CMS III Cumulative- KEY TREATMENTS

d. Bactrim

(note: PJP pneumonia MC opportunistic infection w AIDS)

PJP pneumonia tx

a. Azithro

b. Doxy

c. Cipro

d. Bactrim

b. Ampicillin

Listeria Monocytogenes tx

a. Amoxicillin

b. Ampicillin

c. Doxy

d. Fidaxomicin

d. Fidaxomicin

(KNOW)

C. diff tx initial episode

a. Amoxicillin

b. Ampicillin

c. Doxy

d. Fidaxomicin

b. Open stone surgery

Large "staghorn" renal stones tx

a. Extracorporeal shock wave lithotripsy

b. Open stone surgery

c. Percutanoues nephrolithotomy

d. Stent placement

b. Corticotropin

Infantile spasms tx

a. Aspirin

b. Corticotropin

c. Alprazolam

d. Ethosuximide

c. Doxycycline + Ceftriaxone

(Azithro instead of Doxy if preggo)

Chlamydia & Gonorrhea if pt is NOT pregnant

a. Amoxicillin + Doxycycline

b. Amoxicillin + Ceftriaxone

c. Doxycycline + Ceftriaxone

d. Azithromycin + Ceftriaxone

d. Immediate descent at least 2000 ft + Oxygen

High altitude cerebral edema (HACE) & high altitude pulmonary edema (HAPE) tx

a. Diamox + Oxygen

b. Diuretics + Decadron

c. Immediate descent at least 200 ft + Diamox

d. Immediate descent at least 2000 ft + Oxygen

d. Diamox (Acetazolamide)

Someone with acute mountain sickness may get this med

a. Azithromycin (Zithromax)

b. Procardia (Nifedipine)

c. Decadron (Dexamethasone)

d. Diamox (Acetazolamide)

a. Mannitol IV

Ciguatera fish poisoning (CFP) tx

a. Mannitol IV

b. Augmentin PO

c. Pen G PO

d. Zosyn IV

c. Carbamazepine

Trigeminal neuralgia (Tic Douloureux) tx

a. Acyclovir

b. Levothyroxine

c. Carbamazepine

d. Hydrocortisone

c. Tecovirimat

Smallpox tx

a. Doxycycline (oral)

b. Pyridium

c. Tecovirimat

d. Aminoglycosides (i.e. Gentamicin)

d. Aminoglycosides (i.e. Gentamicin)

Bubonic plague tx

a. Doxycycline (oral)

b. Pyridium

c. Tecovirimat

d. Aminoglycosides (i.e. Gentamicin)

b. 0.9%NS 1L open, Zofran, Toradol

In ED with kidney stone pain tx

a. 0.9%NS 1L open, Zofran, Morphine

b. 0.9%NS 1L open, Zofran, Toradol

c. 0.45%NS 2L open, Zofran, Morphine

d. 0.45%NS 2L open, Zofran, Toradol

c. Augmentin

Cat or dog bite

a. Doxycycline

b. Amoxicillin

c. Augmentin

d. Ciprofloxacin

d. Albendazole

Ascariasis 1st line tx

a. Ampicillin

b. Fluconazole

c. Ivermectin

d. Albendazole

c. Vancomycin + Cefotaxime

Bacterial meningitic empirical therapy for a pt that's 1 month-50 yrs old

a. Ampicillin + Cefotaxime

b. Ampicillin + Vancomycin

c. Vancomycin + Cefotaxime

d. Vancomycin + Ampicillin + Cefotaxime

d. Azithromycin

Shigellosis tx in 12 y/o

a. Amoxicillin

b. Ceftriaxone

c. Ciprofloxacin

d. Azithromycin

c. Ciprofloxacin

Shigellosis tx in 24 y/o

a. Amoxicillin

b. Ceftriaxone

c. Ciprofloxacin

d. Azithromycin

b. Ceftriaxone

Parenteral Shigellosis tx

a. Amoxicillin

b. Ceftriaxone

c. Ciprofloxacin

d. Azithromycin

c. Methotrexate (MTX)

Current standard of tx for ectopic pregnancy

a. Conjugated Estrogen (Premarin)

b. Progesterone alone

c. Methotrexate (MTX)

d. Methyldopa

c. Phenylephrine

Tx if priapism persists (after therapeutic aspiration)

a. Ceftriaxone

b. Clotrimazole

c. Phenylephrine

d. Betamethasone

d. Catheter placement

Tx overflow incontinence (other than treating the underlying condition)

a. Kegal exercises

b. Bladder neck suspension

c. Eliminate evening fluid intake

d. Catheter placement

d. Rest & NSAIDS

Tx torsed appendage

a. Scrotal elevation & Tamsulosin (Flomax)

b. Immediate surgery

c. Scrotal elevation & NSAIDS

d. Rest & NSAIDS

b. Dantrolene

Malignant hyperthermia tx

a. Valium

b. Dantrolene

c. Hydrocortisone

d. Heparin

b. Meperidine (Demerol)

