First Line Drug Exam

Question 1

First Line Viral Conjunctivitis

Answer 1

Artificial Tears

Question 2

First Line Bacterial Conjunctivitis

Answer 2

Erythromycin Ophthalmic Ointment

Question 3

First Line Otitis Externa

Answer 3

Ofloxacin

Question 4

First Line Acute Otitis Media

Answer 4

Amox/Clav 875mg/125mg BID

Question 5

First Line Contact Dermatitis

Answer 5

Hydrocortisone Cream

Question 6

First Line UNCOMPLICATED Atopic Dermatitis

Answer 6

Topical Hydrocortisone

Question 7

First Line Herpes Zoster

Answer 7

Valacyclovir 1000mg TID x 7 days

Question 8

First Line Impetigo

Answer 8

Mupirocin

Question 9

First Line Psoriasis

Answer 9

Betamethasone BID for 2 weeks

Question 10

First Line Psoriasis Pregnant Patient

Answer 10

Hydrocortisone 1% daily

Question 11

First Line Acne

Answer 11

Topical Clindamycin

Question 12

First Line Rosacea

Answer 12

Metronidazole cream 1%

Question 13

First line for prevention of Migraines

Answer 13

Topiramate 25-50mg q day

Question 14

First Line Tension Headaches

Answer 14

Ibuprofen 800mg q8h

Question 15

First Line Generalized Tonic Clonic Seizures

Answer 15

Valproic Acid 800mg q8h

Question 16

First Line for HTN in white male with no comorbidities

Answer 16

Lisinopril 10mg q day

Question 17

First Line Hyperlipidemia

Answer 17

Statins
EX: Fluvastatin ->lowers by 36%
Atorvastatin & Rosuvastatin -> lowers by 60%

Question 18

First Line Congestive Heart Failure

Answer 18

Ace Inhibitors “Pril” drugs
+Caution hypotension. Start low dose
+Not safe for pregnancy

Question 19

First Line Influenza

Answer 19

Oseltamivir 75mg q day x 10 days

Question 19

First Line for GABHS

Answer 19

PCN

Question 20

First Line Sinusitis

Answer 20

Decongestant with Amox/Clav
Decongestants:
Oxymetazolie hydrochloride (Afrin, Mucinex)
Phenylnephrine hydrochloride
Pseudonephrine (Sudafed)

Question 21

First Line Bronchitis

Answer 21

Antipyretic with decongestant
ex: Tylenol or Ibuprofen

Question 22

First Line for Community Acquired PNA in outpatient setting with no comorbidities

Answer 22

Macrolide
“Mycin” drugs
AzithroMYCIN
500mg day 1 then 250mg for 4 days
ClindaMYCIN
500mg BID x 7 days

Question 23

First Line for Intermittent Asthma

Answer 23

Bronchodilator as needed

Question 24

First Line Mild Persistent Asthma

Answer 24

Low dose inhaled corticosteroids (Flovent) and leukotriene receptor antagonist (Singulair)

Question 25

First Line Moderate Persistent Asthma

Answer 25

Low dose inhaled corticosteroids (Flovent) and long acting inhaled beta2-agonists (Advair, Serevent)

Question 26

First Line Severe Persistent Asthma

Answer 26

High dose inhaled corticosteroid (Symbicort) and long acting inhaled beta 2-agonists (Advair, Serevent)

Question 27

First Line for Interigo

Answer 27

Nystatin Powder q12h

Question 28

First Line for management mild COPD

Answer 28

Short acting bronchodilator PRN + Albuterol + Levalbuterol + Ipratropium

Question 29

First Line Nausea

Answer 29

Antiemetics + Promethazine + Prochlorperazine

Question 30

First Line Constipation

Answer 30

Bulk forming agents + Citrucel 2-6 g/day + Methylcellulose + Psyllium + Polycarbophil

Question 31

Diarrhea

Answer 31

Loperamide

Question 32

GERD

Answer 32

H2 Blockers + take w/o regard to meals + " tidine " drugs Cimetidine, Famotidine, Ranitidine PPI +30-60min before meals + " Zole " drugs Omeprazole Lansoprazole Pantoprazole

Question 33

PUD

Answer 33

H2 Blockers + take w/o regard to meals + " tidine " drugs Cimetidine, Famotidine, Ranitidine PPI +30-60min before meals + " Zole " drugs Omeprazole Lansoprazole Pantoprazole

Question 34

Peritonitis

Answer 34

3rd Generation Cephalosporins + Ceftriaxone

Question 35

UTI

Answer 35

Trimethoprim-sulfamethoxazole BID x 10 days -> safe 1st and 2nd trimester +Amoxicillin safe for pregnancy +Nitrofurantoin safe 1st and 2nd trimester

Question 36

Pyelonephritis

Answer 36

Fluroqinolone antibiotics "Floxacin" drugs +Ciprofloxacin +Levofloxacin PO 10-14 days

Question 37

Prostatitis

Answer 37

Fluroquinolones "Floxacin"

Question 38

BPH

Answer 38

a-adrenergic blockers " Zosin " +Terazosin 1-20mg daily +Doxazosin 4-8md daily

Question 39

Erectile Dysfunction

Answer 39

Phosphodiesterase-5 inhibitors +Sildenafil

Question 40

Chlamydia

Answer 40

Macrolide +Azithromycin Tetracycline +Doxycycline Fluroquinolones +Ofloxacin

Question 41

Gonorrhea

Answer 41

Ceftriaxone

Question 42

Syphilis

Answer 42

Penicillin G

Question 43

Herpes Simplex

Answer 43

Acyclovir

Question 44

Pelvic Inflammatory Disease

Answer 44

Ceftriaxone IM

Question 45

Osteoarthritis

Answer 45

Topical NSAID's

Question 46

Acute Gout Attacks

Answer 46

Colchicine

Question 47

Maintenance of Gout

Answer 47

Allopurinol

Question 48

Diabetes

Answer 48

Metformin + initially 500mg BID; increase by 500mg/week until desired blood glucose level

Question 49

Allergic Rhinitis

Answer 49

Antihistamines

Question 50

Hypothyroidism

Answer 50

Levothyroxine

Question 51

Hyperthyroidism

Answer 51

Radioactive Iodine

Question 52

Anaphylaxis

Answer 52

Epinephrine

Question 53

Erectile Dysfunction

Answer 53

Sildenafil

Question 54

Atrial Fibrillation

Answer 54

Anticoagulants +Warfarin - safe for ESRD +Heparin

Question 55

Prevention of Ischemic Stroke

Answer 55

Anticoagulants +Warfarin +Heparin

Question 56

Reduce the number of crises in sickle cell patient

Answer 56

Hydroxyurea

Question 57

Iron Deficient Anemia

Answer 57

Elementary Iron

Question 58

Thalassemia

Answer 58

Folate Supplements

Question 59

Vitamin B12 Deficiency

Answer 59

Cyanocobalamin

Question 60

Folate Deficiency

Answer 60

Folic Acid

Question 61

Bacterial Vaginosis

Answer 61

Metronidazole

Question 62

Vaginal Candidiasis

Answer 62

Antifungals “ conazole “ PO Fluconazole 150mg once only approved PO medication for VC. Topical clotrimazole, butoconazole, tioconazole

Question 63

Trichomoniasis

Answer 63

Metronidazole