RR - classic/relevant treatments Flashcards

1
Q

Absence seizures

A

Ethosuximide

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2
Q

Acute gout attack

A

NSAIDs, colchicine

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3
Q

Acute promyelocytic leukemia (M3)

A

All trans retinoic acid

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4
Q

ADHD

A

Methylphenidate, amphetamines

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5
Q

Alcohol abuse

A

AA + disulfram for patient, alanon for family

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6
Q

Alcohol withdrawal

A

Benzodiazepines

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7
Q

Anorexia

A

SSRIs

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8
Q

Anticoagulation during pregnancy

A

Heparin

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9
Q

Arrhythmia in damaged cardiac tissue

A

Class IB antiarrhythmic (lidocaine, mexiletine, tocainamide)

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10
Q

B12 deficiency

A

Vitamin B12 supplementation (work up cause with Schilling test)

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11
Q

Benign prostate hyperplasia

A

Tamsulosin, finasteride

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12
Q

Bipolar

A

Lithium, valproate, carbamazepine, lamotrigine (mood stabilizers)

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13
Q

Breast cancer in postmenopausal woman

A

Aromatase inhibitor (anastrozole)

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14
Q

Buerger’s disease

A

Smoking cessation

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15
Q

Bulimia

A

SSRIs

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16
Q

Candida albicans

A

Amphoteracin B (systemic), nystatin (oral thrush, esophagitis)

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17
Q

Carcinoid syndrome

A

Octreotide

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18
Q

Chlamydia trachomatis

A

Doxycycline (+ceftriaxone for gonorrhea coinfection), erythromycin eyedrops (prophylaxis in infants)

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19
Q

Chronic gout

A

Probenicid (underexcretor), allopurinol (overproducer)

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20
Q

Chronic hepatitis

A

IFN-a

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21
Q

Chronic myelogenous leukemia

A

Imatinib

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22
Q

Clostridium botulinum

A

Antitoxin

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23
Q

Clostridium difficile

A

Oral metronidazole; if refractory, oral vancomycin

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24
Q

Clostridium tetani

A

Antitoxine + vaccine booster + diazepam

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25
Q

Crohn’s

A

Corticosteroids, infliximab, 5-ASA (mild to moderate)

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26
Q

Cryptococcus neoformans

A

Fluconazole (prophylaxis in AIDS)

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27
Q

Cyclophosphamide-induced hemorrhagic cystitis

A

Mesna

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28
Q

Cystic fibrosis

A

N-acetylcysteine + antipseudomonal prophylaxis (tobramycin/azithromycin)

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29
Q

Cytomegalovirus

A

Ganciclovir

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30
Q

Depression

A

SSRIs (first line)

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31
Q

Diabetes insipidus

A

Desmopressin (central); hydrochlorothiazide, indomethacin, amiloride (nephrogenic)

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32
Q

T1DM

A

Diatary intervention (low sugar) plus insulin replacement

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33
Q

T2DM

A

Dietary intervention, oral hypoglycemics, insulin (possible)

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34
Q

Diabetic ketoacidosis

A

Fluids, insluin, K+ repletion

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35
Q

Enterococci

A

Vancomycin/ampicillin + aminoglycoside

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36
Q

Erectile dysfunction

A

Sildenafil, vardenafil

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37
Q

ER positive breast cancer

A

Tamoxifen

38
Q

Ethylene glycol/methanol intoxication

A

Fomepizole > ethanol, dialysis

39
Q

H. influenzae type B

A

Rifampin (prophylaxis)

40
Q

Generalized anxiety disorder

A

Buspirone

41
Q

Heparin toxicity (acute)

A

Protamine sulfate

42
Q

HER2/neu-positive breast cancer

A

Trastuzumab

43
Q

Hyperaldosteronism

A

Spironolactone

44
Q

Hypercholesterolemia

A

Statin (first line)

45
Q

Hypertriglyceridemia

A

Fibrate

46
Q

Immediate anticoagulation

A

Heparin

47
Q

Infertility

A

Leuprolide, GnRH (pulsatile)

