Classic/Relevant Treatments Flashcards

1
Q

Absence seizures

A

Ethosuximide

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2
Q

Acute gout attack (3)

A

NSAIDs, colchicine, glucocorticoids

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3
Q

Acute promyelotic leukemia (M3)

A

All-trans retinoic acid

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4
Q

ADHD (3)

A

Methylphenidate, CBT, atomoxetine

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5
Q

Alcoholism (3 meds and 1 bullshit)

A

Disulfiram, acamprosate, naltrexone, supportive care

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6
Q

Alcohol withdrawal (1/3)

A

Long-acting benzodiazepines (chlordiazepoxide, lorazepam, diazepam)

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7
Q

Anorexia (3)

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 (1/2)

A

ClassIB antiarrhythmic (lidocaine, mexiletine)

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10
Q

B12 deficiency (2)

A

Vitamin B12 supplementation - work up cause with Schilling test

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11
Q

Benign prostatic hyperplasia (3)

A

alpha1-antagonists (-osin), 5alpha-reductase inhibitors, PDE-5 inhibitors (sildenafil)

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12
Q

Bipolar Disorder (2/9)

A

Mood stabilizers (e.g. lithium, valproic acid, carbamazepine), atypical antipsychotics (olanzapine, clozapine, quetiapine, risperidone, aripiprazole, ziprasidone)

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13
Q

Breast cancer in postmenopausal women

A

Aromatase inhibitor (anastrozole)

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14
Q

Buerger disease

A

Smoking cessation

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15
Q

Bulimia nervosa (1/4)

A

SSRIs (Fluoxetine, paroxetine, sertraline, citalopram) Flashbacks Paralyze Senior Citizens

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16
Q

Candida albicans (3/7)

A

Topical azoles (vaginitis); nystatin, fluconazole, caspofungin (oral/esophageal); fluconazole, caspofungin, amphotericin B (systemic)

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17
Q

Carcinoid syndrome

A

Octreotide

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18
Q

Chlamydia trachomatis (2/3)

A

Doxycycline (+ ceftriaxone for gonorrhea coinfection)

Erythromycin eye drops (prophylaxis in infants)

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19
Q

Chronic gout (1/2)

A

Xanthine oxidase inhibitors (Allopurinol, febuxostat)

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20
Q

Chronic hepatitis B or C (2/4)

A

IFN-alpha (HBV and HCV), ribavirin, simeprevir, sofosbuvir (HCV)

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21
Q

Chronic myelogenous leukemia

A

Imatinib

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22
Q

C. botulinum

A

Antitoxin

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23
Q

C. difficle (2)

A

Oral metronidazole, if refractory oral vancomycin

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24
Q

C. tetani

A

Antitoxin

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25
Q

CMV (3)

A

Ganciclovir, foscarnet, cidofovir

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26
Q

Crohn disease (3)

A

Corticosteroids, infliximab, azothioprine

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27
Q

C. neoformans

A

Fluconazole (in AIDS patients)

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28
Q

Cyclophosphamide-induced hemorrhagic cystitis

A

Mesna

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29
Q

Depression (1/4)

A

SSRIs (first line)

Fluoxetine, paroxetine, sertraline, citalopram

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30
Q

Diabetes insipidus (2/4)

A

Desmopressin (central)

Hydrochlorothiazide, indomethacin, amiloride (nephrogenic)

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31
Q

T1DM (2)

A

Dietary intervention (low carb) + insulin

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32
Q

T2DM (3)

A

Dietary intervention, oral hypoglycemis, and insulin (if refractory)

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33
Q

Diabetic ketoacidosis (3)

A

Fluids, insulin, K+

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34
Q

Enterococci (3)

A

Vancomycin, aminopenicillins/cephalosporins

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35
Q

Erectile dysfunction (3)

A

Sildenafil, tadalafil, vardenafil

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36
Q

ER Pos Breast Cancer

A

Tamoxifen

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37
Q

Ethylene glycol/methanol intoxication

A

Fomepizole (alcohol dehydrogenase inhibitor)

38
Q

H. influenzae (B)

A

Rifampin (prophylaxis)

39
Q

Generalized anxiety disorder (2/3/7)

A

SSRIs (fluoxetine, paroxetine, sertraline, citalopram), SNRIs (venlafaxine, duloxetine) are first line
Buspirone (second line)

40
Q

Granulomatosis with polyangiitis (Wegener) (2)

A

Cyclophosphamide, corticosteroids

41
Q

Heparin reversal

A

Protamine sulfate

42
Q

HER2/neu Pos Breast Cancer

A

Trastuzumab

43
Q

Hyperaldosteronism

A

Spironolactone

44
Q

Hypercholesterolemia

A

Statin (first line) No shit fuckin wasting my time making a goddamn “Statins treat high cholesterol!” flashcard

