Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Step 2 > Treatments > Flashcards

Treatments Flashcards

1
Q

MI due to cocaine OD

A

CCB and ativan
No BB
If >35, r/o general MI with cath

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

TIA/stroke work-up

A

Noncontrast CT -> Later, CTA or MRA + Echo +/- CA duplex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Ischemic stroke BP

A

BP goal <185/110
Use labetalol or nicardipine
No nitros!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

ICH BP

A

<140/90 or prestroke levels

Use labetalol or nitroprusside

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

SAH BP

A

<150s
Use labetalol or nimodipine
No nitros! (may increase ICP)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

TCA OD symptoms and tx

A

Cardiotox, seizure, anticholinergic

Tx: NaHCO3 if QRS>100; Benzodiazepines; monitor x 6 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

NDI caused by lithium

A

HCTZ + ameloride

regular NDI -> HCTZ

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Acute dystonia sx and tx

A

Neck spasm

Diphenhydramine or Benztropine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

TD sx and tx

A

facial movements

Stop/switch neuroleptic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Retinal detachment sx and tx

A

Floaters, shade, flashing lights

Laser photocoagulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Tourette’s tx

A

fluphenazine, pimozide, tetrabenazine (VMAT inh)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

ADHD tx

A

stimulants, atomoxetine (SNRI, SE SI/cardio/liver), alpha-2 agonists, TCA, bupropion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Epidural or subdural hematoma definitive tx

A

Burehole evacuation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Primary hyperparathyroidism tx

A

Hyperplasia: remove 3.5 glands, clip last
Adenoma: remove

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

21-hydroxylase deficiency (CAH) tx

A

corticosteroids and fludrocortisone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Hyperphosphatemia in CKD

A

Ca carbonate, Ca acetate (No citrate d/t aluminum)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Beta blocker or verapamil OD tx

A

Atropine, glucagon, CaCl, insulin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Digoxin toxicity tx

A

Atropine, ab fragments, charcoal (no calcium)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Iron tox tx

A

Diferoxamine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Copper and gold tox tx

A

Penicillamine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

tPA or streptokinase tox tz

A

E-aminocaproic acid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Brain abscess tx

A

Needle drainage, antibiotics (for UTI or vanc+ceftazidime if neurosurg), corticosteroids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Cluster headache tx

A

100% O2 nonrebreather; triptans; ergotamines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Theophylline OD sx and tx

A

Seizures, hyperthermia, hypotensions, tachyarrhythmias

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Antimuscarinic and anticholinergic tox sx and tx

A

Red, hot, dry, blind, mad

Physostigmine (crosses BBB, fixes atropine OD)

26
Q

Methanol, ethylene glycol (antifreeze) tox tx

A

Fomepizole (noncomp inhib)

EtOH (competitive)

27
Q

BZD tox tx

A

Flumazenil

28
Q

Arsenic tox tx

A

Dimercaprol, succimer, penicillamine

29
Q

NMS sx and tx

A

AMS, rigidity, hyperthermia, ANS instability, rhabdo

Stop med; dantolene (stops muscle ctx); IVF and cooling

30
Q

Acetaminophen tox tx

A

N-acetylcysteine

31
Q

Lead tox tx

A

PEDS: Penicillamine; EDTA; Dimercaprol; Succimer

32
Q

Cyanide tox tx (e.g. from nitroprusside)

A

Thiosulfate, hydroxycobalamin, nitrates

33
Q

Methemoglobin tx

A

Methylene blue, Vit C

34
Q

Indications for surgical parathyroidectomy in adenoma

A 
HyperCa with symptoms
Ca > 1 over
GFR < 60
T-score < -2.5 anywhere (OP)
Age  400 mg
35
Q

Trigeminal neuralgia tx

A

carbamazepine

36
Q

Normal pressure hydrocephalus sx and tx

A

Wet, wacky, wobbly

VP shunt

37
Q

Pseudotumor cerebri tx

A

Weight loss
Acetazolamide
+/- Furosemide
Last: serial LP or shunt

38
Q

GBS tx

A

plasmapheresis or IVIG early on

39
Q

HTN in LVH; OP; postmenopause

A

LVH: ACE/ARB
OP: thiazide
Postmenopause: thiazide

40
Q

When to use O2 for COPD (one of…)

A

≤88% pOx
pulm HTN
peripheral edema
polycythemia

41
Q

Acute mesenteric ischemia dx and tx

A 
Angiogram to diagnose
*Heparin*
Stabilize (pressors, O2)
Abx
NG decompression
Embolectomy
Take out necrotic bowel
42
Q

Acromegaly tx

A

transphenoidal resection > radiation > somatostatin analog (octreotide > cabergoline)

43
Q

PNA in 2 month old; 2yo

A

macrolide; amoxi or ampicillin

44
Q

Acute pancreatitis prognosis

A

GALAW: Glucose, AST, LDH, Age, WBC

>48hrs CHOBBS: Calcium, Hct, O2, BUN, Base def, sequestration of fluids

45
Q

Salmonella and Shigella tx

Campylobacter tx

A

Fluoroquinolone or TMP-SMX (only if high-risk pt with salmonella)
Azithromycin

46
Q

Tx of painful irreducible inguinal mass

A

Incarc (irreducible) and strangulated (painful) -> Repair

47
Q

Mastitis tx

A

Dicloxacillin or Cephalexin

Risk of MRSA: Clindamycin, TMP-SMX or Vanco

48
Q

PID tx

A

Inpatient IV cefoxitin or cefotetan + doxycycline, or clindamycin + gentamicin
Outpt ok if stable, can take PO, good compliance

49
Q

UTI in pregnancy tx

A

Nitrofurantion, amoxicillin, or first gen cephalosporin for 7 days

50
Q

Syphillis in pregnancy

A

Penicillin. If allergic, confirm with skin testing and desensitize to still use!

51
Q

Stress incontinence dx and tx

A

≥30 degree angle of urethral orifice

Tx: kegels and urethropexy

52
Q

MgSO4 tox dx and tx

A

Depressed DTRs -> respiratory depression

Tx: Stop MgSO4 and give CaGluconate

53
Q

UTI in NONpregnant women

A

Uncx: Nitrofurantoin, TMP-SMX, or Fosfomycin (once). FQs if above cannot be used. UCx only if initial tx fails.
Cx: FQs, amp/gent for more severe
Pyelonephritis: FQs outpatient or IV FQ or Ceft inpatient

54
Q

BV dx and tc

A
  1. Gray-white thin discharge
  2. pH>4.5
  3. Fishy amine order on KOH wet prep
  4. Clue cells
    (No inflammation)
    Tx: PO metronidazole, or vaginal metro or clinda
55
Q

Endometriitis tx

A

Clinda + Gent

56
Q

PID tx

A

Clinda + Gent, OR

Cefotitan/Ceftriaxone + Doxy/Azithro

57
Q

Syphillis tx

A

PenG or doxy or tetracycline

PenG in preg, even if allergic

58
Q

TSST tx

A

Oxacillin or Nafxillin

+/- Vanco

59
Q

HSV keratitis tx

A

topical antivirals (idoxuridine, trifluridine)

60
Q

Herpes zoster opthalmic infection tx

A

Oral acyclovir

Step 2 (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions