DOC Pharma Flashcards
(297 cards)
1
Q
Familial hyperK+ periodic paralysis
A
Dichlorphenamide
2
Q
Raised ICP with headache
A
Acetazolamide
3
Q
Pulmonary edema
A
Furosemide
4
Q
HTN + Osteoporosis
A
Chlorthalidone (Thiazides)
5
Q
Cerebral edema
ACG
⬆️ICT
A
Mannitol
⤵️
C/I - pulmonary edema and active cerebral hemorrhage
6
Q
Resistant HTN/edema
Cirrhosis edema
A
Spironolactone
7
Q
Li induced DI
Liddle syndrome
A
Amiloride (ENaC#)
8
Q
Acute variceal bleed
A
Octreotide
Px - Propranolol
TOC - Endoscopic band ligation
9
Q
Central DI
Nocturnal eneuresis
A
Desmopressin
10
Q
SIADH
A
Tolvaptan
TOC- free water restriction
11
Q
ACG
A
Pilocarpine
12
Q
Xerostomia
A
Cevimeline
13
Q
OP Poisoning
A
Atropine
14
Q
Atropine poisoning
A
Physostigmine
15
Q
Myasthenia Gravis
Kawasaki
Gillian Barre (GBS)
A
IVIG
16
Q
Narcoanalysis
A
Thiopentone
17
Q
COPD bronchodilation
A
Tiotropium fam
18
Q
Motion sickness
A
Scopolamine patch
19
Q
Urge incontinence
Over active bladder or detrusor instability
A
Darifenacin
20
Q
HuntingTon’s chorea
A
Tetrabenazine
21
Q
TardiVe dyskinesia
A
Velabenazine
22
Q
Vasodilatory shock
A
Norepinephrine
23
Q
Cardiac arrest
A
Epinephrine
24
Q
Anaphylactic shock
A
Epinephrine
Multiple IM f/b IV
25
Brittle asthma
Epinephrine
26
CHF + oliguria
Dopamine
27
Cardiogenic shock or CHF
Dobutamine
28
Postural hypotension
Midodrine
29
Withdrawal hypotension (due to clonidine)
IV Phentolamine
30
HDP pregnant
Oral labetalol
31
Cheese reaction
IV Phentolamine
32
ADHD
Methylphenidate
| Abuse/Tics - atomoxetine
33
Hypotension
1. Pregnancy
2. Anaesthetic agent
Ephedrine
34
Narcolepsy
Sleepiness + OHSAS
Shift workers
Modafenil
35
Intraop HTN in pheochrocytoma
IV Phentolamine
36
ED
Sildenafil
37
Preop HTN in pheochromocytoma
Phenoxybenzamine f/b Beta blockers
38
HTN + BPH
Tera/Doxazocine
39
BPH
Tamsulosin
40
Scorpion bite
Prazosin
41
Px
Migraine
Acute variceal bleed
Propranolol
42
HOCM
Propranolol
43
Aortic dissection
Labetalol
44
OAG
| NTG
PG analogs
45
HTN urgency
Clonidine
46
Tics with mild/mod Tourette
Clonidine
47
Tics with severe Tourette
Haloperidol
48
Acute attack of SVT/PSVT
IV Adenosine
49
Acute attack of AF/A flutter
IV Ibutelide
TOC- Cardioversion
50
Long term rhythm control in AF
Amiodarone
51
WPW + A Fib
IV Procainamide
52
WPW
Oral Flecainide
TOC- RFA
53
MI/Digoxin induced VT/VF
Lidocaine
54
Idiopathic VT
BB
55
VPC
BB
56
Cong long QT
BB
57
Rate control AF
Acute
Chronic
Acute IV Esmolol
Chronic Metoprolol
58
Catecholamine arrythmias
BB
59
Acute attack SVT/PSVT resistant to IV Adenosine
BB
60
VT/VF
Amiodarone
61
Rhythm control AF
Amiodarone
62
Amiodarone induced pulmonary fibrosis
Prednisolone
63
Acute attack of Torsades
MgSO4
64
Long term management of Cong along QT
Pacing +ICD
F/b
BB
65
Long term management of SVT/PSVT + chronic CHF
Digoxin
66
RHF
Milrinone/Enoximone
67
Sustained VT
| V Fib due to digoxin toxicity
Lidocaine
