Clinically relevant treatments

Question 1

Absence seizures

Answer 1

Ethosuxamide

Question 2

Acute Gout

Answer 2

NSAIDS, colchicine, glucocorticoids

Question 3

Acute Promyelocytic Leukemia

Answer 3

ATRA

Question 4

ADHD

Answer 4

Methyphenidate, amphetimines, CBT, atomosetine, guanfacine, clonidine

Question 5

Alcoholism

Answer 5

Disulfuram, acamprosate, naltrexone, supportive care

Question 6

Alcohol withdrawal

Answer 6

Long acting benzodiazepenes (chlordiazapoxide)

Question 7

Anorexia

Answer 7

Nutrition, psychotherapy, mirtazepine

Question 8

Arrythmia in damaged cardiac tissue

Answer 8

Class 1B antiarrhythmetic (Lidocaine, mexilitine)

Question 9

BPH

Answer 9

A1-antagonist, 5a reductase inhibitors, PDE5 inhibitors

Question 10

Bipolar disorder

Answer 10

Mood stabilizers, atypical antipsychotics

Question 11

Breast cancer in postmenopausal women

Answer 11

Aromatase inhibitor (anastrozole)

Question 12

Buerger disease

Answer 12

Smoking cessation

Question 13

Bulimia Nervosa

Answer 13

SSRI

Question 14

Candida albicans

Answer 14

Topical azoles, nystatin, fluconazole, caspofungin, amphotericin B

Question 15

Carcinoid syndrome

Answer 15

Octreotide (somatostatin analog)

Question 16

Chlamydia trachomatis

Answer 16

Doxy or erythromycin

Question 17

Chronic gout

Answer 17

Xanthine oxidase inhibitors

Question 18

Chronic Hep B and C

Answer 18

IFN-a, ribavirin, simeprevir, sofosbuvir

Question 19

CML

Answer 19

Imatinib

Question 20

Clostridium botulinum

Answer 20

Antitoxin

Question 21

C Diff

Answer 21

Metronidazole, give Vanc orally if refractory

Question 22

Clostridium tetani

Answer 22

Antitoxin

Question 23

CMV

Answer 23

Ganciclovir, foscarnet, cidofovir (if it lacks initial viral kinase)

Question 24

Crohn disease

Answer 24

Corticosteroids, infliximab, azathioprine

Question 25

Cryptococcus neoformans

Answer 25

Fluconazole (in AIDs patients)

Question 26

Cyclophosphamide induced hemorrhagic cystitis

Answer 26

Mesna, fluids

Question 27

Depression

Answer 27

SSRIs first line, then TCAs then MAOIs or atypicals

Question 28

DI

Answer 28

Desmopressin or hydrochlorothiazide, indomethacin, amiloride, water restriction depending on etiology

Question 29

DM1

Answer 29

Low carb diet and insulin replacement

Question 30

DM2

Answer 30

Dietary intervention, weight loss, oral hypoglycemic, insulin if refractory

Question 31

DKA

Answer 31

Fluids, insulin, K+

Question 32

Anticoagulation in pregnancy

Answer 32

Heparin

Question 33

Enterococci

Answer 33

Vancomycin, aminopenicillins/cephalosporins

Question 34

Erectile dysfunction

Answer 34

Sildenafil, tadalafil, vardenafil

Question 35

ER + Breast cancer

Answer 35

Tamoxifen (agonist at uterine lining)

Question 36

Ethylene glycol/Methanol poisoning

Answer 36

Fomepazole

Question 37

HiB

Answer 37

Supportive care and Rifampin prophylaxis

Question 38

GAD

Answer 38

SSRI/SNRI

Question 39

Granulomatosis with polyangiitis

Answer 39

Cyclophosphamide, corticosteroids

Question 40

Heparin reversal

Answer 40

Protamine sulfate

Question 41

HER2/neu + breast cancer

Answer 41

Traztuzamab

Question 42

Hyperaldosteronism

Answer 42

Spirinolactone/eplerenone

Question 43

Hypercholesterolemia

Answer 43

Statin

Question 44

Hypertriglyceridemia

Answer 44

Fibrate

Question 45

Immediate anticoagulation

Answer 45

Heparin

Question 46

Infertility

Answer 46

Leuprolide, GnRH, clomiphene

Question 47

Influenza (first 72 hours)

