Step 2 therapy - Sheet1

Question 1

Histoplasmosis

Answer 1

Itraconazole

Question 2

PCP

Answer 2

Bactrim + steroids

Question 3

Nocardia

Answer 3

Bactrim

Question 4

Bacillary angiomatosis

Answer 4

Erythromycin

Question 5

Actinomyces

Answer 5

IV PCN x 6-12 weeks

Question 6

Syphillis

Answer 6

• IM benzathine PCN x 1
• Doxy/tetra x 14 days
• Azithromycin x 1

Question 7

Outpatient pneumonia

Answer 7

Azithro/clarithro/doxy

Question 8

Anal warts

Answer 8

Podophyllin

Question 9

TCA OD

Answer 9

Sodium Bicarb

Question 10

Lead psn

Answer 10

EDTA, Succimer

Question 11

Dermatitis Herpetiformis

Answer 11

Dapsone

Question 12

Pseudotumor cerebri

Answer 12

Acetazolamide

Question 13

Candida esophagitis

Answer 13

Fluconazole PO

Question 14

Lyme (Pregnant lady)

Answer 14

Amoxicillin

Question 15

Lyme

Answer 15

Doxycycline

Question 16

Lyme (pregnant, allergic to PCN)

Answer 16

Erythromycin

Question 17

Cat-scratch ds

Answer 17

Azithromycin

Question 18

Malaria ppx most of africa and india

Answer 18

Mefloquine

Question 19

Crypto meningitis

Answer 19

IV amphotericin B + IV Flucytosine –> fluconazole

Question 20

Mucormycosis

Answer 20

Surgical debridement + amphotericin B

Question 21

Toxo

Answer 21

Sulfadiazine + Pyrimethamine

Question 22

Cluster HA

Answer 22

100% Oxygen + triptans (SC or nasal)

Question 23

Fulminant Hepatic failure

Answer 23

Liver transplant

Question 24

Shingles/VZV

Answer 24

Valacyclovir

Question 25

Animal bites/mouth-fist infxn

Answer 25

Augmentin: Amoxicillin + Clavulanate

Question 26

CMV colitis

Answer 26

Gancicolvir

Question 27

Acute exacerbations of MS

Answer 27

IV steroids, plasmapheresis

Question 28

Long-term MS treatment

Answer 28

Glatiramer acetate

Question 29

Aspergillosis

Answer 29

Voriconazole

Question 30

SBE from strep viridans

Answer 30

IV pCN G or IV Cetriaxone

Question 31

Trigeminal Neuralgia

Answer 31

Carbamazepine

Question 32

MAC ppx

Answer 32

Azithromycin or Clarithrmycin

Question 33

Guillain Barre

Answer 33

IVIG, Plasmapheresis

Question 34

ALS

Answer 34

Riluzole (glutamate inhibitor)

Question 35

Paget's disease

Answer 35

Bisphosphonates

Question 36

Goodpasture's

Answer 36

emergency plasmapheresis

Question 37

Pickwickian hypoventilation

Answer 37

Progestins (stimulate respiration)

Question 38

Lupus

Answer 38

Hydroxychloroquine (etc)

Question 39

TB ppx in AIDS

Answer 39

INH for 9 months

Question 40

Influenza A/B

Answer 40

Zanamivir, Oseltamivir

Question 41

PBC

Answer 41

Ursodeoxycholic acid

Question 42

Testicular cancer

Answer 42

Radiacl orchiechtomy

Question 43

Single brain met

Answer 43

Cut it out

Question 44

Hairy cell leukemia

Answer 44

Cladribine (purine analog)

Question 45

Basal cell

Answer 45

excise w 1-2mm margins

Question 46

Splenectomy

Answer 46

Daily PCN for 3-5 yrs after surgery

Question 47

Stroke in sickle cell

Answer 47

exchange transfusion

Question 48

Amebic liver abscess/amebiasis

Answer 48

Metronidazole

Question 49

Legionella

Answer 49

Azithromycin

Question 50

Ethyelene glycol psn

Answer 50

Fomepizole or alcohol

Question 51

Hypertrophic cardiomyopathy (diastolic heart failure)

Answer 51

Beta-blockers

Question 52

Central retinal artery occlusion

Answer 52

Ocular massge and high flow Oxygen

Question 53

Uric acid kidney stones

Answer 53

Alkalinize the urine: Potassium citrate or Sodium bicarb

Question 54

Uremia --> platelet dysfxn

Answer 54

Rx: DDAVP

Question 55

Essential tremor

Answer 55

propanolol or Primidone

Question 56

PVCs

Answer 56

NTD if pt asxs, otherwise: Beta blockers

Question 57

Aortic dissection

Answer 57

IV labetalol

Question 58

Porphyria Cutanea Tarda

Answer 58

Hydroxychloroquine, phlebotomy

Question 59

Cocaine tox --> MI

Answer 59

Oxygen + IV Benzos

Question 60

3rd degree heart block

Answer 60

Pacemaker insertion

Question 61

Meniere's disease

Answer 61

Initial tx: low-salt diet

Question 62

Torsades de pointes

Answer 62

Magnesium sulfate

Question 63

Hepatitis C

Answer 63

Interferon + Ribavirin

Question 64

Organophosphate poisoning

Answer 64

IV atropine + wash off the vomit

Question 65

Ascending cholangitis

Answer 65

IV abx + IVF --> ERCP

Question 66

Post-ictal lactic acidosis

Answer 66

Will clear on it's own (after 60-90 minutes)

Question 67

Chronic Hepatitis B

Answer 67

Interferon or Lamivudine

Question 68

Suscpicious mole?

Answer 68

Excisional biopsy (narrow margins)

Question 69

Uncomplicated Cystitis

Answer 69

Bactrim or Nitrofurantoin

Question 70

Complicated cystitis

Answer 70

Fluoroquinolone

Question 71

Sphincter of Oddi dysfxn post-ccy

Answer 71

ERCP sphincterotomy

Question 72

Myasthenia Gravis crisis

Answer 72

- Endotracheal intubation + withdrawal of anticholinesterases for a few days - then: IVIG and plasmapheresis