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Usmle Step 2 Treatment Notes
Usmle Step 2 Treatment Notes
nutrition.
22- Rx for preventing recurrence of HBV after liver
transplant : HBV Ig + Lamivudine.
23- Rx Seizure due to INH toxicity : Pyriodoxine
24- Rx hyponatremia due to SIADH : water restriction.
25- Rx Girl infant < 3 months w vaginal bleeding :
observation
26- Rx Slow down progression of DM nephropathy : AceI
27- Rx epiglottitis : Fiberoptic laryngoscopy in OR ( not in
ER )
28- Rx acute attacks of migrains : Rizatriptan
29- Rx acute attack of migrains lasts for longer than 48
hours or r frequently recurrent : ergotamine.
30- Rx anorexia nervosa : hospitalization
31- Rx prophlaxy against human bites : Amoxi /
calvulanate
32- Rx rhabdomyolysis : osmotic diuresis + bicarbonate
33- Rx Afib + HF : digoxin .
34- Rx acute rejection : high dose IV steroides.
35- Rx bipolar disorder : lithium , valporate,
OLANZAPINE.
36- Rx PCP : cotri .
37- Rx PCP + PaO2<70 mmhg: cotri + steroides.
38- Rx Bebesiosis : ( quinine, clinda) or ( atovaquone ,
azithro)
39- Rx IlleoIlleal intussuception due to HSP : Surgery ( in
contrast to other causes of intuss )
40- Rx esophagitis in HIV: itraconazole --> no answer -->
esophagoscopy + cytology + biopsy
41- Rx psuedotumor cerebri : 1-acetazolamide --> no
answer --> 2- shunt.
42- Rx struvite stones : eradication of UT infections.
cerebral edema
187-Rx Cat Scratch disease: Azithro/5days
188-Rx pt with variceal bleeding needs 5 or more units of
blood in 24 hours : go for TIPS
189-Rx intermittent claudication :as pharm therapy go for
Ca channel blockers.
Armin 01-06-05
190-RX initial drugs in COPD : antichol
191-Rx Isolated LV diastolic dysfunction : beta blocker
192-Rx Colles FX: closed reduction + casting
193-Rx pul emboli with hemo instability or clot in main
pul A. : pul embolectomy
194-Rx in ARDS : think about PEEP
195-Rx preg pt w asymptomatic bacteriuria : nitrofuran /
7-10days
196-Rx infectious mono w upper airway obstruction or
autoimmune hemolytic anemia or thrombocytopenia
: cortico
197-Rx Fibromyalgia : TCA or Cylobezarpine
198-Rx Benign essential tremor : propranolol
199-Rx Superficial thrombophlebits : Local heat, bed rest,
NSAIDs .
200-Rx Atypical mycobacterium infection : Azithro for
prophylaxis
201-Rx MAC: Clarithro + ethambutol ( imp)
202-Rx child w legg calve perthes below 5 years of age :
NO TREATMENT!!!
203-Rx child w legg calve perthes above 5 years of age:
abduction bracing / surgery
204-Rx IE in IV abusers : Vanco + Genta
205-Rx IE in Non-IV abusers : Nafi + Genta
206-Rx condylomata acuminate: Podophyllin
antibiotic therapy
231-Rx displaced femoral neck in elderly : primary
arthroplasty
232-Rx clavicle Fx in infant : no Rx, avoid putting
pressure on arm
233-Rx PID in hospitalized pt : cefoxitin/doxy ,
cefotetan/doxy, clinda/genta
234-Rx PID in non hos pt: cefoxitin/probencid,
cetraixone/doxy ofloxacin(14d)+Metrogyl(14d Both BID)
kaplan
235-Rx Androgen insensivity syn: Gonadectomy ( inc risk
of test cancer)
236-Rx compartment syn due to eschar of burn wounds:
escharotomy
237-Rx Papilloma of breast : Galactogram guided
resection
238-Rx shaft of femur Fx: closed intermedullary fixation
w/o interrupting skin.
239-Rx scoliosis < 20 degree: observe
240-Rx scoliosis >30: Bracing.
241-Rx Scoliosis >40: surgery
242-Rx Shaft of humerus: closed reduction + hanging
cast.
243-Rx dirty looking wound in pt w less then 3 doses of
tet tox: toxoid +Tig ( only situation which u give pt Tig)
244-Rx uncomplicated Basilar skull fx : head elevation ,
fluid restriction.
245-Rx Ludwig Angina: IV peni w coverage for anaerobes
246-Rx Meconium plug syn: Water soluble contrast
enema mm
247-Rx Ovarian torsion: surgery
248-Rx Tubo-ovarian abscess: surgery
Protocol,then Surgery