Digiband
MgSO4
68
HTN Emergency
IV Nicardipine
69
Raynauds
CCB
70
HTN Emergency in pregnancy
IV Labetalol
71
Androgen alopecia
Finasteride
72
Insulinoma
Diazoxide
73
Acute attack or Px angina
SC Nitroglycerin
74
HTN + DM/CKD//NS/Scleroderma
ACEI
75
Old HTN
CCB
76
Young HTN (<55y)
ACEI/ARBS
77
TSS
Clindamycin
78
Heparin induced thrombocytopenia
Parenteral direct thrombin #
| Lepirudin, Bevalirudin, argatroban
79
Pulmonary embolism
Anticoagulants
| Heparin f/b Warfarin
80
Fe poisoning
Desferrioxamine (IM)
(BAL - C/I) 😱
81
Heavy menstrual bleed
Tranexamic acid
82
CLL
Fludarabine
83
MRSA
Vancomycin
84
CINV
Ondansetron (5HT3#)
85
ChorioCA
MTX
86
Hairy cell leukaemia
Cladarabine
87
Pancreatic CA
Gemcitabine
88
CML
Imatinib
89
HCC
Sorefenib (Sorry)
90
Nocturnal eneuresis
TOC - CBT
DOC - Desmopressin
91
Mesothelioma
Pemetrexed
92
GIST
Imatinib
93
Carcinoid
Octreotide
94
Lymes
Doxycycline
| Pregnancy and children = Amoxicillin
95
Mastitis
Dicloxacillin (Erythromycin if allergic)
96
Shigella
Ciprofloxacin
97
VRE
Linezolid
98
Restless leg syndrome or Ekboms syndrome
Ropinirole
99
VRSA
| VRSA pneumonia
Daptomycin (inactivated by surfactant)
Vrsa pneumonia - Linezolid
100
Brucellosis
Rifampicin + Doxycycline
101
Opioid withdrawal
Clonidine
102
PCOS + Ovarian induction
Letrozole
| More success than Clomiphene
103
Cyanide toxicity
Hydroxocobalamin + Sodium thiosulfate
104
Precocious puberty
GnRH agonist
105
Scabies
Permethrin 5%
106
Inverse glaucoma
Atropine
107
Schizo on meds + Catatonia
BZD
108
Absence seizure (3spike on wave)
Ethosuximide
109
Nodulocystic acne
Isotretinoin
| Not acetretinoin
110
Hep B + decompensated cirrhosis
Tenofovir
111
CAH
Hydrocortisone
112
Scrub typhus
1. Pregnancy
2. Others
1. Pregnancy: Azithromycin
| 2. Others: Doxycycline
113
Delayed vomiting after chemoRx
| Acute vomiting
Delayed: NK1 Substance P- Aprepitant
Acute: 5HT3# Emset
114
Actinomycosis
Penicillin G
115
Anaphylactic shock
0.5 mg 1:1000 Epi IM
116
ADHD
Methylphenidate
117
Lymes
| Bulls eye skin lesion
Doxycycline 100 BD
Pregnant: Amoxicillin
118
Ethylene glycol
| HAGMA + dumbbell urine crystals
Fomepizole
119
Px and Rx PCP pneumonia
Cotrimoxazole
120
Gono + Non Gono urethritis
Cefixime + Azithromycin
121
OCD
SSRI - fluoxetine
122
Px migraine
Flunarazine
```
Propranolol
Amitryptaline
Valproate, Topiramate
Methysergide
Candesartan
```
123
Hyper PTH + Hyper PO4
Sevelamer (no Ca)
| PO4 binders
Lanthanum (no Ca)
CaCO3
Ca acetate
124
Alcohol withdrawal
BZD
125
Anaesthesia induction + in Shock patients
Ketamine
126
Post op DVT Px
Heparin >>>> early ambulation
127
Loa loa
DEC
128
Uranium antidote
Bicarbonate
129
Lung abscess
Clindamycin
130
Graves
Methimazole
131
PPH Rx and Px
Oxytocin
Best drug = Carboprost
132
Cholera Px
Oxytetracycline
133
Leptospirosis
Doxycycline
134
Cholera
Rx
Px
Rx
Adults Doxy
Preg and children Azithro
Px
Tetracycline
135
