Classic/Relevant Treatments Flashcards

1
Q

absence seizures

A

ethosuximide

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2
Q

acute gout attack

A

NSAIDs, colchicine, GCs

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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 benzos

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7
Q

anorexia

A

nutrition, pychotherapy, 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 antiarrhythmic (lidocaine, mexiletine)

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10
Q

B12 deficiency

A

vB12 supplementation (work up cause w/ Schilling test)

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11
Q

benign prostatic hyperplasia

A

alpha1-antagonists, 5alpha-reductase inhibitors, PDE-5 inhibitors

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12
Q

bipolar disorder

A

mood stabilizers (eg, lithium, valproic acid, carbamazepine), atypical antipsychotics

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13
Q

breast cancer in postmenopausal woman

A

aromatase inhibitor (anastrazole)

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14
Q

Buerger dz

A

smoking cessation

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15
Q

bulimia nervosa

A

SSRIs, CBT

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16
Q

Candida albicans

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

A

doxycycline (+ ceftriaxone for gonorrhea coinfection), erythromycin eye drops (prophylaxis in infants)

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19
Q

chronic gout

A

xanthine oxidase inhibitors (eg, allopurinol, febuxostat)

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20
Q

chronic hepatitis B or C

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

Clostridium botulinum

A

antitoxin

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23
Q

Clostridium difficile

A

oral metronidazole; if refractory, oral vancomycin, fidaxamicin

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24
Q

Clostridium tetani

A

antitoxin

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25
Q

CMV

A

ganciclovir, foscarnet, cidofovir

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26
Q

Crohn dz

A

corticosteroids, infliximab, azathioprine

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27
Q

Cryptococcus neoformans

A

fluconazole (in AIDS pts)

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28
Q

cyclophosphamide-induced hemorrhagic cystitis

A

Mesna

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29
Q

depression

A

SSRIs (first-line)

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30
Q

diabetes insipidus

A

desmopressin (central); HCTZ, indomethacin, amiloride (nephrogenic)

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31
Q

diabetes mellitus type 1

A

dietary intervention (low carb) + insulin replacement

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32
Q

diabetes mellitus type 2

A

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

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33
Q

DKA

A

fluids, insulin, vK

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34
Q

Enterococci

A

vancomycin, aminopenicillins/cephalosporins

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35
Q

erectile dysfunction

A

sildenafil, tadalafil, vardenafil

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36
Q

ER + breast cancer

A

tamoxifen

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37
Q

ethylene glycol/methanol intoxication

A

fomepizole (alcohol dehydrogenase inhibitor)

38
Q

Haemophilus influenzae (B)

A

rifampin (prophylaxis)

39
Q

generalized anxiety disorder

A

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

40
Q

granulomatosis w/ polyangiitis (Wegener)

A

cyclophosphamide, corticosteroids

41
Q

heparin reversal

A

protamine sulfate

42
Q

HER2/neu + breast cancer

A

trastuzumab

43
Q

hyperaldosteronism

A

spironolactone

44
Q

hypercholesterolemia

A

statin (first-line)

45
Q

hypertriglyceridemia

A

fibrate

46
Q

immediate anticoagulation

A

heparin

47
Q

infertility

A

leuprolide, GnRH (pulsatile), clomiphene

48
Q

influenza

A

oseltamavir, zanamavir

49
Q

Kawasaki dz

A

IVIG, high-dose ASA

50
Q

Legionella pneumophila

A

macrolides (eg, azithromycin)

51
Q

long-term anticoagulation

A

warfarin, dabigatran, rivaroxaban and apixaban

52
Q

malaria

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

A

abortive therapies (eg, sumatriptan, NSAIDs); prophylaxis (eg, propranolol, topiramate, CCBs, amitriptyline)

56
Q

multiple sclerosis

A

disease-modifying therapies (eg, beta-interferon, natalizumab); for acute flares, use IV steroids

57
Q

Mycobacterium tuberculosis

A

RIPE (rifampin, INH, pyrazinamide, ethambutol)

58
Q

Neisseria gonorrhoeae

A

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

59
Q

Neisseria meningitidis

A

PCN/ceftriaxone, rifampin (prophylaxis)

60
Q

neural tube defect prevention

A

prenatal folic acid

61
Q

osteomalacia/rickets

A

vD supplementation

62
Q

osteoporosis

A

calcium/vD supplementation (prophylaxis); bisphosphonates, PTH analogs, SERMs, calcitonin, denosumab (tx)

63
Q

patent ductus arteriosus

A

close w/ indomethacin; open or maintain w/ PGE analogs

64
Q

pheochromocytoma

A

alpha-antagonists (eg, phenoxybenzamine)

65
Q

Pneumocystis jirovecii

A

TMP/SMX (prophylaxis in AIDS pt)

66
Q

prolactinoma

A

cabergoline/bromocriptine (dopamine agonists)

67
Q

prostate adenocarcinoma/uterine fibroids

A

leuprolide, GnRH (continuous)

68
Q

prostate adenocarcinoma

A

flutamide

69
Q

Pseudomonas aeruginosa

A

antipseudomonal PCNs, aminoglycosides, carbapenems

70
Q

pulmonary arterial HTN (idiopathic)

A

sildenafil, bosentan, epoprostenol

71
Q

Rickettsia rickettsii

A

doxycycline, chloramphenicol

72
Q

schizophrenia (negative sx)

A

atypical antipsychotics

73
Q

schizophrenia (positive sx)

A

typical and atypical antipsychotics

74
Q

SIADH

A

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

75
Q

sickle cell dz

A

hydroxyurea (increased fetal hemoglobin)

76
Q

Sporothrix schenckii

A

itraconazole, oral potassium iodide

77
Q

stable angina

A

sublingual NTG

78
Q

Staphylococcus aureus

A

MSSA: nafcillin, oxacillin, dicloxacillin (antistaphylococcal PCNs)
MRSA: vancomycin, daptomycin, linezolid, ceftaroline

79
Q

Streptococcus bovis

A

PCN prophylaxis; evaluation for colon cancer if linked to endocarditis

80
Q

Streptococcus pneumoniae

A

PCN/cephalosporin (systemic infection, pneumonia), vancomycin (meningitis)

81
Q

Streptococcus pyogenes

A

PCN prophylaxis

82
Q

temporal arteritis

A

high-dose steroids

83
Q

tonic-clonic seizures

A

levetiracetam, phenytoin, valproate, carbamazepine

84
Q

Toxoplasma gondii

A

sulfadiazine + pyrimethamine

85
Q

Treponema pallidum

A

PCN

86
Q

Trichomonas vaginalis

A

metronidazole (pt and partner)

87
Q

trigeminal neuralgia (tic douloreux)

A

carbamazepine

88
Q

ulcerative colitis

A

5-ASA preparations (eg, mesalamine), 6-MP, infliximab, colectomy

89
Q

UTI prophylaxis

A

TMP/SMX

90
Q

warfarin reversal

A

FFP (acute), vK (chronic)