45
Q

Hypertriglyceridemia

A

Fibrate

46
Q

Immediate anticoagulation

A

Heparin

47
Q

Infertility (3)

A

Leuprolide, GnRH (pulsatile), clomiphene

48
Q

Influenza (2)

A

Oseltamivir, zanamivir

49
Q

Kawasaki disease (2)

A

IVIG, high dose aspirin

50
Q

Legionella pneumophila

A

Macrolides (e.g. azithromycin)

51
Q

Long-term anticoagulation (4)

A

Warfarin, dabigatran, rivaroxaban, and apixaban

52
Q

Malaria (2/5)

A

Chloroquine, mefloquine, atovaquone/proguanil (for blood schizont)
Primaquine (for liver hypnozoite)

53
Q

Malignant hyperthermia

A

Dantrolene

54
Q

Medical abortion

A

Mifepristone

55
Q

Migraine (2/6)

A
Abortive therapies (e.g. sumatriptan, NSAIDs)
Prophylaxis (propanolol, topiramite, CCBs, amitriptyline)
56
Q

Multiple sclerosis (2/3)

A

Disease-modifying therapies (e.g. Beta-interferon, natalizumab
Acute flares: IV steroids

57
Q

Mycobacterium tuberculosis (4)

A

RIPE - Rifampin, isoniazid, pyrazinamide, ethambutol

58
Q

N. gonorrhoeae (2)

A

Ceftriaxone (add doxycycline to cover likely concurrent C. trachomatis)

59
Q

N. meningitidis (3)

A

Penicillin/ceftriaxone, rifampin (prophylaxis)

60
Q

Neural tube defect prevention

A

Prenatal folic acid

61
Q

Osteomalacia/rickets

A

Vitamin D supplementation

62
Q

Osteoporosis (8)

A

Calcium/Vit D supplementation (prophylaxis)

Bisphosphonates, PTH analogs, SERMS (Tamoxifen and Raloxifene), calcitonin, denosumab (treatment)

63
Q

Patent ductus arteriosus (2)

A

Close with indomethacin, open or maintain with PGE analogs

64
Q

Pheochromocytoma

A

alpha antagonists (e.g. phenoxybenzamine)

65
Q

Pneumocystis jirovecii

A

TMP-SMX (prophylaxis in AIDS patients)

66
Q

Prolactinoma (2)

A

Cabergoline/bromocriptine (DA agonists)

67
Q

Prostate adenocarcinoma/uterine fibroids (2)

A

Leuprolide, GnRH (continuous)

68
Q

Prostate adenocarcinoma

A

Flutamide

69
Q

Pseudomonas aeruginosa (3)

A

Antipseudomonal penicillins, aminoglycosides, carbapenems

70
Q

Pulmonary arterial hypertension (idiopathic) (3)

A

Sildenafil, bosentan, epoprostenol

71
Q

Rickettsia rickettsii (2)

A

Doxycycline, chloramphenicol

72
Q

Schizophrenia (negative symptoms)

A

Atypical antipsychotics (olanzapine, clozapine, quetiapine, risperidone, aripiprazole, ziprasidone)

73
Q

Schizophrenia (positive symptoms)

A
Typical antipsychotics (haloperidol, trifluoperazine, fluphenazine, thioridazine, chlorpromazine)
Atypical antipsychotics (olanzapine, clozapine, quetiapine, risperidone, aripiprazole, ziprasidone)
74
Q

SIADH (5)

A

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

75
Q

Sickle cell disease

A

Hydroxyurea (increases fetal hemoglobin)

76
Q

Sporothrix schenckii (2)

A

Itraconazole, oral potassium iodide

77
Q

Stable angina

A

Sublingual nitroglycerin

78
Q

Staphylococcus aureus (2/7)

A

MSSA: Nafcillin, oxacillin, dicloxacillin (antistaph penicillins)
MRSA: Vancomycin, daptomycin, linezolid, ceftaroline

79
Q

Streptococcus bovis (2)

A

Penicillin prophylaxis

Evaluation for colon cancer if linked to endocarditis

80
Q

Strep pneumoniae (2/3)

A

Systemic infection/pneumonia: penicillin, cephalosporin

Meningitis (vancomycin)

81
Q

S. pyogenes

A

Penicillin prophylaxis

82
Q

Temporal arteritis

A

High dose steroids

83
Q

Tonic-clonic seizures (4)

A

Levetiracetam, phenytoin, valproate, carbamazepine

84
Q

Toxoplasma gondii (2)

A

Sulfadiazine + 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 (4)

A

5-ASA preparations (e.g. mesalamine), 6-mercaptopurine, infliximab, colectomy

89
Q

UTI prophylaxis

A

TMP-SMX

90
Q

Warfarin reversal (2)

A

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