First Aid - Classic/Relevant Treatments

Question 1

absence seizures

Answer 1

ethosuximide

Question 2

acute gout attack

Answer 2

NSAIDs, colchicine, glucocorticoids

Question 3

acute promyelocytic leukemia (M3)

Answer 3

all-trans retinoic acid

Question 4

ADHD

Answer 4

methylphenidate, CBT, atomoxetine, guanfacine, clonidine

Question 5

alcohol use disorders

Answer 5

disulfram, acamprosate, naltrexone, supportive care

Question 6

alcohol w/draw

Answer 6

long acting benzodiaepines

Question 7

anorexia

Answer 7

nutrition, psychotherapy, mirtazapine

Question 8

anticoag during pregnancy

Answer 8

heparin

Question 9

B12 def

Answer 9

vit B12 supplementation - work up caue with schilling test

Question 10

arrhythmia in damaged cardiac tissue

Answer 10

class IB antiarrhythmic (lidocane, mexiletine, tocainide)

Question 11

bipolar disorder

Answer 11

lithium, valproate, carbamazepine, lamotrigine (mood stabilizers), and atypical antipsychotics

Question 12

breast ca in postmeopausal woman

Answer 12

aromatase inhibitor (anastrozole)

Question 13

buerger dz

Answer 13

smoking cessation

Question 14

bulimia nervosa

Answer 14

SSRIs

Question 15

candida albicans

Answer 15

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

Question 16

carcinoid syndrome

Answer 16

octreotide

Question 17

chlamydia trachomatis

Answer 17

doxycycline (ceftriaxone for ghorrhea coinfection), erythromycin eye drops (prophylaxis in infants)

Question 18

chronic gout

Answer 18

probenecid (underexcretor), allopurinol (overproducer), febuxostat, pegloticase

Question 19

chronic hepatits

Answer 19

INF-alpha, ribaviren

Question 20

chonic myelogenous leukemia

Answer 20

imatinib

Question 21

clostridium botulinum & tetani

Answer 21

antitoxin

Question 22

c. diff

Answer 22

oral metronidazole; if refractory oral vanco

Question 23

clostridium tetani

Answer 23

antitoxin + vaccine booter + diazepam

Question 24

CMV

Answer 24

ganciclovir, fascarnet, cidofovir

Question 25

Crohns Dz

Answer 25

corticosteroids, infliximab, azathioprine

Question 26

cryptococcus neoformans

Answer 26

fluconizole (prophylaxis in AIDS pts)

Question 27

cyclophosphamide-induces hemorrhagic cystitis

Answer 27

mesna

Question 28

depression

Answer 28

SSRI (first line)

Question 29

diabetes insipidus

Answer 29

desmopressin (central), HCTZ, indomethacin, amiloride (nephrogenic)

Question 30

DM type I

Answer 30

dietary intervention (low sugar) + insulin replacement

Question 31

DM type 2

Answer 31

dietary intervention, oral hypoglycemics, and insulin (if refractory)

Question 32

diabetic ketoacidosis

Answer 32

fluid, insulin, K+

Question 33

enterococci

Answer 33

vanco, aminopenicillins/cephalosporins

Question 34

erectile dysfunction

Answer 34

sidenafil, verdenafil, tadalafil

Question 35

ER + breast cancer

Answer 35

tamoxifen

Question 36

ethylene glycol/methanol incoxication

Answer 36

fomepizole (alcohol dehydrogenase inhibitory)

Question 37

haemophilus influenzae (B)

Answer 37

rifampin (prophylax)

Question 38

generalized anxiety disorder

Answer 38

SSRI, SNRI (first line), busiperone (second line)

Question 39

granulomatosis with polyangiitis

Answer 39

cyclophosphamide, corticosteroids

Question 40

heparin toxicity (acute)

Answer 40

protamine sulfate

Question 41

HER2/neu + breast cancer

Answer 41

trastuzumab

Question 42

hyperaldosteronism

Answer 42

spriniolactone

Question 43

hypercholsterolemia

Answer 43

statin (first line)

Question 44

hypertriglyceridemia

Answer 44

fibrate

Question 45

immediate anticoagulation

Answer 45

heparin

Question 46

infertility

Answer 46

leuprolide, GnRH (pulsatile), clomiphene

Question 47

influenza

Answer 47

rimantadine, oseltamivir

Question 48

legionella pneumophila

Answer 48

macrolides (ex azithromycin)