Acute muscle dystonia secondary to antipsychotics
Benztropine
136
```
Systemic fungal (except invasive aspergillosis)
Mucormycosis
```
AMB
137
Kala Azar
AMB
138
Cryptococcal meningitis
IV AMB + IV Flucytosine
139
Muco cutaneous Candida albicans (only)
| Coccidiosis meningitis
Fluconazole
140
Endemic mycosis
| Sporotrichosis
Itraconazole
Old- Keto (Cushings only now)
141
ABPA
Prednizolone
142
Invasive aspergillosis
Seedosporum
Trichosporon
Voriconazole
143
Px of invasive aspergillosis
Posaconazole
Also used in resistant aspergillosis, mucor
144
Kerion
Griseofulvin
145
Fungal corneal ulcer
Natamycin
146
NEMATODES
Soil:
Hook worm
Whip worm
Round worm
Enterobius
Trichinella
Albendazole
147
CESTODES
NCC
Echinococcus
Albendazole
148
Strongyloides
| O. Volvulus
Ivermectin
149
Loa loa
| Filariasis
DEC
150
Intestinal T. Solium
T. Saginata
H. Nana
D. Latum
Praziquantel
151
F. Hepatica
Trichlabendazole
152
Other Fasciolas
| Schistosomiasis
Praziquantel
153
Microsporidiosis
Albendazole
154
Oral DOC in scabies
Ivermectin morning
155
Scabies TOC
5% permethrin
156
Filaria TOC
IDA
Ivermectin
DEC
Albendazole
157
Asymptomatic intestinal amoebiasis
Paramomycin oral
158
Symptomatic intestinal or extra intestinal amebiasis
Metronidazole
159
Visceral leishmaniasis
IV LAMB
| Oral Miltefosine
160
Cutaneous leishmaniasis
Sod. Stibugluconate
161
Chagas
Benznidazole
162
Cryptosporidiasis
| Resistant giardiasis
Nitazoxanide
163
Severe falciparum malaria
| Even in pregnancy 🤰🏻
IV Artesunate continuous IV infusion 48 h
164
Uncomplicated vivax/ovale
CQ 3days + Primaquine 14days
165
Uncomplicated Malaria
Vivax/ovale CQ resistant and
Falciparum (inherently CQ resistant)
ACT
Vivax/ovale - primaquine 14days or tafenaquine once
Falciparum- primaquine once
166
ACT all other states
ACT SP
Artesunate oral
Sulfadoxine
Pyrimethamine
167
NE States ACT
ACT AL
Oral artemether
Lumefantrine
168
Malaria Px <6wks
Doxy 100 mg OD
| Start 2d before travel continue 4 wks after travel
169
Malaria Px >6wks
Mefloquine 250mg/week
Started 1wk before journey to 4 wks after journey
170
Preg with uncomplicated vivax/ovale
CQ
| Post partum primaquine
171
Pregnant
Resistant Vivax/ovale
Falciparum
Quinine + clindamycin
172
Px pregnancy
Mefloquine
173
Radical cure
| Terminal Px
Primaquine
174
Isospora
Cyclospora
Microsporum
Cotrimoxazole
175
Babesiosis
Atovaquone + Azithromycin
176
Toxoplasmosis (non pregnancy)
Pyrimethamine + Sulfadiazine
177
Toxoplasmosis in pregnancy 🤰🏻
Spiramycin
178
Typhoid
Cases
Carriers
Cases
Ceftriaxone, FQ
Carriers
Ampicillin/Amoxicillin + Probenecid x 6wks
179
Chemo Px Cholera
Tetracycline
180
Toxoplasmosis
Adults Pyrimethamine + Sulfadiazine
HIV Cotrimoxazole
Pregnant Spiramycin
181
Cutaneous larva migrans
Ivermectin
Strongyloides
182
Bilharziasis
Praziquantel
183
Rx and Px of Type 2 DM
Metformin
184
```
Secretory diarrhea
Glucagonoma
VIPoma
Somatostatinoma