Post-op shivers

a. Morphine

b. Meperidine (Demerol)

c. Fentanyl

d. Hydromorphone (Dilaudid)

c. Oxybutinin

(blocks muscarinic receptors; can also use Tamsulosin which relaxes the smooth muscle of the bladder neck & prostate)

Urge incontinence tx

a. Kegel exercises

b. Catheter placement

c. Oxybutinin

d. Finasteride

b. Procaine (Novocaine)

Shortest acting local anesthetic

a. Lidocaine (Xylocaine)

b. Procaine (Novocaine)

c. Bupivacaine (Marcaine)

d. Tetracaine (Pontocaine)

c. Bupivacaine (Marcaine)

(has slow onset)

Longest acting local anesthetic

a. Lidocaine (Xylocaine)

b. Procaine (Novocaine)

c. Bupivacaine (Marcaine)

d. Tetracaine (Pontocaine)

d. Propofol (Diprivan)

MC IV anesthetic for induction & maintenance

a. Etomidate

b. Halogenated gases (Halothane)

c. Benzos (Midazolam)

d. Propofol (Diprivan)

a. Etomidate

Anesthetic when CV stability is a concern

a. Etomidate

b. Halogenated gases (Halothane)

c. Benzos (Midazolam)

d. Propofol (Diprivan)

d. Transurethral resection of prostate (TURP)

Surgical tx for BPH

a. Surgical detorsion

b. Orchidopexy

c. Prostatectomy

d. Transurethral resection of prostate (TURP)

b. Orchidopexy

(cryptorchidism = failure of 1 or both of the testes to descend; MC found in suprascrotal region- just outside the external ring)

Surgical tx for cryptorchidism

a. Surgical detorsion

b. Orchidopexy

c. Prostatectomy

d. Transurethral resection of prostate (TURP)

b. Colporrhaphy with vaginal sling

Surgical tx for cystocele or rectocele

a. Endometrial ablation

b. Colporrhaphy with vaginal sling

c. Sacrocolpopexy

d. Ovarian cystectomy

a. Tamoxifen

Hormonal therapy used for pts with hormone receptor + breast cancer that are premenopausal

a. Tamoxifen

b. Cyclophsphamide

c. Aromatase inhibitor

d. Doxorubicin

c. Aromatase inhibitor

Hormonal therapy used for pts with hormone receptor + breast cancer that are postmenopausal

a. Tamoxifen

b. Cyclophsphamide

c. Aromatase inhibitor

d. Doxorubicin

a. Sclerotherapy

primary varicose veins tx

a. Sclerotherapy

b. Conservative (leg elevation, exercise, etc.)

c. Radio-frequency ablation (RFA)

d. Tumescent anesthesia

b. En bloc

Often provides a definitive surgical cure for esophageal cancer

a. Nissen fundoplication

b. En bloc

c. Esophagectomy

d. Esophageal myotomy (Heller)

c. Sacrocolpopexy

Corrects uterine prolapse

a. Endometrial ablation

b. Colporrhaphy with vaginal sling

c. Sacrocolpopexy

d. Ovarian cystectomy

b. Physostigmine

Antidote for anticholinergic toxicity

a. NAC

b. Physostigmine

c. Flumazenil

d. Thiamine

c. Flumazenil

Antidote for Benzo toxicity

a. NAC

b. Physostigmine

c. Flumazenil

d. Thiamine

c. Sugammadex

Recuronium reversal agent

a. Protamine

b. AndexXa

c. Sugammadex

d. Praxbind

b. AndexXa

Eliquis/Xarelto reversal agent

a. Protamine

b. AndexXa

c. Sugammadex

d. Praxbind

a. Midazolam (Versed)

(has a strong amnestic quality to it!)

Most commonly used in surgery for relief of anxiety, facilitation of amnesia, & produces sedation

a. Midazolam (Versed)

b. Meperidine (Demerol)

c. Hydromorphone (Dilaudid)

d. Halothane

b. Metoclopramide (Reglan)

Decreases gastric volume & acts as an antiemetic

a. Famotidine

b. Metoclopramide (Reglan)

c. Ondansetron (Zofran)

d. Atropine

a. Cipro

Pyelonephritis 1st line tx

a. Cipro

b. Bactrim

c. Doxy

d. Azithro

b. Erythro

Pyloric stenosis tx = surgery + _______

a. Doxy

b. Erythro

c. Augmentin

d. Ampicillin