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STEP Rapid Review > Classic/Relevant Treatments > Flashcards

Classic/Relevant Treatments Flashcards

(90 cards)

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1
Q

Absence seizures

A

Ethosuximide

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2
Q

Acute gout attack (3)

A

NSAIDs, colchicine, glucocorticoids

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3
Q

Acute promyelotic leukemia (M3)

A

All-trans retinoic acid

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4
Q

ADHD (3)

A

Methylphenidate, CBT, atomoxetine

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5
Q

Alcoholism (3 meds and 1 bullshit)

A

Disulfiram, acamprosate, naltrexone, supportive care

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6
Q

Alcohol withdrawal (1/3)

A

Long-acting benzodiazepines (chlordiazepoxide, lorazepam, diazepam)

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7
Q

Anorexia (3)

A

Nutrition, psychotherapy, mirtazapine

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8
Q

Anticoagulation during pregnancy

A

Heparin

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9
Q

Arrhythmia in damaged cardiac tissue (1/2)

A

ClassIB antiarrhythmic (lidocaine, mexiletine)

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10
Q

B12 deficiency (2)

A

Vitamin B12 supplementation - work up cause with Schilling test

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11
Q

Benign prostatic hyperplasia (3)

A

alpha1-antagonists (-osin), 5alpha-reductase inhibitors, PDE-5 inhibitors (sildenafil)

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12
Q

Bipolar Disorder (2/9)

A

Mood stabilizers (e.g. lithium, valproic acid, carbamazepine), atypical antipsychotics (olanzapine, clozapine, quetiapine, risperidone, aripiprazole, ziprasidone)

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13
Q

Breast cancer in postmenopausal women

A

Aromatase inhibitor (anastrozole)

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14
Q

Buerger disease

A

Smoking cessation

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15
Q

Bulimia nervosa (1/4)

A

SSRIs (Fluoxetine, paroxetine, sertraline, citalopram) Flashbacks Paralyze Senior Citizens

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16
Q

Candida albicans (3/7)

A

Topical azoles (vaginitis); nystatin, fluconazole, caspofungin (oral/esophageal); fluconazole, caspofungin, amphotericin B (systemic)

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17
Q

Carcinoid syndrome

A

Octreotide

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18
Q

Chlamydia trachomatis (2/3)

A

Doxycycline (+ ceftriaxone for gonorrhea coinfection)

Erythromycin eye drops (prophylaxis in infants)

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19
Q

Chronic gout (1/2)

A

Xanthine oxidase inhibitors (Allopurinol, febuxostat)

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20
Q

Chronic hepatitis B or C (2/4)

A

IFN-alpha (HBV and HCV), ribavirin, simeprevir, sofosbuvir (HCV)

