Treatments

Question 1

Acne

Answer 1

Benzoyl peroxide: inflammatory acne
Topical retinoic acid (tretinoin): treats comedonal acne
Topical antibiotics: treats pustular and comedone acne
Systemic antibiotics
Oral contraceptives that contain estrogen
Oral isotretinoin

Question 2

Boil

Answer 2

Self limiting
Warm moist compress
I&D
Antibacterial soap
Mupirocin ointment
Antibiotics (Dicloxacillin, Cephalexin)

Question 3

Impetigo

Answer 3

Mupirocin (bactroban)
Cephalexin (keflex)
Removal of exudate
Antihistamine

Question 4

Tinea (antifungal)

Answer 4

Griseofulvin
Itraconazole
Miconazole
Tolnaftate
Terbinafine
Thiabendazine

Question 5

Tinea (surgical)

Answer 5

Debridement - tissue removal

Question 6

Conjunctivitis

Answer 6

Bacterial: Ciprofloxacin
Viral: Sulfonamide
Neonatal: Topical erythromycin and cephalosporin
Chemical: flushing with NSS, topical steroids
Vernal: corticosteroid drops, cromolyn sodium, cold compress, oral antihistamine
Herpes: trifluridine drops, vidarabine ointment, oral acyclovir

Question 7

Otitis externa

Answer 7

• heat therapy
• 3% hypertonic saline
• aspirin/acetaminophen/ codeine
• nystatin
• keratolytic: 2% salicylic

Question 8

Otitis media

Answer 8

Amoxicillin
Azithromycin
Cefuroxime

surgical: myringotomy

Question 9

Menigococcemia

Answer 9

Penicillin G

Question 10

Streptococcal pharynigits

Answer 10

Bed rest
Saline gargle
Lozenge (ex: strepsils)
Soft diet
Penicillin/cephalosporin/erythromycin

Question 11

Pneumonia

Answer 11

Antibiotics
Co-amoxiclav
Co-trimoxazole
Unasyn
Tazocin

O2 therapy
Suctioning
Coughing and deep breathing exercises
Mechanical ventilation
Hydration
HIGH CALORIE DIET
Bed rest

Question 12

H5N1

Answer 12

Bed rest
Paracetamol
Guaifenesin
Dextromethorphan
Increase fluid
Antivirals: oseltamivir, zanamivir

Question 13

H1N1

Answer 13

Bed rest
Paracetamol
Increased fluid intake
antivirals : oseltamivir, zanamivir

Question 14

SARS

Answer 14

Bed rest
Increase fluid intake
O2 administration
Antivirals: ribavirin

Question 15

scabies

Answer 15

Permethrin 5%
Malathion
Lindane lotion
10% sulfur ointment
Neem oil
Tea tree oil 5%
Ivermectin
Chlorpheniramine

Question 16

Diphtheria

Answer 16

• antibiotics: erythromycin, penicillin
• DTaP (2,4,6 mos)

Question 17

Pertussis

Answer 17

• DTaP
• Antibiotics (erythromycin, azithromycin, and clarithromycin)

Question 18

Infectious mononucleosis

Answer 18

• NSAIDs
• steroids
• saline gargle
• paracetamol
• rest

Question 19

AIDS

Answer 19

• HAART
• Trizivir
• Abacavir + Lamivudine + Zidovudine

Question 20

Common colds

Answer 20

• rest
• saline gargle
• decongestants
• increased oral fluids
• steam inhalation
• mucus aspiration

Question 21

COVID19

Answer 21

> Nirmatrelvir with ritonavir
- for adults and children ages 12+
- oral
- within 5 days

> Remdesivir
- for adults and children
- iv for 3 consecutive days
- within 7 days

• Molnupiravir
  for adults
  oral
  within 5 days

Question 22

Measles

Answer 22

Vitamin A

doses:
50 000 IU : < 6 mos old
100 000 IU: 6-11 mos old
200 000 IU: 12 mos +

Question 23

Varicella

Answer 23

2 doses of vax

Question 24

Dengue

Answer 24

Acetaminophen to control fever and relieve pain

Question 25

Malaria

Question 26

Shigellosis

Answer 26

- ciprofloxacin - amoxicillin - doxycycline - trimethoprim sulfamethoxazole

Question 27

Gastroenteritis

Answer 27

- Oral rehydration - IV replacement - Antiemetic (Metoclopramide) - Antipyretic (Acetaminophen) - Antispasmodic (Butylscopolamine) Rotateq vaxx (3 doses P.O, starts at 6 weeks, 4 week interval)

Question 28

Typhoid fever

Answer 28

- Oral rehydration - IV replacement (D5NM) - Ciprofloxacin - Chloramphenicol - Cefixime

Question 29

Cholera

Answer 29

- Oral rehydration - IV replacement (D5LR) - Doxycycline - Erythromycin - Tetracycline

Question 30

PUD

Answer 30

- antacids (H2 blockers, proton inhibitors) - antibiotics (amoxicillin and clarithromycin)

Question 31

Salmonella

Answer 31

Antimicrobial therapy 1. Ampicillin 2. Cephalosporin 3. TMP-SMX 4. Azithromycin Rehydration

Question 32

UTi

Answer 32

- antibiotics a. Co-amoxiclav b. Co-trimoxazole c. meropenem d. nitrofurantoin - fluid replacement: oral, iv - analgesics for pain - Trimetophrim-sulfomethoxazole

Question 33

Leptospirosis

Answer 33

- doxycycline - mild - Penicillin G - severe - dialysis - azotemia

Question 34

herpes

Answer 34

- Acyclovir - Famciclovir - Valacyclovir

Question 35

g warts

Answer 35

- imiquimod cream - podofilox gel - cryotherapy - surgical removal

Question 36

syphilis

Answer 36

doxycycline penicillin g

Question 37

candidiasis

Answer 37

antifungal meds - nystatin - clotrimazole - amphotericin

Question 38

gonorrhea

Answer 38

ceftriaxone ciprofloxacine cefixime ofloxacin

Question 39

chlamydia

Answer 39

-azithromycin - doxycycline - erythromycine

Question 40

Viral encephalitis

Answer 40

- acyclovir

Question 41

Japanese encephalitis

Answer 41

Prevent increase in ICP - oxygen therapy - osmotic diuretic - loop diuretic - corticosteroids - stool softeners Prevent seizure - anticonvulsants Manage headache due to increased icp raise LOC infection control vector control

Question 42

Botulism

Answer 42

Ventilatory support Gastric gavage Antibiotic therapy: penicillin, metronidazole Botulinum antitoxins (IM and IV) Trivalent antitoxin (A,B,E) – given IV

Question 43

Tetanus

Answer 43

- relief from spasm and convulsions - relief from hyperthermia - eliminate bacterial infection

Question 44

Scabies

Answer 44

- permethrin 5% - malathion - Lindane lotion - 10% sulfate ointment - Neem oil - Tea tree oil at 5& - Ivermectin - chlorpheriamine

Question 45

Pediculosis capitis

Answer 45

- Permetherin cream

Question 46

Pediculosis corporis

Answer 46

- lindane powder on clothing

Question 47

Pediculosis pubis

Answer 47

- permetherin - lindane - mathalion

Question 48

Mumps

Answer 48

MMR - 2 doses of mumps vaxx