DOC Pharma Flashcards

1
Q

Familial hyperK+ periodic paralysis

A

Dichlorphenamide

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2
Q

Raised ICP with headache

A

Acetazolamide

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3
Q

Pulmonary edema

A

Furosemide

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4
Q

HTN + Osteoporosis

A

Chlorthalidone (Thiazides)

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5
Q

Cerebral edema
ACG
⬆️ICT

A

Mannitol
⤵️
C/I - pulmonary edema and active cerebral hemorrhage

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6
Q

Resistant HTN/edema

Cirrhosis edema

A

Spironolactone

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7
Q

Li induced DI

Liddle syndrome

A

Amiloride (ENaC#)

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8
Q

Acute variceal bleed

A

Octreotide

Px - Propranolol

TOC - Endoscopic band ligation

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9
Q

Central DI

Nocturnal eneuresis

A

Desmopressin

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10
Q

SIADH

A

Tolvaptan

TOC- free water restriction

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11
Q

ACG

A

Pilocarpine

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12
Q

Xerostomia

A

Cevimeline

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13
Q

OP Poisoning

A

Atropine

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14
Q

Atropine poisoning

A

Physostigmine

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15
Q

Myasthenia Gravis
Kawasaki
Gillian Barre (GBS)

A

IVIG

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16
Q

Narcoanalysis

A

Thiopentone

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17
Q

COPD bronchodilation

A

Tiotropium fam

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18
Q

Motion sickness

A

Scopolamine patch

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19
Q

Urge incontinence

Over active bladder or detrusor instability

A

Darifenacin

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20
Q

HuntingTon’s chorea

A

Tetrabenazine

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21
Q

TardiVe dyskinesia

A

Velabenazine

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22
Q

Vasodilatory shock

A

Norepinephrine

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23
Q

Cardiac arrest

A

Epinephrine

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24
Q

Anaphylactic shock

A

Epinephrine

Multiple IM f/b IV

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25
Q

Brittle asthma

A

Epinephrine

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26
Q

CHF + oliguria

A

Dopamine

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27
Q

Cardiogenic shock or CHF

A

Dobutamine

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28
Q

Postural hypotension

A

Midodrine

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29
Q

Withdrawal hypotension (due to clonidine)

