Tx's often missed

Question 1

Trigeminal neuralgia

Answer 1

Carbamazepine

Question 2

Cryptococcal meningoencephalitis

Answer 2

Amphotericin B

Question 3

Migraine medication not to be used in patients with cardiovascular or cerebrovascular disease, angina, severe hypertension and peripheral vascular disease.

Answer 3

-Triptans

Question 4

Choreiform movements of Huntington’s

Answer 4

benzodiazepines, metoclopramide

Question 5

Urolithiasis

Answer 5

Percutaneous nephrostomy

Question 6

Epididtymitis less than 35 y/o

Answer 6

Ceftriaxone/doxycycline

Question 7

Epididtymitis greater than 35 y/o

Answer 7

Bactrim or cipro

Question 8

Balnoposthitis (burning and itching of the penis. On physical examination: erythema and inflammation of the distal foreskin and superficial layer of the glans. With retraction of the foreskin there is scant white discharge)

Answer 8

Clotrimazole cream

Question 9

Lymphogranuloma venereum

Answer 9

doxycycline 100 mg twice a day for 3 weeks.

Question 10

Kidney stone w/ UTI Sx

Answer 10

Cipro + admit with urology consult

Question 11

Prostatits

Answer 11

Bactirm or Cipro

Question 12

Muscle tics for Tourette’s

Answer 12

Pimozide or botox injections

Question 13

Behavioral symptoms such as impulse control or rage attacks in tourette’s

Answer 13

Benzos

Question 14

Post-concussive syndrome no focal neurological deficits or anticoagulation or antiplatelet use

Answer 14

Nothing. Follow-up with PCP.

Question 15

Dystonic reaction to psych meds or metoclopramide

Answer 15

Diphenhydramine or benzotropine

Question 16

Intracranial hypertension SX after Tx with medications

Answer 16

stop medication first then start acetazolamide if Sx do not resolve

Question 17

HIV patient with esophagitis

Answer 17

Ganvyclovir

Question 18

Non HIV patient with esophagitis

Answer 18

Acyclovir

Question 19

C. Diff

Answer 19

Metronidazole or Vanco

Question 20

Long-term Tx Multiple Sclerosis not acute symptomatic Tx

Answer 20

interferon beta-1a

Question 21

Uterine fibroids but wants to still have kids

Answer 21

Myomectomy

Question 22

Pheochromocytoma

Answer 22

phenoxybenzamine or pherntoalamine followed by labtealol

Question 23

Prolactinoma

Answer 23

Cabergoline. Transsphenoidal surgery is for those who have failed Cabergoline

Question 24

Thyroid Strom

Answer 24

Agressive fluids, beta-blockers, PTU

Question 25

Rabies

Answer 25

Human Rabies immunoglobulin + 4 doses of rabies vaccine x14-days

Question 26

muscle cramps and spasms associated with black widow bite

Answer 26

Diazepam

Question 27

ASA and TSA OD

Answer 27

Sodium-Bicarb

Question 28

Anticholinergic OD

Answer 28

Physostigamine

Question 29

Cyanide poisoning

Answer 29

Hydroxycobalamin

Question 30

Sufonylurea OD

Answer 30

Octreotide

Question 31

Iron poisoning

Answer 31

Deferoxamine

Question 32

Organophosphate poisoning

Answer 32

Atropine

Question 33

Antifreeze (Ethylene Glycol)

Answer 33

fomepizole will have calcium oxalate crystals in urine

Question 34

TCA OD MOA for cardiac toxicity

Answer 34

Fast inward sodium channel blockade