Family med treatments

Question 1

4 treatments for SLE

Answer 1

NSAIDs

steroids

immunosuppressants

hydroxychloroquine

Question 2

Treatment for lyme disease (children and pregnant patients)

Answer 2

Doxycycline

children- amoxicillin or doxy (if used for <21 days)

pregnant- amoxicillin

Question 3

Only FDA approved tx for fibrocystic breast Disease

Answer 3

Danazol

Question 4

Tx for suppurative parotitis

Answer 4

Admission for IVF and IV antistaphylococcal abx

(Nafcillin + metronidazole or clinda

Ampicillin/sulbactam)

Question 5

treatment for salmonella gastroenteritis (for healthy patients and immunocompromised/severe)

Answer 5

• healthy patients- hydration
• Immunocompromised, severe illness (9-10stool/day, etc)-
  
  • Ciprofloxacin or levo
  • CI to fluoroquinolones- Cefixime or Bactrim

Question 6

What gastroenteritis is a common cause of osteomyelits in kids with sickle cell disease

Answer 6

salmonellosis

Question 7

outpatient tx for PID

Answer 7

Ceftriaxone IM

Doxy BID x14d

+/- metronidazole x14d

Question 8

inpatient tx for PID

Answer 8

Cefoxitin IV q6hrs + PO doxy BID

Question 9

tx for sialadenitis`

Answer 9

hydration

warm compresses

massage of the affected gland

sialogogues

+/- dicloxacillin qid

Question 10

Tx for acute uncomplicated cystitis

Answer 10

TMP-SMX

Nitrofurantoin

Fluoroquinolone x3-5d

Question 11

Tx for acute uncomplicated cystitis w/ comorbid conditions

Answer 11

TMP-SMX

nitrofurantoin

Fluoroquinolone x7d

Question 12

Tx for cystitis in pregnancy

Answer 12

Cephalosporines, nitrofurantoin (during 1st trimester- only when needed)

***asxs bacteruria- TREAT

Question 13

Tx for acute prostatitis

Answer 13

>35: Bactrim of fluoroquinolone (cipro)

<35 (sexually active)- Ceftriaxone, doxy

x4-6weeks

Question 14

3 Tx for polycythemia vera

Answer 14

hydroxyurea

phlebotomy

aspirin

Question 15

tx for symptomatic giardiasis

Answer 15

Metronidazole

(tinidazole also 1st line but $$$)

other options- nitazoxanide, albendazole/mebendazole

Question 16

Tx for latent TB

Answer 16

INH x9mo

Rifampin x4mo

INH/rifapentine x3mo

Question 17

Tx for N meningitides meningitis

Answer 17

rifampin

Question 19

Tx for alzheimer disease

Answer 19

1st line= cholinesterase inhibitors (e.g. donepezil)

NMDA antagonists (e.g. memantine) can be adjunt

Question 20

What are the 3 black box warnings for valproic acid

Answer 20

Teratogenic- NTDs

Hepatic failure

Pancreatitis

Question 21

tx for orbital cellulitis

Answer 21

broad spectrum abx (e.g. vaco + pipercillin-tazobactam)

surgery

Question 22

At what CD4 count is an HIV patient susceptible to coccidiodomycosis? What is prophylactic tx

Answer 22

<250

fluconazole

Question 23

At what CD4 count is an HIV patient susceptible to histoplasmosis

Answer 23

<150

Question 24

Tx for AOM:

1st line- PCN non-allergic, mild PCN allergy and severe PCN allergy?

Answer 24

PCN non-allergic- Amoxicillin

mild PCN allergy- Cefdinir

severe PCN allergy- Clinda + bactrim