| Antibiotics | Cardiovascular | Pulmonary | GYN | OTC |
|---|---|---|---|---|
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What is Amox/Clav (Augmentin) x 14 days
1st line abx for pt c/o URI, sinus pressure, ear pain x 10 days; VSS, +sinus tenderness, TM clear, lungs CTAB.
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What is ACEI/ARB
HTN drug category for 42 yo DM male, BP 145/92. Rx metformin, glyburide, atorvastatin. A1c 7.4%, Cre 0.8.
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What is azithromycin or doxycycline
1st line abx for 36 yo healthy male c/o fever, prod cough, pleuritic CP x 2 days; VS febrile, tachy/tachy, O2 92%. PE RLL consolidation.
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What is fluconazole (Diflucan) 150mg po x 1 dose
1st line Rx for 53 yo DM female c/o vag itching and d/c x 3 days; PE vag erythema, thick white d/c, no pelvic pain.
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What is post-coital voiding, avoid spermicide, loose cotton clothes, inc fluids, cranberry juice
Prevention strategies for 24 female c/o recurrent UTI
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What is nitrofurantoin (Macrobid) x 7 days or TMP-SMX (Bactrim) x 3 days
1st line abx for female c/o dysuria, urgency, frequency x 2 days, no fever, flank pain, n/v, vag d/c; UA +nitrites, +leuk, +heme.
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What is statin (atorvastatin (Lipitor) 20-40mg po qd)
Cholestserol drug for 48 yo asx female with BMI 32, TG 332, LDL 180, HDL 32, AST 45, ALT 40
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What is codeine cough syrup, ipratropium (Atrovent) inhaler, benzonatate (Tessalon perles)
Rx options for 42 yo female c/o cough x 2 wks s/p URI, other sx resolved. VSS, PE unremarkable.
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What is metronidazole (Flagyl) or clindamycin
1st line Rx for 42 yo c/o foul smelling vag d/c worse after sex x 1 wk, no pelvic pain, fever; +whiff, no CMT, uterus/adnexa wnl; UPT neg.
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What are PRN antihistamine/decongestant, OTC cough med, fluids, APAP/NSAID, humidifier, netti pot, lozenges, Afrin x 2-3 days
Home remedies/OTC recommendations for pt c/o congestion, dry cough, sore throat, fatigue x 4 days; VSS, PE unremarkable.
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What is Cipro 500mg po bid x 3-5 days; azithromycin alt or kids
1st line abx for traveler c/o diarrhea 6/d x 5 days, occ blood, abd pain/cramps, low grade fever.
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What is monotherapy with ACEI/ARB or CCB (lisinopril/enalapril, losartan/candesartan, diltiazem/verapamil)
HTN drug category(ies) for 53 yo asx male, BMI 30, BP 152/96 x 2; EKG NSR, A1c 5.8%, LDL 142, Cre 1.0.
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What is low dose ICS (fluticasone (Flovent) inhaler), continue albuterol inhaler q 3-4 hrs, add oral steroid (prednisone 40-60mg x 3-10 days)
Asthma tx for 17 yo pt c/o URI, wheezing, chest tightness x 2 days. O2 92%. Ventolin x 3, PEFR 65% predicted.
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What is ceftriaxone + doxycycline + metronidazole x 14 days
Presumptive Rx for 22 yo c/o vag d/c, pelvic pain, low grade fever x 4 days; PE +CMT, diffuse pelvic pain, no mass; UPT neg.
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What is fluid replacement (electrolyte drink, broth), BRAT diet, loperamide (Imodium)
OTC recommendations for 27 yo male c/o diarrhea, abd cramping, n/v x 3 days; no fever, dysuria, hematochezia; VSS, abd benign.
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What is clindamycin, TMP-SMX (Bactrim) or tetracycline (doxycycline) x 5-10 days
1st line abx for "boil" on thigh x 3 days, no fever; fluctuant soft tissue mass, surrounding warmth/erythema; no DM, underlying skin dz.
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What is max current drugs (inc verapamil) or add beta blocker (metoprolol (Toprol XL) 50mg qd)
HTN management of 62 yo female with HTN, CAD, BP 158/88. Rx lisinopril 40mg, atorvastatin 40mg, ASA 81mg, verapamil ER 180mg.
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What is long acting bronchodilator (salmeterol (Serevent) or tiotropium (Spiriva) inhalers)
COPD maintenance tx for 72 yo male former smoker c/o daily cough, sputum, DOE. PE hyperinflation, no consolidation, O2 94% RA.
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What are OCP, NuvaRing, OrthoEvra patch, IUD, DepoProvera/MPA
These are 3 common birth control options for 17 yo female.
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What is NSAID/APAP, gentle massage, stretching, heat patches, back care edu, possible PT referral
Conservative tx for 36 yo c/o neck/upper back pain x 3 days, no trauma, radiation of pain; PE tenderness, no bony pain, neuro intact.
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