Answer 47

Oseltamivir, zanamivir

Question 48

Kawasaki Disease

Answer 48

Aspirin, IVIG

Question 49

Legionella pneumophila

Answer 49

Macrolides (azithromycin)

Question 50

Long term anticoagulation

Answer 50

Warfarin, dabigatran, rivaroxaban, apixaban

Question 51

Malaria

Answer 51

Chloroquine, mefloquine, atovaquone/proguanil, primaquine

Question 52

Malignant hyperthermia

Answer 52

Dantrolene

Question 53

Medical abortion

Answer 53

Mifeprostone

Question 54

Migraines

Answer 54

Abortive therapies with triptans and NSAIDS, prophy with propanalol, topiramate, CCBs, amitryptyline

Question 55

MS

Answer 55

INF B, natalizumab, IV steroids for acute flares

Question 56

Mycobacterium Tuberculosis

Answer 56

RIPE therapy

Question 57

Neisseria gonorrhoeae

Answer 57

Ceftriaxone and add to cover Chlamydia

Question 58

Neural tube defect prevention

Answer 58

Prenatal folic acid

Question 59

Osteomalacia/rickets

Answer 59

Vitamin D

Question 60

Osteporosis

Answer 60

Calcium/Vitamin D, Bisphosphonates, PTH analogs, SERMS, calcitonin

Question 61

PDA

Answer 61

Close with indomethacin, maintain with PGE

Question 62

Pheochromocytoma

Answer 62

A1 blockers (phenoxybenzamine) prior to removal

Question 63

Pneumocystis jirovecii

Answer 63

TMP-SMX

Question 64

Prolactinoma

Answer 64

Cabergoline/bromocriptine

Question 65

Prostate adenocarcinoma

Answer 65

Flutamide

Question 66

Pseudomonas Aureiginosa

Answer 66

Antipseudomonal penicillins, aminoglycosides, carbapenems

Question 67

Pulmonary arterial hypertension

Answer 67

Sildenafil, bosentan, epoprostenol

Question 68

Ricketsia rickettsii

Answer 68

Doxycycline, chloramphenicol

Question 69

Schizophrenia (negative symptoms)

Answer 69

Atypical antipsychotics

Question 70

Schizophrenia (positive symptoms)

Answer 70

Typical and atypical antipsychotics

Question 71

SIADH

Answer 71

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

Question 72

Sickle cell disease

Answer 72

Hydroxyurea

Question 73

Sporothrix schenckii

Answer 73

Itraconazole, oral potassium iodide

Question 74

Stable angina

Answer 74

Sublingual nitroglycerin

Question 75

Staph Aureus

Answer 75

Naf for staph, vanc for MRSA (daptomycin, linezolid, ceftaroline)

Question 76

Strep bovis

Answer 76

Penicillin prophy and evaluate for colon cancer

Question 77

Strep pneumonia

Answer 77

Penicillin/cephalosporin, vanc for meningitis

Question 78

Strep pyogenes

Answer 78

Penicillin prophy

Question 79

Temporal arteritis

Answer 79

High dose steroids

Question 80

Tonic-clonic seizures

Answer 80

Valproic acid, phenytoin, levetiracetam, carbamazepine

Question 81

Toxoplasma gondii

Answer 81

Sulfadiazine + Pyrimethamine

Question 82

Treponema Pallidum

Answer 82

Penicillin G

Question 83

Trichomonas vaginalis

Answer 83

Metronidazole

Question 84

Trigeminal neuralgia

Answer 84

Carbamazepine

Question 85

Ulcerative colitis

Answer 85

5-ASA, 6MP, Infliximab, colectomy

Question 86

UTI prophy

Answer 86

TMP-SMX

Question 87

Warfarin reversal

Answer 87

FFP and Vitamin K