A

IV Phentolamine

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30
Q

HDP pregnant

A

Oral labetalol

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31
Q

Cheese reaction

A

IV Phentolamine

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32
Q

ADHD

A

Methylphenidate

Abuse/Tics - atomoxetine

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33
Q

Hypotension

  1. Pregnancy
  2. Anaesthetic agent
A

Ephedrine

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34
Q

Narcolepsy
Sleepiness + OHSAS
Shift workers

A

Modafenil

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35
Q

Intraop HTN in pheochrocytoma

A

IV Phentolamine

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36
Q

ED

A

Sildenafil

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37
Q

Preop HTN in pheochromocytoma

A

Phenoxybenzamine f/b Beta blockers

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38
Q

HTN + BPH

A

Tera/Doxazocine

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39
Q

BPH

A

Tamsulosin

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40
Q

Scorpion bite

A

Prazosin

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41
Q

Px
Migraine
Acute variceal bleed

A

Propranolol

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42
Q

HOCM

A

Propranolol

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43
Q

Aortic dissection

A

Labetalol

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44
Q

OAG

NTG

A

PG analogs

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45
Q

HTN urgency

A

Clonidine

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46
Q

Tics with mild/mod Tourette

A

Clonidine

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47
Q

Tics with severe Tourette

A

Haloperidol

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48
Q

Acute attack of SVT/PSVT

A

IV Adenosine

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49
Q

Acute attack of AF/A flutter

A

IV Ibutelide

TOC- Cardioversion

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50
Q

Long term rhythm control in AF

A

Amiodarone

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51
Q

WPW + A Fib

A

IV Procainamide

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52
Q

WPW

A

Oral Flecainide

TOC- RFA

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53
Q

MI/Digoxin induced VT/VF

A

Lidocaine

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54
Q

Idiopathic VT

A

BB

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55
Q

VPC

A

BB

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56
Q

Cong long QT

A

BB

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57
Q

Rate control AF

Acute
Chronic

A

Acute IV Esmolol

Chronic Metoprolol

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58
Q

Catecholamine arrythmias

A

BB

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59
Q

Acute attack SVT/PSVT resistant to IV Adenosine

A

BB

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60
Q

VT/VF

A

Amiodarone

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61
Q

Rhythm control AF

A

Amiodarone

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62
Q

Amiodarone induced pulmonary fibrosis

A

Prednisolone

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63
Q

Acute attack of Torsades

A

MgSO4

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64
Q

Long term management of Cong along QT

A

Pacing +ICD
F/b
BB

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65
Q

Long term management of SVT/PSVT + chronic CHF

A

Digoxin

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66
Q

RHF

A

Milrinone/Enoximone

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67
Q

Sustained VT

V Fib due to digoxin toxicity

A

Lidocaine
Digiband
MgSO4

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68
Q

HTN Emergency

A

IV Nicardipine

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69
Q

Raynauds

A

CCB

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70
Q

HTN Emergency in pregnancy

A

IV Labetalol

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71
Q

Androgen alopecia

A

Finasteride

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72
Q

Insulinoma

A

Diazoxide

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73
Q

Acute attack or Px angina

A

SC Nitroglycerin

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74
Q

HTN + DM/CKD//NS/Scleroderma

A

ACEI

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75
Q

Old HTN

A

CCB

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76
Q

Young HTN (<55y)

A

ACEI/ARBS

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77
Q

TSS

A

Clindamycin

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78
Q

Heparin induced thrombocytopenia

A

Parenteral direct thrombin #

Lepirudin, Bevalirudin, argatroban

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79
Q

Pulmonary embolism

A

Anticoagulants

Heparin f/b Warfarin

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80
Q

Fe poisoning

A

Desferrioxamine (IM)

(BAL - C/I) 😱

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81
Q

Heavy menstrual bleed

A

Tranexamic acid

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82
Q

CLL

A

Fludarabine

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83
Q

MRSA

A

Vancomycin

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84
Q

CINV

A

Ondansetron (5HT3#)

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85
Q

ChorioCA

A

MTX

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86
Q

Hairy cell leukaemia

A

Cladarabine

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87
Q

Pancreatic CA

A

Gemcitabine

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88
Q

CML

A

Imatinib

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89
Q

HCC

A

Sorefenib (Sorry)

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90
Q

Nocturnal eneuresis

A

TOC - CBT

DOC - Desmopressin

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91
Q

Mesothelioma

A

Pemetrexed

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92
Q

GIST

A

Imatinib

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93
Q

Carcinoid

A

Octreotide

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94
Q

Lymes

A

Doxycycline

Pregnancy and children = Amoxicillin

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95
Q

Mastitis

A

Dicloxacillin (Erythromycin if allergic)

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96
Q

Shigella

A

Ciprofloxacin

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97
Q

VRE

A

Linezolid

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98
Q

Restless leg syndrome or Ekboms syndrome

A

Ropinirole

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99
Q

VRSA

VRSA pneumonia

A

Daptomycin (inactivated by surfactant)

Vrsa pneumonia - Linezolid

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100
Q

Brucellosis

A

Rifampicin + Doxycycline

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101
Q

Opioid withdrawal

A

Clonidine

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102
Q

PCOS + Ovarian induction

A

Letrozole

More success than Clomiphene

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103
Q

Cyanide toxicity

A

Hydroxocobalamin + Sodium thiosulfate

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104
Q

Precocious puberty

A

GnRH agonist

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105
Q

Scabies

A

Permethrin 5%

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106
Q

Inverse glaucoma

A

Atropine

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107
Q

Schizo on meds + Catatonia

A

BZD

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108
Q

Absence seizure (3spike on wave)

