Classic Treatments-1st aid

Question 1

Absence seizures

Answer 1

ethosuximide

Question 2

Acute gout attack

Answer 2

NSAIDS, colchicine (allopurinol prevents)

Question 3

Acute promyelocytic leukemia (M3)

Answer 3

All-trans retinoic acid

Question 4

ADHD

Answer 4

methylphenidate, amphetamines

Question 5

alcohol abuse

Answer 5

disulfram, AA

Question 6

Alcohol withrdrawal

Answer 6

Benzodiazepine

Question 7

anorexia

Answer 7

SSRI’s

Question 8

Anticoagulation during pregnancy

Answer 8

Heparin

Question 9

arrythmia in damaged cardiac tissue

Answer 9

class IB antiarrythmics (lidocaine)

Question 10

Benign prostatic hyperplasia

Answer 10

tamulosin, finasteride

Question 11

Bipolar disorder

Answer 11

Lithium, valproate, carbamazepine, lamotrigine (mood stabilizers)

Question 12

Breast cancer in postmenopausal

Answer 12

aromatase inhibitor

Question 13

Beuger’s disease

Answer 13

smoking cessation

Question 14

Bulimia

Answer 14

SSRI’s

Question 15

Candida albicans

Answer 15

Amphotercin B (systemic) and Nystatin (local)

Question 16

Carcinoid tumor

Answer 16

Octreotide

Question 17

Chlamydia trachomatis

Answer 17

Doxycycline +(ceftriaxone in gonorrhea, usually tx both)

Question 18

Chronic gout

Answer 18

Allopuinol for overproducing and Probenacid for underexcreting

Question 19

Chronic hepatitis

Answer 19

IFN alpha

Question 20

CML

Answer 20

imatinib

Question 21

Clostridium botulinium

Answer 21

Antitoxin

Question 22

C. difficile

Answer 22

metronidazole, if refractory, oral vanco

Question 23

Clostridium tetani

Answer 23

Antitoxin+vaccine booster+diazepam

Question 24

Crohn’s disease

Answer 24

Corticosteroids, infliximab

Question 25

Cryptococcus neoformans

Answer 25

Fluconazole (also used in prophylaxis in AIDS)

Question 26

Cyclophosphamide induced hemorrhagic cystitis

Answer 26

Mesna

Question 27

Cystic fibrosis

Answer 27

N-acetylcysteine+antipseudomonal prophylaxis (tobramycin/azithromycin)

Question 28

CMV

Answer 28

Ganciclovir

Question 29

Depression 1st line

Answer 29

SSRI

Question 30

Diabetes insipidus

Answer 30

Nephrogenic: HCTZ, indomethacin, amiloride Central: desmopressin

Question 31

DM type 1

Answer 31

Dietary intervention + insulin

Question 32

DM type 2

Answer 32

Dietary/exercise intervention, oral agents, insulin if needed

Question 33

DKA

Answer 33

fluids, insulin, K+

Question 34

enterococci

Answer 34

vancomycin/ampicillin + aminoglycoside

Question 35

erectile dysfunction

Answer 35

Sildenafil, vardenafil

Question 36

ER+ breast cancer

Answer 36

tamoxifen

Question 37

Ethylene glycol intoxication

Answer 37

Fomepizole (alcohol dehydrogenase inhibitor)

Question 38

H. influenzae type B

Answer 38

Rifampin

Question 39

Generalized anxiery disorder

Answer 39

Busprione

Question 40

Heparin toxicity

Answer 40

protamine sulfate

Question 41

HER2/neu+ breast cancer

Answer 41

Trastuzumab

Question 42

Hyperaldosterone

Answer 42

Spironolactome/epelerone

Question 43

1st line hypercholesterolemia

Answer 43

statin

Question 44

hypertriglyceridemia

Answer 44

Fibrates

Question 45

immediate anticoagulation

Answer 45

heparin

Question 46

infertility

Answer 46

leuprolide (GnRH pulsatile)

Question 47

Influenza

Answer 47

Oseltamivir, rimantidine

Question 48

Legionella pneumophilia

Answer 48

Erythromycin

Question 49

long term anticoagulation

Answer 49

warfarin

Question 50

Malaria

Answer 50

Chloroquine/mefloquine: falciparum | Primaquine: vivax, ovale

Question 51

Malant hyperthermia

Answer 51

dantrolene

Question 52

Medical abortion

Answer 52

Mifepristone

Question 53

Migraine 1st line

Answer 53

sumatriptan

Question 54

MRSA

Answer 54

vancomycin

Question 55

Multiple sclerosis

Answer 55

Beta interferon, immunosuppression, natalizumab

Question 56

Mycobacterium tuberculosis

Answer 56

Rifampin, isoniazid, pyrazinamide, ethambutol

Question 57

Neisseria gonorrhea

Answer 57

Ceftriaxone (add doxycycline to cover Chlamydia)

Question 58

Neisseria meningitidis

Answer 58

Penicillin/ceftriaxone, rifampin for prophylaxis

Question 59

Osteomalacia/rickets

Answer 59

Vitamin D

Question 60

Osteoporosis

Answer 60

Bisphosphonates, calcium, vitamin D supplements

Question 61

Close a PDA

Answer 61

indomethacin

Question 62

Pheochromocytoma

Answer 62

phenoxybenzamine (alpha antagonists)

Question 63

Pneumocystis jirovechi

Answer 63

TMP-SMX (in prophylaxis too)

Question 64

Prolactinoma

Answer 64

Bromocriptine (dopamine antagonists)

Question 65

uterine fibroids

Answer 65

Leuprolide, GnRH

Question 66

prostate carcinoma

Answer 66

Flutamide

Question 67

Pulmonary artery hypertension

Answer 67

Sildenafil, bosentan, epoprostenol

Question 68

Rickettsia rickettsii

Answer 68

Doxycycline, chloramphenicol

Question 69

Ringworm

Answer 69

Terbinafine, griseofulvin, imidazole

Question 70

Schizophrenia negative symptoms

Answer 70

5-HT2A antagonists

Question 71

Schizophrenia positive symptoms

Answer 71

D2 receptor antagonists

Question 72

SIADH

Answer 72

demeclocycline, lithium, vasopressin receptor antagonists

Question 73

sickle cell anemia

Answer 73

hydroxyurea (increases fetal hemoglobin)

Question 74

Stable angina

Answer 74

sublingual nitroglycerin

Question 75

Staph A

Answer 75

MSSA: naficillin, oaxacillin MRSA: vancomycin

Question 76

Strep bovis

Answer 76

Penicillin prophylaxis and evaluate for colon cancer association

Question 77

Strep pneumo

Answer 77

Penicillin/cephalosporin, if meningitis-vanco

Question 78

Strep pyogenes

Answer 78

penicillins

Question 79

Temporal arteritis

Answer 79

high dose steroids

Question 80

tonic-clonic seizures

Answer 80

Phenytoin, valproic acid, carbamazepine

Question 81

Toxoplasma gondii

Answer 81

Sulfadizine and pyrimethamine

Question 82

Treponema palladium (syphillis)

Answer 82

penicillin

Question 83

Trichomonas vaginalis

Answer 83

metronidazole

Question 84

Ulcerative colitis

Answer 84

5-ASA, infliximab,

Question 85

warfarin toxicity

Answer 85

Fresh frozen plasma and vitamin K

Question 86

Wegener's granulomatosis with polyangitis

Answer 86

cyclophosphamide, corticosteroids