First Aid Classic Treatments

Question 1

ethylene glycol/methanol intoxication tx

Answer 1

fomepizole (alcohol dehydrogenase inhibitor)

Question 2

Neisseria meningitidis tx

Answer 2

Penicillin/ceftriaxone, rifampin (prophylaxis)

Question 3

clostridium botulinum tx

Answer 3

antitoxin

Question 4

Clostridium tetani tx

Answer 4

anti-toxin

Question 5

Staphylococcus aureus tx

Answer 5

MSSA: nafcillin, oxacillin, dicloxacillin

MRSA: vancomycin, daptomycin, linezolid, ceftaroline

Question 6

Streptococcus pyogenes tx

Answer 6

Penicillin prophylaxis (to prevent rheumatic fever?)

Question 7

Streptococcus pneumoniae tx

Answer 7

Penicillin/cephalosporin (systemic infection, pna)

vancomycin (meningitis)

Question 8

Streptococcus bovis tx

Answer 8

penicillin; eval for colon cancer if linked to endocarditis

Question 9

Enterococci tx

Answer 9

Vancomycin, aminopenicillins/cephalosporins

Question 10

Haemophilus influenzae (B) tx

Answer 10

Amoxicillin +/- clavulanate (mucosal infections);

ceftriaxone (meningitis)

rifampin (prophylaxis)

Question 11

Legionella pneumoniae tx

Answer 11

Macrolides (eg azithromycin)

Question 12

Pseudomonas aeruginosa tx

Answer 12

Piperacillin/tazobactam, aminoglycosides, carbapenems

Question 13

Treponema pallidum tx

Answer 13

Penicillin G

Question 14

Chlamydia trachomatis tx

Answer 14

Doxycycline (+ ceftriaxone for gonorrhea coinfection), oral erythromycin to tx chlamydial conjunctivitis in infants

Question 15

Rickettsia rickettsii tx

Answer 15

Doxycycline, chloramphenicol

Question 16

Candida albicans tx

Answer 16

topical azoles (vaginitis)

nystatin, fluconazole, caspofungin (oral/esophageal)

fluconazole, caspofungin, amphotercin B (systemic)

Question 17

Cryptococcus neoformans tx

Answer 17

induction with amp B and flucytosine, maintanence with fluconazole (in AIDS pt)

Question 18

Sporothrix schenckii tx

Answer 18

itraconazole, oral potassium iodide

Question 19

Pneumocystis jiroveci tx

Answer 19

TMP-SMX (prophylaxis and tx in I/C pt, CD4 <200)

Question 20

Toxoplasma gondii tx

Answer 20

sulfadiazine + pyrimethamine

Question 21

Malaria tx

Answer 21

chloroquine, mefloquine, atovaquone/proguanil (for blood schizont), primaquine (for liver hypnozoite)

Question 22

Trichomonas vaginalis tx?

Answer 22

metronidazole (pt and partner)

Question 23

Influenza tx

Answer 23

oseltamivir, zanamivir

Question 24

CMV tx

Answer 24

ganciclovir, foscarnet, cidofovir

Question 25

Neisseria gonorrhoeae tx

Answer 25

ceftriaxone (+ doxycycline to cover concurrent chlamydia infection)

Question 26

Clostridium difficile tx

Answer 26

oral metronidazole; if refractory, oral vancomycin

Question 27

Mycobacterium tuberculosis tx

Answer 27

RIPE

rifampin, isoniazid, pyrazinamide, ethambutol

Question 28

UTI prophylaxis

Answer 28

TMP-SMX

Question 29

Chronic hep B or C tx

Answer 29

IFN-alpha ( HBV and HCV);

ribavirin, simeprevir, sofosbuvir (HCV)

Question 30

hypercholesterolemia first line tx

Answer 30

statin

Question 31

Buerger disease tx

Answer 31

smoking cessation

Question 32

granulomatosis with polyangiitis (wegener) tx

Answer 32

cyclophosphamide, corticosteroids

Question 33

Kawasaki disease tx

Answer 33

IVIG, high dose aspirin

Question 34

arrhythmia in damaged cardiac tissue tx

Answer 34

Class IB antiarrhythmic (lidocaine, mexiletine)

Question 35

pheochromocytoma tx

Answer 35

alpha antagonist phenoxybenzamine

Question 36

diabetes inspidius tx

Answer 36

desmopressin (central)

HCTZ, indomethacin, amiloride (nephrogenic)