A

Ethosuximide

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109
Q

Nodulocystic acne

A

Isotretinoin

Not acetretinoin

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110
Q

Hep B + decompensated cirrhosis

A

Tenofovir

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111
Q

CAH

A

Hydrocortisone

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112
Q

Scrub typhus

  1. Pregnancy
  2. Others
A
  1. Pregnancy: Azithromycin

2. Others: Doxycycline

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113
Q

Delayed vomiting after chemoRx

Acute vomiting

A

Delayed: NK1 Substance P- Aprepitant

Acute: 5HT3# Emset

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114
Q

Actinomycosis

A

Penicillin G

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115
Q

Anaphylactic shock

A

0.5 mg 1:1000 Epi IM

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116
Q

ADHD

A

Methylphenidate

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117
Q

Lymes

Bulls eye skin lesion

A

Doxycycline 100 BD

Pregnant: Amoxicillin

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118
Q

Ethylene glycol

HAGMA + dumbbell urine crystals

A

Fomepizole

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119
Q

Px and Rx PCP pneumonia

A

Cotrimoxazole

120
Q

Gono + Non Gono urethritis

A

Cefixime + Azithromycin

121
Q

OCD

A

SSRI - fluoxetine

122
Q

Px migraine

A

Flunarazine

Propranolol 
Amitryptaline 
Valproate, Topiramate 
Methysergide
Candesartan
123
Q

Hyper PTH + Hyper PO4

A

Sevelamer (no Ca)

PO4 binders
Lanthanum (no Ca)
CaCO3
Ca acetate

124
Q

Alcohol withdrawal

A

BZD

125
Q

Anaesthesia induction + in Shock patients

A

Ketamine

126
Q

Post op DVT Px

A

Heparin&raquo_space;» early ambulation

127
Q

Loa loa

A

DEC

128
Q

Uranium antidote

A

Bicarbonate

129
Q

Lung abscess

A

Clindamycin

130
Q

Graves

A

Methimazole

131
Q

PPH Rx and Px

A

Oxytocin

Best drug = Carboprost

132
Q

Cholera Px

A

Oxytetracycline

133
Q

Leptospirosis

A

Doxycycline

134
Q

Cholera
Rx
Px

A

Rx
Adults Doxy
Preg and children Azithro

Px
Tetracycline

135
Q

Acute muscle dystonia secondary to antipsychotics

A

Benztropine

136
Q
Systemic fungal (except invasive aspergillosis) 
Mucormycosis
A

AMB

137
Q

Kala Azar

A

AMB

138
Q

Cryptococcal meningitis

A

IV AMB + IV Flucytosine

139
Q

Muco cutaneous Candida albicans (only)

Coccidiosis meningitis

A

Fluconazole

140
Q

Endemic mycosis

Sporotrichosis

A

Itraconazole

Old- Keto (Cushings only now)

