USMLE conditions common treatment(s) Flashcards
Treatment for Absence seizures
Ethosuximide
Treatment for Acute gout attack
NSAIDs, colchicine, glucocorticoids
Treatment for After an acute gout attack
Allopurinol
Treatment for Acute promyelocytic leukemia (M3)
All-trans retinoic acidAll-trans retinoic acidAll-trans retinoic acidAll-trans retinoic acidAll-trans retinoic acidAll-trans retinoic acid
Treatment for ADHD
Methylphenidate, CBT, atomoxetine, guanfacine, clonidine
Treatment for Alcoholism
Disulfiram, acamprosate, naltrexone, supportive care
Treatment for Alcohol withdrawal
Long-acting benzodiazepines
Treatment for Anorexia
Nutrition, psychotherapy, mirtazapine
Treatment for Arrhythmia in damaged cardiac tissue
Class IB antiarrhythmic (lidocaine, mexiletine)
Treatment for Benign prostatic hyperplasia
a1-antagonists, 5a-reductase inhibitors, PDE-5 inhibitors
Treatment for Bipolar disorder
Mood stabilizers (e.g. lithium, valproic acid, carbamazepine, atypical antipsychotics)
Treatment for Buerger’s disease
Smoking cessation
Treatment for Bulimia nervosa
SSRIs
Treatment for Candida albicans
Topical azoles (vaginitis); nystatin, fluconazole, caspofungin (oral/esophageal); fluconazole, caspofungin, amphotericin B (systemic)
Treatment for Carcinoid syndrome
Octreotide
Treatment for Chlamydia trachomatis
Doxycycline (+ ceftriaxone for gonorrhea coinfection), erythromycin eye drops (prophylaxis in infants)
Treatment for Chronic gout
Xanthine oxidase inhibitors (e.g. allopurinol, febuxostat); pegloticase, probenecid
Treatment for Chronic Hep B or C
IFNa (HBV and HCV); ribavirin, simeprevir, sofosbuvir (HCV)
Treatment for Chronic myelogenous leukemia
Imatinib
Treatment for Clostridium botulinum; Clostridium tetani
Antitoxin
Treatment for Clostridium difficile
Oral metronidazole; if refractory, oral vancomycin
Treatment for CMV
Ganciclovir, foscarnet, cidofovir
Treatment for Crohn’s disease
Corticosteroids, infliximab, azathioprine
Treatment for Cryptococcus neoformans
Fluconazole (in AIDS patients)
Treatment for Cyclophosphamide-induced hemorrhagic cystitis
Mesna
Treatment for Depression
SSRIs (first line)
Treatment for Diabetes insipidus
Desmopressin (central); hydrochlorothiazide; indomethacin; amiloride (nephrogenic)
Treatment for Diabetes mellitus type I
Dietary intervention (low carbs) + insulin replacement
Treatment for Diabetes mellitus type II
Dietary intervention, oral hypoglycemics, and insulin (if refractory)
Treatment for Diabetic ketoacidosis
Fluids, insulin, K+
Treatment for Anticoagulation during pregnancy?
