Classic/Relevant Treatments Flashcards

Provide the appropriate treatment for the given condition (91 cards)

1
Q

Breast cancer in postmenopausal women

A

Aromatase inhibitor (anastrazole)

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2
Q

Streptococcus pyogenes

A

Penicillin prophylaxis

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3
Q

ADHD

A

Methylphenidate, amphetamines

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4
Q

Acute promyelocytic leukemia (M3)

A

All-trans retinoic acid

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5
Q

Bipolar disorder

A

Lithium, valproate, carbamazepine, lamotrigine (mood stabilizers)

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6
Q

Ulcerative colitis

A

5-ASA, infliximab

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7
Q

Pneumocystis jirovecii

A

Trimethoprim/sulfamethoxazole [TMP-SMX]; (prophylaxis in AIDS patients)

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8
Q

Pheochromocytoma

A

alpha antagonists (e.g. phenoxybenzamine)

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9
Q

Sporothrix schenkii

A

Oral potassium chloride

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10
Q

Anticoagulation during pregnancy

A

Heparin

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11
Q

SIADH

A

Demeclocycline, lithium, vasopressin receptor antagonist

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12
Q

Ringworm infections

A

Terbinafine, griseofulvin, imidazole

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13
Q

Infertility

A

Leuprolide, GnRH (pulsatile)

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14
Q

Cystic fibrosis

A

N-acetylcysteine + antipseudomonal prophylaxis (tobramycin/azithromycin)

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15
Q

Neural tube defect prevention

A

Prenatal folic acid

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16
Q

Prostate carcinoma

A

Flutamide

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17
Q

Pseudomonas aeruginosa

A

Antipseudomonal penicillin + aminoglycoside

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18
Q

MRSA

A

Vancomycin

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19
Q

Cytomegalovirus

A

Ganciclovir

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20
Q

Chronic hepatitis

A

IFN-alpha

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21
Q

Pulmonary arterial hypertension (idiopathic)

A

Sildenafil, bosentan, epoprostenol

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22
Q

Hypercholesterolemia

A

Statin (first-line)

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23
Q

Sickle cell anemia

A

Hydroxyurea (increases fetal hemoglobin)

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24
Q

Neisseria meningitidis

A

Penicillin/ceftriaxone, rifampin (prophylaxis)

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25
*Chlamydia trachomatis*
Doxycycline (+ ceftriaxone for gonorrhea confection), erythomycin eye drops (prophylaxis in infants)
26
HER2/neu-positive breast cancer
Trastuzumab
27
Schizophrenia (negative symptoms)
5-HT2A antagonists (e.g. second generation antipsychotics)
28
Entercocci
Vancomycin/ampicillin + aminoglycoside
29
Osteomalacia/rickets
Vitamin D supplementation
30
Streptococcus bovis
Penicillin prophylaxis; evaluation for colon cancer if linked to endocarditis
31
Wegner's granulomatosis with polyangiitis
Cyclophosphamide, corticosteroids
32
Bulimia
SSRIs
33
*Mycobacterium tuberculosis*
RIPE (rifampin, isoniazid [INH], pyrazinamide, ethambutol)
34
Carcinoid syndrome
Octeotride
35
Influenza
Rimantadine, oseltamivir
36
Diabetes mellitus type 2
Dietary intervention, oral hypoglycemics, and insulin (possible)
37
Chronic gout
Probenecid (underexcretor), allopurinol (overproducer)
38
Erectile dysfunction
Sildenafil, vardenafil
39
Absence seizures
Ethosuximide
40
Heparin toxicity (acute)
Protamine sulfate
41
Diabetes mellitus type 1
Dietary intervention (low-sugar) + insulin replacement
42
Haemophilus influenzae (B)
Rifampin (prophylaxis)
43
Stable angina
Sublingual nitroglycerin
44
*Neisseria gonorrhoeae*
Ceftriaxone (add doxycycline to cover likely concurrent *Chlamydia*)
45
Alcohol withdrawal
Benzodiazepines
46
Diabetes insipidus
Desmopressin (central); hydrochlorothiazide, indomethacin, amiloride (nephrogenic)
47
Immediate anticoagulation
Heparin
48
*Clostridium botulinum*
Antitoxin
49
Warfarin toxicity
Fresh frozen plasm (acute), vitamin K (chronic)
50
Generalized anxiety disorder
Buspirone
51
Estrogen receptor (ER)-positive breast cancer
Tamoxifen
52
Patent ductus arteriosus
Indeomethacin
53
Prostate cancer/uterine fibroids
Leuprolide, GnRH (continuous)
54
*Candida albicans*
Amphotericin B (systemic), nystatin (oral thrush, esophagitis)
55
*Clostridium difficile*
Oral metronidazole; if refractory, oral vancomycin
56
Chronic myelogenous leukemia (CML)
Imatinib
57
Schizophrenia (positive symptoms)
D2 receptor antagonists (e.g. first and second generation antipsychotics)
58
Malaria
Choloroquine/mefloquine (for blood schiznot), primaquine (for liver hypnozoite)
59
UTI prophylaxis
Trimethoprim/sulfamethoxazole (TMP-SMX)
60
Arrhythmia in damaged cardiac tissue
Class IB antiarrhythmic (liocaine, mexiletine, tocainide)
61
Rickettsia rickettsii
Doxycycline, chloramphenicol (especially in context of aplastic anemia)
62
Toxoplasma gondii
Sulfadiazine + pyrimethamine
63
*Clostridium tetani*
Antitoxin + vaccine booster + diazepam
64
Depression
SSRIs (first-line)
65
Hyperaldosteronism
Spironolactone
66
Cyclophosphamide-induced hemorrhagic cystitis
Mesna
67
Ethylene glycol/methanol intoxication
Fomepizole (alcohol dehydrogenase inhibitor)
68
Leigonella pneumophila
Erythromycin
69
Prolactinoma
Bromocriptine/cabergoline (dopamine agonists)
70
*Cryptococcus neoformans*
Fluconazole (prophylaxis in AIDS patients)
71
B12 deficiency
Vitamin B12 supplementation (work up cause with Schilling test)
72
Medical abortion
Mifepristone
73
Streptococcus pneumoniae
Penicillin/cephalosporin (systemic infection, pneumonia), vancomycin (meningitis)
74
Staphylococcus aureus
MSSA: nafcillin, oxacillin, dicloxacillin (antistaphylococcal penicllins); MRSA: vancomycin
75
Long-term anticoagulation
Warfarin
76
Tonic-clonic seizures
Phenytoin, valproate, carbamazepine
77
Diabetic ketoacidosis
Fluids, insulin, K+
78
Hypertriglyceridemia
Fibrate
79
Buerger's disease
Smoking cessation
80
*Trichomonas vaginalis*
Metronidazole (patient and partner)
81
Acute gout attack
NSAIDs, colchicine
82
Crohn's disease
Corticosteroids, infliximab
83
Treponema pallidum
Penicillin
84
Multiple sclerosis
Beta-interferon, immunosuppression, natalizumab
85
Malignant hyperthermia
Dantrolene
86
Alcohol abuse
AA and disulfiram for patients; AA for family
87
Benign prostatic hyperplasia
Tamsulosin, finasteride
88
Osteoporosis
Bisphosphonates; calcium and vitamin D supplementation
89
Migraine
Sumatriptan
90
Anorexia
SSRIs
91
Temporal arteritis
High-dose steroids