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21
Q

Chronic myelogenous leukemia

A

Imatinib

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22
Q

C. botulinum

A

Antitoxin

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23
Q

C. difficle (2)

A

Oral metronidazole, if refractory oral vancomycin

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24
Q

C. tetani

A

Antitoxin

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25
CMV (3)
Ganciclovir, foscarnet, cidofovir
26
Crohn disease (3)
Corticosteroids, infliximab, azothioprine
27
C. neoformans
Fluconazole (in AIDS patients)
28
Cyclophosphamide-induced hemorrhagic cystitis
Mesna
29
Depression (1/4)
SSRIs (first line) | Fluoxetine, paroxetine, sertraline, citalopram
30
Diabetes insipidus (2/4)
Desmopressin (central) | Hydrochlorothiazide, indomethacin, amiloride (nephrogenic)
31
T1DM (2)
Dietary intervention (low carb) + insulin
32
T2DM (3)
Dietary intervention, oral hypoglycemis, and insulin (if refractory)
33
Diabetic ketoacidosis (3)
Fluids, insulin, K+
34
Enterococci (3)
Vancomycin, aminopenicillins/cephalosporins
35
Erectile dysfunction (3)
Sildenafil, tadalafil, vardenafil
36
ER Pos Breast Cancer
Tamoxifen
37
Ethylene glycol/methanol intoxication
Fomepizole (alcohol dehydrogenase inhibitor)
38
H. influenzae (B)
Rifampin (prophylaxis)
39
Generalized anxiety disorder (2/3/7)
SSRIs (fluoxetine, paroxetine, sertraline, citalopram), SNRIs (venlafaxine, duloxetine) are first line Buspirone (second line)
40
Granulomatosis with polyangiitis (Wegener) (2)
Cyclophosphamide, corticosteroids
41
Heparin reversal
Protamine sulfate
42
HER2/neu Pos Breast Cancer
Trastuzumab
43
Hyperaldosteronism
Spironolactone
44
Hypercholesterolemia
Statin (first line) No shit fuckin wasting my time making a goddamn "Statins treat high cholesterol!" flashcard
45
Hypertriglyceridemia
Fibrate
46
Immediate anticoagulation
Heparin
47
Infertility (3)
Leuprolide, GnRH (pulsatile), clomiphene
48
Influenza (2)
Oseltamivir, zanamivir
49
Kawasaki disease (2)
IVIG, high dose aspirin
50
Legionella pneumophila
Macrolides (e.g. azithromycin)
51
Long-term anticoagulation (4)
Warfarin, dabigatran, rivaroxaban, and apixaban
52
Malaria (2/5)
Chloroquine, mefloquine, atovaquone/proguanil (for blood schizont) Primaquine (for liver hypnozoite)
53
Malignant hyperthermia
Dantrolene
54
Medical abortion
Mifepristone
55
Migraine (2/6)
``` Abortive therapies (e.g. sumatriptan, NSAIDs) Prophylaxis (propanolol, topiramite, CCBs, amitriptyline) ```
56
Multiple sclerosis (2/3)
Disease-modifying therapies (e.g. Beta-interferon, natalizumab Acute flares: IV steroids
57
Mycobacterium tuberculosis (4)
RIPE - Rifampin, isoniazid, pyrazinamide, ethambutol
58
N. gonorrhoeae (2)
Ceftriaxone (add doxycycline to cover likely concurrent C. trachomatis)
59
N. meningitidis (3)
Penicillin/ceftriaxone, rifampin (prophylaxis)
60
Neural tube defect prevention
Prenatal folic acid
61
Osteomalacia/rickets
Vitamin D supplementation
62
Osteoporosis (8)
Calcium/Vit D supplementation (prophylaxis) | Bisphosphonates, PTH analogs, SERMS (Tamoxifen and Raloxifene), calcitonin, denosumab (treatment)
63
Patent ductus arteriosus (2)
Close with indomethacin, open or maintain with PGE analogs
64
Pheochromocytoma
alpha antagonists (e.g. phenoxybenzamine)
65
Pneumocystis jirovecii
TMP-SMX (prophylaxis in AIDS patients)
66
Prolactinoma (2)
Cabergoline/bromocriptine (DA agonists)
67
Prostate adenocarcinoma/uterine fibroids (2)
Leuprolide, GnRH (continuous)
68
Prostate adenocarcinoma
Flutamide
69
Pseudomonas aeruginosa (3)
Antipseudomonal penicillins, aminoglycosides, carbapenems
70
Pulmonary arterial hypertension (idiopathic) (3)
Sildenafil, bosentan, epoprostenol
71
Rickettsia rickettsii (2)
Doxycycline, chloramphenicol
72
Schizophrenia (negative symptoms)
Atypical antipsychotics (olanzapine, clozapine, quetiapine, risperidone, aripiprazole, ziprasidone)
73
Schizophrenia (positive symptoms)
``` Typical antipsychotics (haloperidol, trifluoperazine, fluphenazine, thioridazine, chlorpromazine) Atypical antipsychotics (olanzapine, clozapine, quetiapine, risperidone, aripiprazole, ziprasidone) ```
74
SIADH (5)
Fluid restriction, IV hypertonic saline, conivaptan/tolvaptan, demeclocycline
75
Sickle cell disease
Hydroxyurea (increases fetal hemoglobin)
76
Sporothrix schenckii (2)
Itraconazole, oral potassium iodide
77
Stable angina
Sublingual nitroglycerin
78
Staphylococcus aureus (2/7)
MSSA: Nafcillin, oxacillin, dicloxacillin (antistaph penicillins) MRSA: Vancomycin, daptomycin, linezolid, ceftaroline
79
Streptococcus bovis (2)
Penicillin prophylaxis | Evaluation for colon cancer if linked to endocarditis
80
Strep pneumoniae (2/3)
Systemic infection/pneumonia: penicillin, cephalosporin | Meningitis (vancomycin)
81
S. pyogenes
Penicillin prophylaxis
82
Temporal arteritis
High dose steroids
83
Tonic-clonic seizures (4)
Levetiracetam, phenytoin, valproate, carbamazepine
84
Toxoplasma gondii (2)
Sulfadiazine + pyrimethamine
85
Treponema pallidum
Penicillin
86
Trichomonas vaginalis
Metronidazole (patient and partner)
87
Trigeminal neuralgia (tic douloureux)
Carbamazepine
88
Ulcerative colitis (4)
5-ASA preparations (e.g. mesalamine), 6-mercaptopurine, infliximab, colectomy
89
UTI prophylaxis
TMP-SMX
90
Warfarin reversal (2)
Fresh frozen plasma (acute), vitamin K (chronic)

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