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First Line Drugs > First Line Drug Exam > Flashcards

First Line Drug Exam Flashcards

1
Q

First Line Viral Conjunctivitis

A

Artificial Tears

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2
Q

First Line Bacterial Conjunctivitis

A

Erythromycin Ophthalmic Ointment

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3
Q

First Line Otitis Externa

A

Ofloxacin

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4
Q

First Line Acute Otitis Media

A

Amox/Clav 875mg/125mg BID

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5
Q

First Line Contact Dermatitis

A

Hydrocortisone Cream

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6
Q

First Line UNCOMPLICATED Atopic Dermatitis

A

Topical Hydrocortisone

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7
Q

First Line Herpes Zoster

A

Valacyclovir 1000mg TID x 7 days

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8
Q

First Line Impetigo

A

Mupirocin

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9
Q

First Line Psoriasis

A

Betamethasone BID for 2 weeks

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10
Q

First Line Psoriasis Pregnant Patient

A

Hydrocortisone 1% daily

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11
Q

First Line Acne

A

Topical Clindamycin

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12
Q

First Line Rosacea

A

Metronidazole cream 1%

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13
Q

First line for prevention of Migraines

A

Topiramate 25-50mg q day

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14
Q

First Line Tension Headaches

A

Ibuprofen 800mg q8h

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15
Q

First Line Generalized Tonic Clonic Seizures

A

Valproic Acid 800mg q8h

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16
Q

First Line for HTN in white male with no comorbidities

A

Lisinopril 10mg q day

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17
Q

First Line Hyperlipidemia

A

Statins
EX: Fluvastatin ->lowers by 36%
Atorvastatin & Rosuvastatin -> lowers by 60%

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18
Q

First Line Congestive Heart Failure

A

Ace Inhibitors “Pril” drugs
+Caution hypotension. Start low dose
+Not safe for pregnancy

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19
Q

First Line Influenza

A

Oseltamivir 75mg q day x 10 days

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19
Q

First Line for GABHS

A

PCN

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20
Q

First Line Sinusitis

A

Decongestant with Amox/Clav
Decongestants:
Oxymetazolie hydrochloride (Afrin, Mucinex)
Phenylnephrine hydrochloride
Pseudonephrine (Sudafed)

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21
Q

First Line Bronchitis

A

Antipyretic with decongestant
ex: Tylenol or Ibuprofen

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22
Q

First Line for Community Acquired PNA in outpatient setting with no comorbidities

A

Macrolide
“Mycin” drugs
AzithroMYCIN
500mg day 1 then 250mg for 4 days
ClindaMYCIN
500mg BID x 7 days

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23
Q

First Line for Intermittent Asthma

A

Bronchodilator as needed

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24
Q

First Line Mild Persistent Asthma

A

Low dose inhaled corticosteroids (Flovent) and leukotriene receptor antagonist (Singulair)

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25
Q

First Line Moderate Persistent Asthma

A

Low dose inhaled corticosteroids (Flovent) and long acting inhaled beta2-agonists (Advair, Serevent)

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26
Q

First Line Severe Persistent Asthma

A

High dose inhaled corticosteroid (Symbicort) and long acting inhaled beta 2-agonists (Advair, Serevent)

27
Q

First Line for Interigo

A

Nystatin Powder q12h

28
Q

First Line for management mild COPD

A

Short acting bronchodilator PRN
+ Albuterol
+ Levalbuterol
+ Ipratropium

29
Q

First Line Nausea

A

Antiemetics
+ Promethazine
+ Prochlorperazine

30
Q

First Line Constipation

A

Bulk forming agents
+ Citrucel 2-6 g/day
+ Methylcellulose
+ Psyllium
+ Polycarbophil

31
Q

Diarrhea

A

Loperamide

32
Q

GERD

A

H2 Blockers
+ take w/o regard to meals
+ “ tidine “ drugs
Cimetidine, Famotidine, Ranitidine

PPI
+30-60min before meals
+ “ Zole “ drugs
Omeprazole
Lansoprazole
Pantoprazole

33
Q

PUD

A

H2 Blockers
+ take w/o regard to meals
+ “ tidine “ drugs
Cimetidine, Famotidine, Ranitidine

PPI
+30-60min before meals
+ “ Zole “ drugs
Omeprazole
Lansoprazole
Pantoprazole

34
Q

Peritonitis

A

3rd Generation Cephalosporins
+ Ceftriaxone

35
Q

UTI

A

Trimethoprim-sulfamethoxazole BID x 10 days -> safe 1st and 2nd trimester
+Amoxicillin safe for pregnancy
+Nitrofurantoin safe 1st and 2nd trimester

36
Q

Pyelonephritis

A

Fluroqinolone antibiotics
“Floxacin” drugs
+Ciprofloxacin
+Levofloxacin
PO 10-14 days

37
Q

Prostatitis

A

Fluroquinolones
“Floxacin”

38
Q

BPH

A

a-adrenergic blockers
“ Zosin “
+Terazosin 1-20mg daily
+Doxazosin 4-8md daily

39
Q

Erectile Dysfunction

A

Phosphodiesterase-5 inhibitors
+Sildenafil

40
Q

Chlamydia

A

Macrolide
+Azithromycin
Tetracycline
+Doxycycline
Fluroquinolones
+Ofloxacin

41
Q

Gonorrhea

A

Ceftriaxone

42
Q

Syphilis

A

Penicillin G

43
Q

Herpes Simplex

44
Q

Pelvic Inflammatory Disease

A

Ceftriaxone IM

45
Q

Osteoarthritis

A

Topical NSAID’s

46
Q

Acute Gout Attacks

A

Colchicine

47
Q

Maintenance of Gout

A

Allopurinol

48
Q

Diabetes

A

Metformin
+ initially 500mg BID; increase by 500mg/week until desired blood glucose level

49
Q

Allergic Rhinitis

A

Antihistamines

50
Q

Hypothyroidism

A

Levothyroxine

51
Q

Hyperthyroidism

A

Radioactive Iodine

52
Q

Anaphylaxis

A

Epinephrine

53
Q

Erectile Dysfunction

A

Sildenafil

54
Q

Atrial Fibrillation

A

Anticoagulants
+Warfarin - safe for ESRD
+Heparin

55
Q

Prevention of Ischemic Stroke

A

Anticoagulants
+Warfarin
+Heparin

56
Q

Reduce the number of crises in sickle cell patient

A

Hydroxyurea

57
Q

Iron Deficient Anemia

A

Elementary Iron

58
Q

Thalassemia

A

Folate Supplements

59
Q

Vitamin B12 Deficiency

A

Cyanocobalamin

60
Q

Folate Deficiency

A

Folic Acid

61
Q

Bacterial Vaginosis

A

Metronidazole

62
Q

Vaginal Candidiasis

A

Antifungals “ conazole “
PO Fluconazole 150mg once only approved PO medication for VC.
Topical clotrimazole, butoconazole, tioconazole

63
Q

Trichomoniasis

A

Metronidazole

First Line Drugs (4 decks)

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