GRFoma
```
Octreotide
185
Acute variceal bleeding
Octreotide
186
Insulinoma
Diazoxide
187
Acromegaly
Octreotide
188
Hyperthyroidism
Pregnancy T1
Thyroid storm
PTU
TPO# and Peripheral conversion #
189
Hyperthyroidism Overall
| Pregnancy 🤰🏻 T2/3
Methimazole
| Carbazole
190
ER+ breast CA in PRE menopausal
Tamoxifen
| 200mg OD 5y
191
ER+ breast CA POST menopausal
Raloxifen
| 60mg OD 5y
192
Reidels thyroiditjs
Tamoxifen
193
Tamoxifen resistant ER + breast CA
Fulvestrant
250 OAMS sc
194
Hereditary angioedema
Danazol
| ⬇️ C1 esterase
195
Androgenic alopecia
Finasteride
| 5alpha reductase type 2#
196
ED
Sildenafil
| PDE5#
197
Osteoporosis
Bisphosphonates
198
Paget’s disease bone
Bisphosphonates
199
Psoriatic arthritis
Psoriasis + Arthritis
Only Arthritis
P+A: MTX
| Only A: anti TNF
200
Acute gout
NSAIDS
C/I uric acid lowering agents.
201
Raynaud’s disease
CCB
202
Long term Gout
Allopurinol
203
RA
MTX (DMARD)
204
Sarcoidosis
Prednisolone
205
HyperCa of malignancy
Bisphosphonates
206
Gold std for BPH
TURP
207
DKA
Regular insulin
208
Replacement Rx in
Adissons
Patient of CAH
Hydrocortisone
209
Pregnant + CAH baby
Dexa
210
Staph nasal carrier MRSA
Bacitracin
211
MRSA
E faecium
E faecalis (ampicillin resistant ONLY)
IV Vancomycin
GlycoPEPTIDE - only PE.
212
PMC
Oral Vancomycin
213
Listeria meningitis
H influenza ➡️ otitis and pneumonia
E faecalis 💩
Ampicillin
214
Px of RF
BPG OAMS
1mg = 1600 IU
215
Primary Syphillis
Secondary
Early latent
BPG one dose of 2.4 mi
216
Tertiary Syphillis
Cvs
Late latent
BPG 3 doses of 2.4 mi every week
217
Neuro Syphillis
Continuous infusion of 18-24 mi Aqueous PG for 10-14 days
218
```
Streptococcus
Leptospirosis
Gas gangrene
Yaws
Rat bite fever
```
Penicillin G
219
ESBL (Class A)
Carbapenemase
ABCD
C➕M➕C➖C➖
220
Mastitis
Cloxacillin
221
MRSA
| VRSA
MRSA - Vanco
| VRSA - Dapto
222
Linear IgA pemphigoid
| Dermatitis herpetiformis
Dapsone
223
ADHD + Tics
Atomoxetine
Methylphenidate worsens the tics (⬆️DA)
224
Pseudo tumor cerebri
Acetazolamide
225
Status migranosis
Steroids
226
Cluster headache
Verapamil
227
Absence seizure
Ethosuccimide
228
Sx Px of Strep and staph
IV Cefazolin
| 1h to 24h
229
Typhoid
IV - Ceftriaxone
| Oral - Cefixime
230
Gonorrhoea
E. coli, Klebsiella
Providentia
Typhoid
IV ceftriaxone
| Longest 3rd gen. most preferred
231
Toc Gonorrhoea
Ceftriaxone + Azithromycin/ Doxycycline
232
All meningitis except listeria
Ceftriaxone
233
Pseudomonas
Meliodosis
Febrile neutropenia
Ceftrazidime + AG
234
ESBL
Serratia
Enterobacter
Acinetobacter
Carbapenem
235
Herpes
Acyclovir
| Ganciclovir
236
Herpes resistant to acyclovir (DNA pol alpha and Thymid kinase)
Resistant CMV, HSV, VZV
Foscarnet
237
HSV
| VZV
Valacyclovir ( prodrug of acyclovir ORAL ✅)
238
CMV
Valgancyclovir (prodrug of Ganciclovir ORAL ✅)
239
Recurrent laryngeal papillomatosis
Cidofivir
240
Influenza A,B and Bird flu 🦢
Oral oseltamivir