48
Q

Influenza

A

Rimantadine, oseltamivir

49
Q

Legionella pneumophilia

A

Erythromycin

50
Q

Long-term anticoagulation

A

Warfarin

51
Q

Malaria

A

Chloroquine/mefloquine (for blood schizont), primaquine (for liver hypnozoite)

52
Q

Malignant hyperthermia

A

Dantrolene

53
Q

Medical abortion

A

Mifepristone

54
Q

Migraine

A

Sumatriptan

55
Q

MRSA

A

Vancomycin

56
Q

Multiple sclerosis

A

B-interferon, immunosuppression, natalizumab

57
Q

Mycobacterium tuberculosis

A

RIPE (rifampin, izoniazid, pyrazinamide, ethambutol)

58
Q

N. gonorrheae

A

Ceftriaxone (add doxycycline to cover concurrent chlamydia)

59
Q

N. meningitidis

A

Penicillin/ceftriaxone, rifampin (prophylaxis)

60
Q

Neural tube defect prevention

A

Prenatal folic acid

61
Q

Osteomalacia/rickets

A

Vitamin D supplementation

62
Q

Osteoporosis

A

Bisphosphonates; calcium and vitamin D supplementation

63
Q

Patent ductus arteriosus

A

Indomethacin

64
Q

Pheochromocytoma

A

a-antagonists (ex: phenoxybenzamine)

65
Q

Pneumocystis jirovecii

A

TMP-SMX (prophylaxis in AIDS)

66
Q

Prolactinoma

A

Bromocriptine (dopamine agonist)

67
Q

Prostate cancer/uterine fibroids

A

Leuprolide, GnRH (continuous)

68
Q

Prostate carcinoma

A

Flutamide

69
Q

Pseudomonas aeruginoa

A

Antipseudomonal penicillin + aminoglycoside

70
Q

Pulmonary artery hypertension (idiopathic)

A

Sildenafil, bosentan, epoprostenol

71
Q

Rickettsia rickettsii

A

Doxycycline, chloramphenicol (?)

72
Q

Meningitis in 3rd world country

A

Chloramphenicol (risk of aplastic anemia)

73
Q

Ringworm infections

A

Terbinafine, griseofulvin, imidazole

74
Q

Schizophrenia (negative symptoms)

A

5-HT2A antagonists (ex: second generation antipsychotics)

75
Q

Schizophrenia (positive symptoms)

A

D2 receptor antagonists (ex: first and second gen antipsychotics)

76
Q

SIADH

A

Demeclocycline, lithium, vasopressin receptor antagonists

77
Q

Sickle cell anemia

A

Hydroxyurea (increases fetal hemoglobin)

78
Q

Sporothrix schenckii

A

Oral potassium chloride

79
Q

Stable angina

A

Sublingual nitroglycerin

80
Q

Staph aureus

A

MSSA: nafcillin, oxacillin, dicloxacillin (antistaphylococcal penicillins); mrsa: vancomycin

81
Q

Strep bovis

A

Penicillin rophylaxis; evaluation for colon cancer if linked to endocarditis

82
Q

Strep pneumo

A

Penicillin/cephalosporin (systemic infection, pneumonia), vancomycin (meningitis)

83
Q

Strep pyogenes

A

Penicillin prophylaxis

84
Q

Temporal arteritis

A

High dose steroids

85
Q

Tonic clonic seizures

A

Phenytoin, valproate, carbemazepine

86
Q

Toxoplasma gondii

A

Sulfadiazine + pyrimethamine

87
Q

Treponema pallidum

A

Penicillin

88
Q

Trichomonas vaginalis

A

Metronidazole (patient and partner)

89
Q

Ulcerative colitis

A

5-ASA, infliximab

90
Q

UTI prophylaxis

A

TMP-SMX

91
Q

Warfarin toxicity

A

Fresh frozen plasma (acute), vitamin K (chronic)

92
Q

Wegener’s GPA

A

Cyclophosphamide, corticosteroids