q

tonic clonic seizures

A

levetiracetam, phenytoin, valproate, carbmazepine

84
Q

toxoplasma gondii

A

sulfadiazine and pyrimethamine

85
Q

treponema pallidum

A

penicillin

86
Q

trichomonas vaginalis

A

metronidazole (patient and partner)

87
Q

trigeminal neuralgia (tic douloureux)

A

carbamazepine

88
Q

ulcerative colitis

A

5 ASA preparations (mesalamine), 6 MP, infilximab, colectomy

89
Q

UTI prophylaxis

A

TMP SMX

90
Q

warfarin reversal

A 
fresh frozen plasma (acute)
vit K (chronic)

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