Heparin
Treatment for Enterococci
Vancomycin, aminopenicillins/cephalosporins
Treatment for Erectile dysfunction
Sildenafil, tadalafil, vardenafil
Treatment for ER+ breast cancer
Tamoxifen
Treatment for HER2/neu+ breast cancer
Trastuzumab
Treatment for Post-menopausal breast cancer
Aromatase inhibitor (anastrozole)
Treatment for Ethylene glycol/methanol intoxication
Fomepizole (alcohol dehydrogenase inhibitor)
Treatment for Haemophilus influenzae (B)
Rifampin (prophylaxis)
Treatment for Generalized anxiety disorder
SSRIs, SNRIs (first line), buspirone (second line)
Treatment for Granulomatosis with polyangitis (Wegener)
Cyclophosphamide, corticosteroids
Treatment for Heparin reversal
Protamin sulfate
Treatment for Hyperaldosteronism
Sprionolactone
Treatment for Hypercholesterolemia
Statin (first-line)
Treatment for Hypertriglyceridemia
Fibrate
Treatment for Immediate anticoagulation
Heparin
Treatment for Infertility
Leuprolide, GnRH (pulsatile), clomiphene
Treatment for Influenza
Oseltamivir, zanamivir
Treatment for Kawasaki disease
IVIG, high-dose aspirin
Treatment for Legionella pneumophila
Macrolides (e.g. azithromycin)
Treatment for Long-term anticoagulation
Warfarin, dabigatran, rivaroxaban, apixaban
Treatment for Malaria
Chloroquine, mefloquine, atovaquone/proguanil (for blood schizont), primaquine (for liver hypnozoite)
Treatment for Malignant hyperthermia
Dantrolene
Treatment for Medical abortion
Mifepristone
Treatment for Migraine
Abortive therapies (sumatriptan, NSAIDs); prophylaxis (propranolol, topiramate, CCBs, amitriptyline)
Treatment for Multiple sclerosis
Disease-modifying therapies (IFNb, natalizumab; for acute flares use IV steroids)
Treatment for mTB
RIPE (rifampin, isoniazid, pyrazinamide, ethambutol)
Treatment for Neisseria gonorrhoeae
Ceftriaxone (add doxycycline to cover likely concurrent C trachomatis)
Treatment for Neural tube defect prevention
Prenatal folic acid
Treatment for Osteomalacia/rickets
Vit D supplementation
Treatment for Osteoporosis
Calcium/vit D supplementation (prophylaxis); biphosphonates, PTH analogs, SERMs, calcitonin, denosumab (treatment)
Treatment for Patent ductus arteriosus
Close with indomethacin; keep open with PGE analogs
Treatment for Pheochromocytoma
a-antagonists (e.g. phenoxybenzamine)
Treatment for Pneumocystis jirovecii
TMP-SMX (prophylaxis and treatment in immunosuppressed patients)
Treatment for Prolactinoma
Cabergoline/bromocriptine (dopamine agonists)
Treatment for Prostate adenocarcinoma / uterine fibroids
Leuprolide, GnRH (continuous)
Treatment for Prostate adenocarcinoma
Flutamide
Treatment for Pseudomonas aeruginosa
Antipseudomonal penicillins, aminoglycosides, carbapenems
Treatment for Pulmonary arterial hypertension (idiopathic)
Sildenafil, bosentan, epoprostenol
Treatment for Rickettsia rickettsii
Doxycycline, chloramphenicol
Treatment for Schizophrenia (negative symptoms)
Atypical antipsychotics
Treatment for Schizophrenia (positive symptoms)
Typical and atypical antipsychotics
Treatment for SIADH
Fluid restriction, IV hypertonic saline, conivaptan/tolvaptan, demeclocycline
Treatment for Sickle cell disease
Hydroxyurea (to increase fetal hemoglobin)
Treatment for Sporothrix schenckii
Itraconazole, oral potassium iodide
Treatment for Stable angina
Sublingual GTN
Treatment for Staphylococcus aureus
MSSA: nafcillin, oxacillin, dicloxacillin; MRSA: vancomycin, daptomycin, linezolid, ceftaroline
Treatment for Streptococcus bovis
Penicillin prophylaxis; evaluation for colon cancer if linked to endocarditis
Treatment for Streptococcus pneumoniae
Penicillin/cephalosporin (systemic infection, pneumonia), vancomycin (meningitis)
Treatment for Streptococcus pyogenes
Penicillin prophylaxis
Treatment for Temporal arteritis
High-dose steroids
Treatment for Tonic-clonic seizures
Levetiracetam, phenytoin, valproate, carbamazepine
Treatment for Toxoplasma gondii
Sulfadiazine + pyrimethamine
Treatment for Treponema pallidum
Penicillin
Treatment for Trichomonas vaginalis
Metronidazole (patient and partner)
Treatment for Trigeminal neuralgia (tic douloureux)
Carbamazepine
Treatment for Ulcerative colitis
5-ASA preparations (e.g. mesalamine), 6-mercaptopurine, infliximab, colectomy
Treatment for UTI prophylaxis
TMP-SMX
Treatment for Warfarin reversal
FFP (acute), vitamin K (non-acute)