| Rx and Px
241
Oselta resistant Influenza A, B and bird flu 😷
Inhalation Zanamavir
242
Hep B
Tenofovir
| ✅lami resistance
243
Hep B ➕ D
INF alpha
244
RAV
Px
Rx
Px - Palivizumab
| Rx - inhalational Ribavirin
245
Perinatal HIV
NVP syp 6wks
Except in HIV2/past ho NVP in mother
⬇️
Zido
12wks if mother <4wks or BF baby
246
Resistant schizophrenia
Clozapine
247
Acute mania
| Severe mania
Haloperidol
248
Alcohol withdrawal
Diazepam
249
Delirium tremens
Chlordiazepozide (BZD)
250
Rapid cycling
| Cyclothymia
Valproate
251
Akathesia
Propranolol
252
Ekbom syndrome
Ropinirole
253
Cheese reaction 🧀
Phentolamine
254
Cocaine OD
Bromocriptine
Alpha + beta blocker
255
Essential thrombocytosis
Hydroxyuria
256
```
My Pink RBC
Mycoplasma
Px plague Pleurodesis
Ricketssia
Brucella borrelia
Chlamydia cholera
LGV Lymes Syphillis Anthrax Malaria Filaria
```
Doxycycline
257
Plague
| Tularaemia
AG + Tetra
| Genta and Doxy
258
Gut strerilisation in hep encephalopathy
Oral rifaximin
259
Pertussis
| Diphtheria
Erythromycin
260
Community pneumonia (atypical - mycoplasma chlamydia legionella)
Chancroid
Campylobacter
Azithromycin
261
Cholera and chlamydia in pregnancy🤰🏻and children 👶🏻
Azithromycin
262
TSS
Clindamycin
263
Gas gangrene
Penicillin G
264
```
Supra diaphragmatic
PREVOTELLA
Oral cavity 🦷
Lung
Pleural cavity
```
Clindamycin
265
Infra diaphragmatic
BACTEROIDES
Abdomen
Pelvis - PID, septic abortion
Metronidazole
266
MRSA nasal carriers
Mupirocin ointment
267
```
Anthrax
Typhoid carrier
Travellers diarrhoea
Meningococcal meningitis - mass chemo Px and contacts
Pyelonephritis
```
Ciprofloxacin
268
Partial seizure
CBZ
269
General seizure
CCB
⬇️
Valproate
Upto 2y of seizure free. Except lifelong in Janz and post infarct
270
GTCS
Myoclonic
Absence
LGS
Valproate
271
Rapid cycler
Valproate
272
Rheumatic chorea
Valproate
273
Absence seizure <2y
Ethosuximide
274
Janz planning pregnancy and drug free trial had seizure
Levetracetam
275
Trigeminal neuralgia
CBZ
276
Infantile spasm syndrome ➕ tuberous sclerosis
Vigavatrin
277
Infantile spasms
ACTH
| Steroids
278
Dravet syndrome
Valproate
279
Febrile seizure
Rectal diazepam
280
Alcohol withdrawal seizure
Lorazepam
281
Status epilepticus
Lorazepam
282
Neonatal seizures
| Type 2 criggler najjar
Phenobarbital
283
Zaleplon
Sleep INDUCTION
| Jet lag
284
EszopicLONe
Long acting for sleep maintenance
285
Post op chills
Meperidine
286
Opioid toxicity
IV Naloxone
287
Type 1 wenkebach
IV Atropine
288
Bradycardia in child
IV Epinephrine
289
PSVT 1st step
| PSVT BP is Normal
Vagal manoeuvre fb Adenosine 6mg
290
SVT
| BP is low
Cardiovert fb
| Adenosine iv 6mg
291
A fib with normal BP
IV Ibutilide
292
Non shockable rhythm
1mg epinephrine IV
293
VT normal BP
IV Procainamide
294
Rescue analgesia
Fentanyl
295
RSI
| Full stomach
SCh
296
Routine intubation in peds
Rocuronium
297
M/s relaxant for neonate
Atracurium
