Pulmonary

Question 1

influenza

Answer 1

1 aseltamivir zanamivir #2 paramivir (vaccine!)

Question 2

Pertussis

Answer 2

1 options: erythromycin, clarithromycin, azithromycin (less than 1 mo) #2 options: sulfamethoxazole / trimethoprim

Question 3

CAP

Answer 3

1: Macrolides can use fluoroquinolones for input CAP and CAP + comorbidities

Question 4

HAP

Answer 4

1 beta lactams (cephalosporin or carbapenem) + aminoglycoside + FQ

Question 5

T.B

Answer 5

#1: rifampin, isoniazid, ethambutol, pyrazinamide  
#2 FQ+ (amikacin, kanamycin or capreomycin)

Question 6

short term asthma control

Answer 6

1. SABA albuterol
2. systemic corticosteroids: prednisone
3. inhaled anticholinergics: ipratropium

Question 7

long term asthma control

Answer 7

1. LABA: salmeterol + formoterol
2. inhaled corticosteroids: fluticasone
3. LTRA: leukotriene receptor antagonist - montelukast or 5-lipoxygenase Zileuton
4. methylxanthine: theophylline
5. immunomodulators: omalizumab

Question 8

Smoking Cessation

Answer 8

1. NTRT (gum, patch etc) OR bupropion OR varenicline

2. clonidine or Nortiptyline

Question 9

COPD pt group A

Answer 9

SABA prn or SA anticholinergic (ex: albuterol/levabuterol/pirbuterol + ipratropium)

Question 10

COPD pt group B

Answer 10

LABA or LA Anticholinergic
(ex: salmeterol /indacaterol /formoterzol /indacaterol /vilanterol with fluticasone + Tiotropium/aclidinium/glycopyrrolate)

Question 11

COPD grp D

Answer 11

LA anticholinergic + LABA with ICS

Question 12

Group C COPD

Answer 12

ICS + LABA (beclomethasone/ bedenoside/ fluticasone) or LABA + LAA