Family Misc

Question 1

Difference between bacterial and viral infection

Answer 1

bacterial = more localized (think otitis media)

viral = more systemic

flu = very quick onset, systemic myalgia, FEVER

Question 2

propranolol
brand name, class, 2 uses, SEs

Answer 2

• Inderal
• nonselective beta blocker
• HTN, headache control (daily control)

Lipophilic –> crosses BBB –> weird dreams

Question 3

med for RA?

Answer 3

methotrexate

steroids

Question 4

ddx lower abdominal pain?

Answer 4

• appendicitis
• bowel obstruction (would see air/fluid levels)
• ischemic bowel
• diverticulitis (would see fat streaking on CT)
• renal/kidney/gallbladder stone

Question 5

vertigo - two types?

Answer 5

• central (vascular)
• positional (otolith or similar)

Question 6

occlusion of what vessels would give you dizziness?

Answer 6

posterior cerebral NOT carotids

Question 7

a few maneuvers for knee exam?

Answer 7

• Lachmann’s (anterior drawer)
• McMurray (for lateral/medial meniscus)
• ROM
• patellar crepitis
• bursal effusion

Question 8

Trazodone

Brand name, class, use, SEs

Answer 8

Desyrel

SARI

TCA, anti-anxiety, sleep aid

orthostatic hypotension, cardiac arrythmia, QT prolongation

NO anticholinergic effects

Question 9

Lorazepam

Brand name, class, use, SEs

Answer 9

Ativan

-Benzodiazepine (GABA agonist)

anti-anxiety, anxiety with depression, sleep aid

SE: sedating

Question 10

Duloxetine

Brand name, class, use, SEs

Answer 10

Cymbalta

SNRI

anti-anxiety, MDD, neuropathy/fibromyalgia

SEs

Question 11

Fluoxetine: brand name? use? class? SEs?

Answer 11

Prozac

SSRI

depression, OCD

Most stimulating of the SSRIs, abnormal dreams, ED, anxiety, anorexia

Question 12

6 inherent effects of benzodiazepines?

Answer 12

anti-anxiety

anterograde amnesia

sedation

anti-seizure

anti-emesis

muscle relaxation

Question 13

Clonidine

Brand name, class, use, SEs

Answer 13

alpha-2 agonist (sympatholytic)

hypertension, ADHD, anxiety, menopausal flushing, diarrhea

(clonidine suppression test for pheochromocytoma)

dry mouth, dizziness, hypotension, drowsiness

Question 14

Atorvastatin

Brand name, class, use, SEs

Answer 14

Lipitor

Statin

lowers cholesterol/TAGs

fever, muscle weakness

Question 15

Sertraline

brand name, class, use, SEs

Answer 15

Zoloft

SSRI

Ok in preg, also ok for OCD, panic, PTSD

GI side effects

Question 16

Paroxetine

brand, class, use, SEs

Answer 16

Paxil

SSRI

Strong antianxiety effects.
Best studied SSRI in children.
significant weight gain, impotence, sedation, and constipation.
short half-life –> most likely of all the SSRIs to cause antidepressant discontinuation syndrome.

Preg Category D!

Question 17

Fluvomaxine

brand, class, use, SE

Answer 17

Luvox

SSRI

anti-depressive, Particularly useful in obsessive-compulsive disorder.
>emesis compared to other SSRIs.

Question 18

Citalopram

brand, class, use, SEs

Answer 18

Celexa

SSRI

Anti-depr

nausea, dry mouth, and somnolence.

Question 19

Escitalopram

brand, class, use, SEs

Answer 19

Lexapro

SSRI

anti-depr, GAD

Overall, fewer side effects than citalopram.

Question 20

Migraine: meds for acute relief?

Mechs?

Answer 20

Sumatriptan (triptans in general)

dihydroertogamine (DHE)

mech: serotonin receptor agonists

Question 21

Migraine: meds for prophy?

Mechs?

Answer 21

First line: TCAs (amitriptyline), propranolol (b blocker, MOST effective)

Second line: verapamil (ca blocker), valproic acid (antiepil)

Question 22

Migraine: meds for menstrual-related?

Answer 22

NSAIDs. sometimes estrogen replacement

linked to estrogen withdrawal