141
Q

ABPA

A

Prednizolone

142
Q

Invasive aspergillosis
Seedosporum
Trichosporon

A

Voriconazole

143
Q

Px of invasive aspergillosis

A

Posaconazole

Also used in resistant aspergillosis, mucor

144
Q

Kerion

A

Griseofulvin

145
Q

Fungal corneal ulcer

A

Natamycin

146
Q

NEMATODES

Soil:
Hook worm
Whip worm
Round worm

Enterobius
Trichinella

A

Albendazole

147
Q

CESTODES

NCC
Echinococcus

A

Albendazole

148
Q

Strongyloides

O. Volvulus

A

Ivermectin

149
Q

Loa loa

Filariasis

A

DEC

150
Q

Intestinal T. Solium
T. Saginata
H. Nana
D. Latum

A

Praziquantel

151
Q

F. Hepatica

A

Trichlabendazole

152
Q

Other Fasciolas

Schistosomiasis

A

Praziquantel

153
Q

Microsporidiosis

A

Albendazole

154
Q

Oral DOC in scabies

A

Ivermectin morning

155
Q

Scabies TOC

A

5% permethrin

156
Q

Filaria TOC

A

IDA
Ivermectin
DEC
Albendazole

157
Q

Asymptomatic intestinal amoebiasis

A

Paramomycin oral

158
Q

Symptomatic intestinal or extra intestinal amebiasis

A

Metronidazole

159
Q

Visceral leishmaniasis

A

IV LAMB

Oral Miltefosine

160
Q

Cutaneous leishmaniasis

A

Sod. Stibugluconate

161
Q

Chagas

A

Benznidazole

162
Q

Cryptosporidiasis

Resistant giardiasis

A

Nitazoxanide

163
Q

Severe falciparum malaria

Even in pregnancy 🤰🏻

A

IV Artesunate continuous IV infusion 48 h

164
Q

Uncomplicated vivax/ovale

A

CQ 3days + Primaquine 14days

165
Q

Uncomplicated Malaria

Vivax/ovale CQ resistant and
Falciparum (inherently CQ resistant)

A

ACT

Vivax/ovale - primaquine 14days or tafenaquine once
Falciparum- primaquine once

166
Q

ACT all other states

A

ACT SP

Artesunate oral
Sulfadoxine
Pyrimethamine

167
Q

NE States ACT

A

ACT AL

Oral artemether
Lumefantrine

168
Q

Malaria Px <6wks

A

Doxy 100 mg OD

Start 2d before travel continue 4 wks after travel

169
Q

Malaria Px >6wks

A

Mefloquine 250mg/week

Started 1wk before journey to 4 wks after journey

170
Q

Preg with uncomplicated vivax/ovale

A

CQ

Post partum primaquine

171
Q

Pregnant

Resistant Vivax/ovale
Falciparum

A

Quinine + clindamycin

172
Q

Px pregnancy

A

Mefloquine

173
Q

Radical cure

Terminal Px

A

Primaquine

174
Q

Isospora
Cyclospora
Microsporum

A

Cotrimoxazole

175
Q

Babesiosis

A

Atovaquone + Azithromycin

176
Q

Toxoplasmosis (non pregnancy)

A

Pyrimethamine + Sulfadiazine

177
Q

Toxoplasmosis in pregnancy 🤰🏻

A

Spiramycin

178
Q

Typhoid
Cases
Carriers

A

Cases
Ceftriaxone, FQ

Carriers
Ampicillin/Amoxicillin + Probenecid x 6wks

179
Q

Chemo Px Cholera

A

Tetracycline

180
Q

Toxoplasmosis

A

Adults Pyrimethamine + Sulfadiazine
HIV Cotrimoxazole
Pregnant Spiramycin

181
Q

Cutaneous larva migrans

A

Ivermectin

Strongyloides

182
Q

Bilharziasis

A

Praziquantel

183
Q

Rx and Px of Type 2 DM

A

Metformin

184
Q
Secretory diarrhea 
Glucagonoma
VIPoma
Somatostatinoma
GRFoma
A

Octreotide

185
Q

Acute variceal bleeding

A

Octreotide

186
Q

Insulinoma

A

Diazoxide

187
Q

Acromegaly

A

Octreotide

188
Q

Hyperthyroidism
Pregnancy T1
Thyroid storm

A

PTU

TPO# and Peripheral conversion #

189
Q

Hyperthyroidism Overall

Pregnancy 🤰🏻 T2/3

A

Methimazole

Carbazole

190
Q

ER+ breast CA in PRE menopausal

A

Tamoxifen

200mg OD 5y

191
Q

ER+ breast CA POST menopausal

A

Raloxifen

60mg OD 5y

192
Q

Reidels thyroiditjs

A

Tamoxifen

193
Q

Tamoxifen resistant ER + breast CA

A

Fulvestrant

250 OAMS sc

194
Q

Hereditary angioedema

A

Danazol

⬇️ C1 esterase

195
Q

Androgenic alopecia

A

Finasteride

5alpha reductase type 2#

196
Q

ED

A

Sildenafil

PDE5#

197
Q

Osteoporosis

A

Bisphosphonates

198
Q

Paget’s disease bone

A

Bisphosphonates

199
Q

Psoriatic arthritis
Psoriasis + Arthritis
Only Arthritis

A

P+A: MTX

Only A: anti TNF

200
Q

Acute gout

A

NSAIDS

C/I uric acid lowering agents.