Question 49

long-term anticoagulation

Answer 49

warfarin

Question 50

malaria

Answer 50

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

Question 51

malignant hyperthermia

Answer 51

dantroline

Question 52

medical abortion

Answer 52

mifepristone

Question 53

MRSA

Answer 53

vanco

Question 54

MS

Answer 54

beta-interferon, immunosuppression, natalizumab; acute flares use IV steroids

Question 55

muycobact TB

Answer 55

RIPE (rifampin, INH, pyrazinamide, ethambutol)

Question 56

nisseria gonorrheae

Answer 56

ceftriazone (add doxycyclin to cover likely concurrent chlamydia)

Question 57

neutal tube defect prevention

Answer 57

prenatal folic acid

Question 58

osteomalacia/rickets

Answer 58

vit D supplementation

Question 59

osteoporosis

Answer 59

bisphosphonates; Ca and vit D supplementation, SERMs, calcitonin, denosumab

Question 60

patent ductus arteriosus

Answer 60

indomethacin

Question 61

pheochromocytoma

Answer 61

alpha-antagonist (ex phenoxybenzamine)

Question 62

penumocystis jirovecii

Answer 62

TMP-SMX (prophylax in AIDS pts)

Question 63

prolactinoma

Answer 63

bromocriptine (dopamine antagonic)

Question 64

prostate cancer/uterine fibroids

Answer 64

leuprolide, GnRH (continuous)

Question 65

prostate carcinoma

Answer 65

flutamide

Question 66

pseudomonas aeruginosa

Answer 66

antipseudomonal penicillin + aminoglycoside, carbapenems

Question 67

pulomary arterial hyper tension

Answer 67

sildenafil, bosentan, epoprostenol

Question 68

rickettsia rickettsii

Answer 68

doxycyclin, chloramphenicol (ass'd with aplastic anemia)

Question 69

ringworm infs

Answer 69

terbinafine, griseofulvin, imidazole

Question 70

schizophernia (neg symptoms)

Answer 70

atypical antipsychotics

Question 71

schizophrenia (positive symptoms)

Answer 71

typical and atypical antipsychotics

Question 72

SIADH

Answer 72

fluid restriction, IV hypertonic saline, conivaptan/tolvaptan, demeclocycline

Question 73

sickle cell anemia

Answer 73

hydroxuria (increases fetal Hb)

Question 74

sprothrix schenckii

Answer 74

oral potassium idodide, itraconazole

Question 75

stable angina

Answer 75

sublingual nitroglycerin

Question 76

streptococcus bovis

Answer 76

penicillin prophylaxis; eval for colon cancer if linked to endocarditis

Question 77

staphlococcus aureus

Answer 77

MSSA: nafcillin, oxacillin, dicloxacillin; MRSA: vanco, captomycn, linezolid, ceftaroline

Question 78

streptococcus pyogenes

Answer 78

penicillin prophylaxs

Question 79

temporal arteritis

Answer 79

high dose steroids

Question 80

tonic-clonic seizures

Answer 80

penytoin, valproate, carbamazepine, levetiracetam

Question 81

toxoplasma gondii

Answer 81

sulfadiazine + pyrimethamine

Question 82

treponema pallidum

Answer 82

penicillin

Question 83

trichomonas vaginalis

Answer 83

metronidazole (pt and partner)

Question 84

ulcerative colitis

Answer 84

5-ASA preps (mesalamine), 6MP, infliximab, colectomy

Question 85

UTI prophylaxis

Answer 85

TMP-SMX

Question 86

warfarin toxicity

Answer 86

FFP (acute), vit K (chronic)

Question 87

arrhythmia in damaged cardiac tissue

Answer 87

alpha1-antagonist, 5alpha-reductase inh, PDE-5 inhibitors

Question 88

kawasaki disease

Answer 88

IVIG, high-dose asa

Question 89

migraine

Answer 89

abortive therapies (sumatriptan, NSAIDs); prophylaxis (propranolol, topiramate, CCBs, amitriptyline)

Question 90

nisseria meningitidis

Answer 90

penicillin/ceftraxone, rifampin (prophylaxis)

Question 91

strep pneumo

Answer 91

penicillin/cephalosporin (systemic inf, penumonia), vanco (meningitis)