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Step 1: Treatments
| Question | Answer |
|---|---|
| Absence seizures | Ethosuximide |
| Acute gout attack | NSAIDs, colchicine |
| Acute promyelocytic leukemia (M3) | All-trans retinoic acid |
| ADHD | Methyphenidate, amphetamines |
| Alcohol abuse | AA + disulfiram |
| Alcohol withdrawal | Benzos |
| Anorexia | SSRIs |
| Anticoag during pregnancy | Heparin |
| Anxiety | Buspirone |
| Arrhythmia in damaged heart tissue | Class IB (lidocaine, mexiletine, tocainide) |
| B12 deficiency | B12 |
| Benign prostatic hyperplasia | Tamsulosin, finasteride |
| Bipolar disorder | Lithium, valproate, carbamazepine |
| Breast cancer in postmenopausal women | Aromatase inhibitor |
| Buerger's disease | Smoking cessation |
| Bulimia | SSRIs |
| Candida albicans | Amphotericin B (systemic), Nystatin (oral, esophagitis) |
| Carcinoid syndrome | Octreotide |
| Chlamydia trachomatis | Doxycycline (+ceftriaxone for gonorrhea coinfection), erythromycin eye droplets as prophylaxis in infants |
| Chronic gout | OVER producer: allopurinol UNDER excreter: probenecid |
| Chronic hepatitis | IFN-alpha |
| CML | Imatinib |
| Clostridium botulinum | Antitoxin |
| Clostridium difficile | Oral metronidazole |
| Clostridium tetani | Antitoxin + vaccine booster + diazepam |
| Crohns disease | Corticosteroids, infliximab |
| Cryptococcus neoformans | Fluconazole (prophylaxis in AIDS pts) |
| CF | N-acetylcysteine + antipseudomonal prophylaxis (tobramycin/azithromycin) |
| CMV | Ganciclovir |
| Depression | SSRIs |
| Diabetes insipidus | Desmopressin (central); HCTZ, indomethacin, and amiloride (nephrogenic) |
| DM type I | Low sugar diet, insulin replacement |
| DM type II | Diet intervention, oral hypoglycemic, and insulin |
| Diabetic ketoacidosis | Fluids, insulin, K+ |
| Enterococci | Vanco/ampicillin + aminoglycoside |
| ED | Sildenafil |
| ER + breast cancer | Tamoxifene |
| Methanol intoxication | Fomepizole (alcohol dehydrogenase inhibitor) |
| Folate deficiency | Folate |
| H. Influenzae (prophylaxis) | Rifampin |
| Hemorrhagic cystitis | Mesna |
| Heparin toxicity | Protamine sulfate |
| HER2/neu + breast cancer | Trastuzumab |
| Hyperaldosteronism | Spironolactone |
| Hypercholesterolemia | Statin |
| Hypertriglyceridemia | Fibrate |
| Immediate anticoagulation | Heparin |
| Infertility | Leuprolide, GnRH |
| Influenza | Amantadine, Rimantadine |
| Legionalle pneumonia | Erythromycin |
| Long term anticoag | Warfarin |
| Malaria | Chloroquine, mefloquine (blood); primaquine (liver) |
| Malignant hyperthermia | Dantrolene |
| Medical abortion | Mifepristone |
| Migraine | Sumitriptan |
| MRSA | Vanco |
| MS | B-interferon |
| Mycobacterium tuberculosis | RIPES (rifampin, inh, pyrazinamide, ethambutol, streptomycin) |
| Neisseria gonorrhea | Ceftriaxone (add doxycycline to cover chlamydia) |
| Neisseria meningitidis | Penicillin/ceftriaxone, rifampin |
| Neural tube defect | Folate |
| Osteomalacia/rickets | Vit D supplementation |
| PDA | Indomethacin |
| Pheochromocytoma | a-antagonists |
| Pneumocystis jiroveci | TMP-SMX |
| Prolactinoma | Bromocriptine (dop agonist) |
| Prostate cancer, uterine fibroids | Leuprolide |
| Prostate carcinoma | Flutamide |
| Pseudomonas aeroginosa | Penicillin + aminoglycoside |
| Pulmonary HTN | Bosentan |
| Rikettsia rickettsii | Doxycycline, chloramphenicol |
| Ringworm | Terbinafine, griseofulvin, imidazole |
| Schizophrenia (negative symptoms) | 5-HT2A antagonists (olanzapine) |
| Schizophrenia (positive symptoms) | D2 receptor antagonist |
| SIADH | Demeclocycline, lithium |
| Sickle cell anemia | Hydroxyurea |
| Sprothorix schenckii | Oral KI |
| Stable angina | Sublingual nitro |
| S. aureus | Methicillin/naficillin |
| Strep bovis | Penicillin |
| Strep pneumoniae | Penicillin, cephalosporin, vanco |
| Strep pyogenes | Penicillin |
| Temporal arteritis | High dose steroids |
| Tonic-clonic seizures | Phenytoin, valproate, carbamazepine |
| T. gondii | Sulfonamide + pyrimethamine |
| Treponema pallidum | Penicillin |
| Trichomonas vaginalis | Metronidazole (pt and parter) |
| Ulcerative colitis | 5-ASA, infliximab |
| UTI prophylaxis | TMP-SMX |
| Warfarin toxicity | FFP, vitamin K |
| Wegeners granulomatosis | Cyclophosphamide, corticosteroids |