201
Q

Raynaud’s disease

A

CCB

202
Q

Long term Gout

A

Allopurinol

203
Q

RA

A

MTX (DMARD)

204
Q

Sarcoidosis

A

Prednisolone

205
Q

HyperCa of malignancy

A

Bisphosphonates

206
Q

Gold std for BPH

A

TURP

207
Q

DKA

A

Regular insulin

208
Q

Replacement Rx in
Adissons
Patient of CAH

A

Hydrocortisone

209
Q

Pregnant + CAH baby

A

Dexa

210
Q

Staph nasal carrier MRSA

A

Bacitracin

211
Q

MRSA
E faecium
E faecalis (ampicillin resistant ONLY)

A

IV Vancomycin

GlycoPEPTIDE - only PE.

212
Q

PMC

A

Oral Vancomycin

213
Q

Listeria meningitis
H influenza ➡️ otitis and pneumonia
E faecalis 💩

A

Ampicillin

214
Q

Px of RF

A

BPG OAMS

1mg = 1600 IU

215
Q

Primary Syphillis
Secondary
Early latent

A

BPG one dose of 2.4 mi

216
Q

Tertiary Syphillis
Cvs
Late latent

A

BPG 3 doses of 2.4 mi every week

217
Q

Neuro Syphillis

A

Continuous infusion of 18-24 mi Aqueous PG for 10-14 days

218
Q
Streptococcus 
Leptospirosis 
Gas gangrene 
Yaws 
Rat bite fever
A

Penicillin G

219
Q

ESBL (Class A)

A

Carbapenemase

ABCD
C➕M➕C➖C➖

220
Q

Mastitis

A

Cloxacillin

221
Q

MRSA

VRSA

A

MRSA - Vanco

VRSA - Dapto

222
Q

Linear IgA pemphigoid

Dermatitis herpetiformis

A

Dapsone

223
Q

ADHD + Tics

A

Atomoxetine

Methylphenidate worsens the tics (⬆️DA)

224
Q

Pseudo tumor cerebri

A

Acetazolamide

225
Q

Status migranosis

A

Steroids

226
Q

Cluster headache

A

Verapamil

227
Q

Absence seizure

A

Ethosuccimide

228
Q

Sx Px of Strep and staph

A

IV Cefazolin

1h to 24h

229
Q

Typhoid

A

IV - Ceftriaxone

Oral - Cefixime

230
Q

Gonorrhoea
E. coli, Klebsiella
Providentia
Typhoid

A

IV ceftriaxone

Longest 3rd gen. most preferred

231
Q

Toc Gonorrhoea

A

Ceftriaxone + Azithromycin/ Doxycycline

232
Q

All meningitis except listeria

A

Ceftriaxone

233
Q

Pseudomonas
Meliodosis
Febrile neutropenia

A

Ceftrazidime + AG

234
Q

ESBL
Serratia
Enterobacter
Acinetobacter

A

Carbapenem

235
Q

Herpes

A

Acyclovir

Ganciclovir

236
Q

Herpes resistant to acyclovir (DNA pol alpha and Thymid kinase)
Resistant CMV, HSV, VZV

A

Foscarnet

237
Q

HSV

VZV

A

Valacyclovir ( prodrug of acyclovir ORAL ✅)

238
Q

CMV

A

Valgancyclovir (prodrug of Ganciclovir ORAL ✅)

239
Q

Recurrent laryngeal papillomatosis

A

Cidofivir

240
Q

Influenza A,B and Bird flu 🦢

A

Oral oseltamivir

Rx and Px

241
Q

Oselta resistant Influenza A, B and bird flu 😷

A

Inhalation Zanamavir

242
Q

Hep B

A

Tenofovir

✅lami resistance

243
Q

Hep B ➕ D

A

INF alpha

244
Q

RAV
Px
Rx

A

Px - Palivizumab

Rx - inhalational Ribavirin

245
Q

Perinatal HIV

A

NVP syp 6wks
Except in HIV2/past ho NVP in mother
⬇️
Zido

12wks if mother <4wks or BF baby

246
Q

Resistant schizophrenia

A

Clozapine

247
Q

Acute mania

Severe mania

A

Haloperidol

248
Q

Alcohol withdrawal

A

Diazepam

249
Q

Delirium tremens

A

Chlordiazepozide (BZD)

