Treatment/Therapy

Question 1

Diarrhea

Answer 1

Supportive Tx ( including hydration), but DON’T give anti-motility drugs for infectious diarrhea ( e.g. Loperamide)

Question 2

Syphillis

Answer 2

IM benzathine penicillin

Question 3

Clostridium difficile infection

Answer 3

Vancomycin (PO)- need drug to be in the lumen of the gut

Question 4

Vancomycin resistant enterococci

Answer 4

Daptomycin IV

Question 5

Pseudomonas aeruginosa infection

Answer 5

Ciprofloxacin only PO agent

Question 6

Cystitis 1st line

Answer 6

Nitrofurantoin (PO)

Question 7

Shingles

Answer 7

• Acyclovir/Valacyclovir/Famcyclovir with 72 hours reduces duration of symptoms
• Herpes zoster vaccine for >60 y.o

Question 8

Indications and contraindications for antibiotics in enteric infection

Answer 8

Contraindicated: enterohemorrhagic E. coli
Indicated: cholera, shigellosis, typhoid fever or very prolonged cases

Question 9

Disseminated gonoccocal infection

Answer 9

Cefotaxime (covers N. gonorrhea) and doxycycline ( covers chlamydia… Always treat for chlamydia whenever you treat for gonorrhea)

Question 10

Giardiasis

Answer 10

metronidazole

Question 11

Pertussis

Answer 11

macrolides or septra

Question 12

esophageal candidiasis

Answer 12

fluconazole PO

Question 13

oropharyngeal candidiasis

Answer 13

nystatin swish

Question 14

gonorrhea

Answer 14

ceftriaxone

Question 15

chlamydia

Answer 15

doxycycline

Question 16

HSV

Answer 16

acyclovir

Question 17

vulvovaginal candidiasis

Answer 17

fluconazole

Question 18

trichomonas vaginalis

Answer 18

metronidazole

Question 19

bacterial vaginosis

Answer 19

metronidazole

Question 20

prostatits

Answer 20

ciprofloxacin or septra

Question 21

entamoeba histolytica

Answer 21

metronidazole

Question 22

H. pylori

Answer 22

HP-Pac (PPI and Ab’s)

Question 23

Stable Angina

Answer 23

Conservative: (diet, exercise, stress)
Medical: anti-HTN (thiazide +/- ACEi), anti-platelet (ASA), perhaps beta-blockers, NO for acute symptom management.

Question 24

How to treat suspected UA or NSTEMI?

Answer 24

1) anti-thrombotics (UFH, ASA) (prevent further occlusion)
2) supplemental oxygen (especially is low O2 sats) (increase O2 supply)
3) Nitroglycerin ( decrease O2 demand, increase O2 supply) (only if normotensive)
4) Morphine (pain management)
5) Beta-blockers: reduce O2 demand

Question 25

acetaminophen toxicity

Answer 25

N-acetylcysteine infusion

Question 26

acute HAV

Answer 26

supportive, follow-up blood tests, vaccinate close contacts

Question 27

hereditary hemochromatosis

Answer 27

phlebotomy

avoid vit c supplements

Question 28

autoimmune hepatitis

Answer 28

steroids and immunemodulators

Question 29

Wilson’s disease

Answer 29

chelation therapy, low copper diet

Question 30

hepatic encephalopathy

Answer 30

lactulose to acidify stools and trap ammonia

intraluminal antibiotics

Question 31

ruptured esophageal varice

Answer 31

surgical ligation and treatement with somatostatin analog that causes splanchnic vasoconstriction