Treatments

Question 1

absence seizures

Answer 1

ethosuximide

Question 2

acute gout attack

Answer 2

NSAIDs, cochicine

Question 3

acute promyelocytic leukemia (M3)

Answer 3

all-trans retinoic acid

Question 4

ADHD

Answer 4

methylphenidate, amphetamines

Question 5

alcohol use disorder

Answer 5

AA + disulfiram, naltrexone, or acamprosate for patient. Al-anon for family

Question 6

alcohol withdrawal

Answer 6

benzos

Question 7

anorexia

Answer 7

nutrition, psychotherapy

Question 8

anticoagulation during pregnancy

Answer 8

heparin

Question 9

arrythmia in damaged cardiac tissue

Answer 9

class IB antiarrythmic - lidocaine, mexiletine, tocainide (lettuce mayo tomato)

Question 10

benign prostatic hyperplasia

Answer 10

Tamsulosin, finasteride

Question 11

bipolar disorder

Answer 11

lithium, valproate, carbamazepine, lamotrigine (mood stabilizers)

Question 12

breast cancer in postmenopausal woman

Answer 12

aromatase inhibitor (anastrozole)

Question 13

Buerger disease

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 (octa-8 minus trio-3 = 5HT = high SE)

Question 17

chlamydia trachomatis

Answer 17

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

Question 18

chronic gout

Answer 18

Probenecid (underexcretor), allopurinol (overproducer), febuxostat

Question 19

chronic hepatitis

Answer 19

IFN-alpha

Question 20

chronic myelogenous leukemia

Answer 20

imatinib

Question 21

clostridium botulinum

Answer 21

antitoxin

Question 22

clostridium difficile

Answer 22

oral metronidazole; if refractory, oral vancomycin

Question 23

clostridium tetani

Answer 23

antitoxin + vaccine booster + diazepam

Question 24

CMV

Answer 24

ganciclovir

Question 25

Crohn disease

Answer 25

corticosteroids, infliximab, methotrexate, azathioprine

Question 26

cryptococcrus neoformans

Answer 26

fluconazole (prophylaxis in AIDS patients)

Question 27

cyclophosphamide-induced hemorrhagic cystitis

Answer 27

mesna

Question 28

depression

Answer 28

SSRIs

Question 29

diabetes insipidus

Answer 29

DDAVP (central); hydrochlorothiazide, indomethacin, amiloride (nephrogenic)

Question 30

diabetes mellitus type I

Answer 30

dietary intervention (low sugar) + insulin replacement

Question 31

DM type II

Answer 31

dietary invervention, oral hypoglycemics, insulin (if refractory)

Question 32

diabetic ketoacidosis

Answer 32

fluids, insulin, K+

Question 33

enterococci

Answer 33

vancomycin/ampicillin + aminoglycoside

Question 34

erectile dysfunction

Answer 34

sildenafil, vardenafil

Question 35

ER (+) breast cancer

Answer 35

tamoxifen

Question 36

ethylene glycol/methanol intoxication

Answer 36

fomepizole (alcohol dehydrogenase inhibitor)

Question 37

H flu type B

Answer 37

rifampin (prophylaxis)

Question 38

general anxiety

Answer 38

buspirone

Question 39

granulomatosis with poyangiitis (wegener)

Answer 39

cyclophosphamide, corticosteroids

Question 40

heparin toxicity

Answer 40

protamine sulfate

Question 41

HER2/neu (+) breast cancer

Answer 41

trastuzumab

Question 42

hyperaldosteronism

Answer 42

spironolactone

Question 43

hypercholesterolemia

Answer 43

statin

Question 44

hypertriglyceridemia

Answer 44

fibrate, niacin

Question 45

immediate anticoagulation

Answer 45

heparin

Question 46

infertility

Answer 46

leuprolide, GnRH (pulsatile), clomiphene

Question 47

influenza

Answer 47

rimantidine, oseltamivir

Question 48

legionella pneumophila

Answer 48

erythromycin

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

dantrolene

Question 52

medical abortion

Answer 52

mifepristone

Question 53

migraine

Answer 53

sumatriptan

Question 54

MRSA

Answer 54

vancomycin

Question 55

MS

Answer 55

beta-interferon, immunosuppression, natalizumab

Question 56

mycobacterium tuberculosis

Answer 56

RIPE (rifampin, isoniazid, pyrazinamide, ethambutol)

Question 57

neisseria gonorrhea

Answer 57

ceftriaxone (add doxycycline to cover likely concurrent chlamydia)

Question 58

Neisseria meningitidis

Answer 58

penicillin/cerftriaxone, rifampin (prophylaxis)

Question 59

neural tube defect prevention

Answer 59

prenatal folic acid

Question 60

osteomalacia/ricets

Answer 60

vit D sup

Question 61

osteoporosis

Answer 61

bisphosphonates; calcium and vitamin D supplementation

Question 62

patent ductus arteriosus

Answer 62

indomethacin

Question 63

pheochromocytoma

Answer 63

alpha-antagonists (eg phenoxybenzamine)

Question 64

pneumocystis jirovecii

Answer 64

TMP-SMX(prophylaxis in AIDS patients)

Question 65

prolactinoma

Answer 65

bromocriptine (dopamine agonists)

Question 66

prostate cancer/uterine fibroids

Answer 66

leuprolide, GnRH (continuous)

Question 67

prostate carcinoma

Answer 67

flutamide

Question 68

pulmonary arterial hypertension (idiopathic)

Answer 68

sildenafil, bosentan, epoprostenol

Question 69

Rickettsia rickettsii

Answer 69

doxycycline, chloramphenicol (assoc with aplastic anemia)

Question 70

ringworm infections

Answer 70

terbinafine, griseofulvin, imidazole

Question 71

schizophrenia - rx for negative symptoms

Answer 71

5HT2A antagonists - 2nd gen antipsychotics

Question 72

schizophrenia - rx for positive symptoms

Answer 72

D2R antagonists (1st and 2nd gen antipsychotics)

Question 73

SIADH (Syndrome of Innappropro AntiDiuretic Hormone)

Answer 73

demeclocycline, lithium, vasopressin receptor antagonists

Question 74

sickle cell

Answer 74

hydroxyurea (increase fetal hgb)

Question 75

Sporothrix schenckii

Answer 75

potassium iodide (oral)

Question 76

stable angina

Answer 76

sublingual nitroglycerin

Question 77

Staph aureus

Answer 77

MSSA: nafcillin, oxacillin, dicloxacillin; MRSA: vancomycin

Question 78

Strep bovis

Answer 78

penicillin prophylaxis; eval for colon cancer if linked to endocarditis

Question 79

Strep pneumoniae

Answer 79

penicillin/cephalosporin (systemic infection, pneumonia); vancomycin (meningitis)

Question 80

Strep pyogenes

Answer 80

penicillin prophylaxis

Question 81

temporal arteritis

Answer 81

high dose steroids

Question 82

tonic-clonic seizures

Answer 82

phenytoin, valproate, carbamazepine

Question 83

toxoplasma gondii

Answer 83

sulfadiazine + pyrimethamine

Question 84

Treponema pallidum

Answer 84

penicillin

Question 85

Trichomonas vaginalis

Answer 85

metronidazole (patient and partner)

Question 86

trigeminal neuralgia

Answer 86

carbamazepine

Question 87

ulcerative colitis

Answer 87

5-ASA, infliximab, colectomy

Question 88

UTI prophylaxis

Answer 88

TMP-SMX

Question 89

Warfarin toxicity

Answer 89

fresh frozen plasma (acute); vitamin K (chronic)