Classic/Relevant Treatments Flashcards Preview

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Flashcards in Classic/Relevant Treatments Deck (89):
1

Absence seizures

Ethosuximide

2

Acute gout attack

NSAIDs, colchicine

3

Acute promyelocytic leukemia (M3)

All-trans retinoic acid

4

ADHD

Methylphenidate, amphetamines

5

Alcohol use disorder

AA + disulfiram, naltrexone, or acamprosate for patient; Al-Anon for patient's family

6

Alcohol withdrawal

Benzodiazepines

7

Anorexia

Nutrition, psychotherapy

8

Anticoagulation during pregnancy

Heparin

9

Arrhythmia in damaged cardiac tissue

Class IB antiarrhythmic (lidocaine, mexiletine, tocainide)

10

B12 deficiency

Vitamin B12 supplementation (work up cause with Schilling test)

11

Benign prostatic hyperplasia

Tamsulosin, finasteride

12

Bipolar disorder

Lithium, valproate, carbamazepine, lamotrigine (mood stabilizers)

13

Breast cancer in post-menopausal woman

Aromatase inhibitor (anastrazole)

14

Buerger disease

Smoking cessation

15

Bulimia nervosa

SSRI

16

Candida albicans

Amphotericin B (systemic), nystatin (oral thrush), azoles (vaginitis)

17

Carcinoid syndrome

Octreotide

18

Chlamydia trachomatis

Doxycycline (+ ceftriaxone for gonorrhea co-infection), erythromycin eye drops (prophylaxis in infants)

19

Chronic gout

Probenecid (underexcretor), allopurinol (overproduction), febuxostat

20

Chronic hepatitis

IFN-alpha

21

Chronic myelogenous leukemia

Imatinib

22

Clostridium botulinum

Antitoxin

23

Costridium difficile

Oral metronidazole; if refractory, oral vancomycin

24

Clostridium tetany

Anti-toxin + vaccine booster + diazepam

25

CMV

Ganciclovir

26

Crohn disease

Corticosteroids, infliximab, methotrexate, azathioprine

27

Cryptococcus neoformans

Fluconazole (prophylaxis in aids patients)

28

Cyclophosphamide-induced hemorrhagic cystitis

Mesna (antioxidant)

29

Depression

SSRIs (first-line)

30

Diabetes insipidus

DDAVP (central); HCTZ, indomethacin, amiloride (nephrogenic)

31

Diabetes mellitus type 1

Dietary intervention (low sugar) + insulin replacement

32

Diabetes mellitus type 2

Diet, oral hypoglycemics, and insulin (if refractory)

33

Diabetic ketoacidosis

Fluids, insulin, K+

34

Enterococci

Vancomycin/ampicillin + aminoglycoside

35

Erectile dysfunction

Sildenafil, vardenafil (PDE inhibitors)

36

ER+ breast cancer

Tamoxifen

37

Ethylene glycol/methanol intoxication

Fomepizole (alcohol dehydrogenase inhibitor)

38

Haemophilus influenzae (B)

Rifampin (prophylaxis)

39

Generalized anxiety disorder

Buspirone

40

Granulomatosis with polyangiitis (Wegener)

Cyclophosphamide, corticosteroids

41

Heparin toxicity (acute)

Protamine sulfate

42

HER2/neu + breast cancer

Trastuzumab

43

Hyperaldosteronism

Spironolactone

44

Hypercholesterolemia

Statin (first-line)

45

Hypertriglyceridemia

Fibrate

46

Immediate anticoagulation

Heparin

47

Infertility

Leuprolide, GnRH (pulsatile), clomiphene

48

Influenza

Rimantidine, oseltamivir

49

Legionella pneumophila

Erythromycin

50

Long-term anticoagulation

Warfarin

51

Malaria

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

52

Malignant hyperthermia

Dantrolene

53

Medical abortion

Mifepristone

54

Migraine

Sumatriptan

55

MRSA

Vancomycin

56

Multiple sclerosis

B-interferon, immunosuppresion, natalizumab

57

Mycobacterium tuberculosis

RIPE (rifampin, INH, pyrazinamide, ethambutol)

58

Neisseria gonorrhoeae

Ceftriaxone (add doxycycline to cover likely concurrent Chlamydia)

59

Neisseria meningitidis

Penicillin/ceftriaxone, rifampin (prophylaxis)

60

Neural tube defect prevention

Prenatal folic acid

61

Osteomalacia/rickets

Vitamin D supplementation

62

Osteoporosis

Bisphosphanate; calcium and vitamin D supplementation

63

Patent ductus arteriosus

Indomethacin

64

Pheochromocytoma

alpha-antagonists (eg phenoxybenzamine)

65

Pneumocystis jirovecii

TMP-SMX (prophylaxis in AIDS patient)

66

Prolactinoma

Bromocriptine (dopamine agonist)

67

Prostate cancer/uterine fibroids

Leuprolide, GnRH (continous)

68

Prostate carcinoma

Flutamide (silent antagonist of androgen receptor)

69

Pseudomonas aeruginosa

antiseudomonal penicillin + aminoglycoside

70

Pulmonary artery HTN (idiopathic)

Sildenafil, bosentan, epoprostenol

71

Rickettsia rickettsii

Doxycycline, chloramphenicol (associated with aplastic anemia)

72

Ringworm infections

Terbinafine, griseofulvin, imidazole

73

Schizophrenia (negative symptoms)

5HT2A antagonists (eg 2nd generation antipsychotics)

74

Schizophrenia (positive symptoms)

D2 receptor antagonists (eg 1st and 2nd generation anti-psychotics)

75

SIADH

Demeclocycline, lithium, vasopressin receptor antagonists

76

Sickle cell anemia

Hydroxyurea (increase fetal Hb)

77

Sporothrix schenckii

oral potassium iodide

78

Stable angina

Sublingual nitrogylcerin

79

Staphylococcus pneumoniae

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

80

Streptococcus pyogenes

Penicillin prophylaxis

81

Temporal arteritis

High-dose steroids

82

Tonic clonic seizures

Phenytoin, valproate, carbamazepine

83

Toxoplasma gondii

Sulfadiazine + pyrimethamine

84

Treponema pallidum

Penicillin

85

Trichomonas vaginalis

Metronidazole (patient and partner)

86

Trigeminal neuralgia (tic douloureux)

Carbamazepine

87

Ulcerative colitis

5-ASA, infliximab, colectemy

88

UTI prophylaxis

TMP-SMX

89

Warfarin toxicity

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