250
Q

Rapid cycling

Cyclothymia

A

Valproate

251
Q

Akathesia

A

Propranolol

252
Q

Ekbom syndrome

A

Ropinirole

253
Q

Cheese reaction 🧀

A

Phentolamine

254
Q

Cocaine OD

A

Bromocriptine

Alpha + beta blocker

255
Q

Essential thrombocytosis

A

Hydroxyuria

256
Q
My Pink RBC 
Mycoplasma 
Px plague Pleurodesis
Ricketssia 
Brucella borrelia 
Chlamydia cholera 
LGV Lymes Syphillis Anthrax Malaria Filaria
A

Doxycycline

257
Q

Plague

Tularaemia

A

AG + Tetra

Genta and Doxy

258
Q

Gut strerilisation in hep encephalopathy

A

Oral rifaximin

259
Q

Pertussis

Diphtheria

A

Erythromycin

260
Q

Community pneumonia (atypical - mycoplasma chlamydia legionella)
Chancroid
Campylobacter

A

Azithromycin

261
Q

Cholera and chlamydia in pregnancy🤰🏻and children 👶🏻

A

Azithromycin

262
Q

TSS

A

Clindamycin

263
Q

Gas gangrene

A

Penicillin G

264
Q
Supra diaphragmatic 
PREVOTELLA 
Oral cavity 🦷 
Lung 
Pleural cavity
A

Clindamycin

265
Q

Infra diaphragmatic
BACTEROIDES
Abdomen
Pelvis - PID, septic abortion

A

Metronidazole

266
Q

MRSA nasal carriers

A

Mupirocin ointment

267
Q
Anthrax 
Typhoid carrier 
Travellers diarrhoea 
Meningococcal meningitis - mass chemo Px and contacts 
Pyelonephritis
A

Ciprofloxacin

268
Q

Partial seizure

A

CBZ

269
Q

General seizure

A

CCB
⬇️
Valproate

Upto 2y of seizure free. Except lifelong in Janz and post infarct

270
Q

GTCS
Myoclonic
Absence
LGS

A

Valproate

271
Q

Rapid cycler

A

Valproate

272
Q

Rheumatic chorea

A

Valproate

273
Q

Absence seizure <2y

A

Ethosuximide

274
Q

Janz planning pregnancy and drug free trial had seizure

A

Levetracetam

275
Q

Trigeminal neuralgia

A

CBZ

276
Q

Infantile spasm syndrome ➕ tuberous sclerosis

A

Vigavatrin

277
Q

Infantile spasms

A

ACTH

Steroids

278
Q

Dravet syndrome

A

Valproate

279
Q

Febrile seizure

A

Rectal diazepam

280
Q

Alcohol withdrawal seizure

A

Lorazepam

281
Q

Status epilepticus

A

Lorazepam

282
Q

Neonatal seizures

Type 2 criggler najjar

A

Phenobarbital

283
Q

Zaleplon

A

Sleep INDUCTION

Jet lag

284
Q

EszopicLONe

A

Long acting for sleep maintenance

285
Q

Post op chills

A

Meperidine

286
Q

Opioid toxicity

A

IV Naloxone

287
Q

Type 1 wenkebach

A

IV Atropine

288
Q

Bradycardia in child

A

IV Epinephrine

289
Q

PSVT 1st step

PSVT BP is Normal

A

Vagal manoeuvre fb Adenosine 6mg

290
Q

SVT

BP is low

A

Cardiovert fb

Adenosine iv 6mg

291
Q

A fib with normal BP

A

IV Ibutilide

292
Q

Non shockable rhythm

A

1mg epinephrine IV

293
Q

VT normal BP

A

IV Procainamide

294
Q

Rescue analgesia

A

Fentanyl

295
Q

RSI

Full stomach

A

SCh

296
Q

Routine intubation in peds

A

Rocuronium

297
Q

M/s relaxant for neonate

A

Atracurium