Exam (elaborations)
2024 FIRST LINE TREATMENT NAPLEX REVIEW EXAM WITH CORRECT ANSWERS
- Course
- Institution
2024 FIRST LINE TREATMENT NAPLEX REVIEW EXAM WITH CORRECT ANSWERS
[Show more]
Content preview
2024 FIRST LINE TREATMENTNAPLEX REVIEW EXAM WITH
CORRECT ANSWERS
Diabetes - CORRECT-ANSWERST1D: insulin
T2D: metformin
ASCVD or CKD risk: SGLT2 (-) or GLP-1 agonist
HF risk: SGLT2 (-)
wt loss: SGLT2 (-), GLP-1 agonist
cost: SU, TZDs
hypoglyemia risk: avoid insulin and SU together
H. pylori - CORRECT-ANSWERS-1st line: quadruple therapy (bismuth
subsalicylate, metronidazole, tetracycline, PPI BID)--10-14 days
-if clarithromycin resistance is < 15% and no hx of marcolide: 1st line:
amoxicillin, clarithromycin, metronidazole PPI BID------10-14 days
2nd line: amoxicillin, clarithromycin, PPI BID---14 days
-sequential.hybrid therapy: PPI + amoxicillin for 5-7 days, then PPI +
clarithromycin + metronidazole for rest of 7 days
-talicia (rifabutin + amoxicillin + omeprazole): FDA approved for H.pylori
NSAID-induced ulcer - CORRECT-ANSWERS-if using non-selective NSAIDs- can
use PPIs to prevent GI ulcer and bleeding
-alternative: cytoprotective drugs (misoprostol, sulcrafate), vimovo
(omeprazole/naproxen), duexis (ibuprofen/famotidine), arthrotec
(diclofenac/misoprostol), yosprala (aspirin/omeprazole)
constipation - CORRECT-ANSWERS-non drug: increase fluids, increase
physical activity, increase fiber in diet, schedule bathroom time
-OTC: fiber, docusate, senna, bisacodyl, glycerin--use OTC for 7 days then
see MD
-1st line: bulk forming: fiber
-alternatives: osmotics (miralax, fleet, MOM, lactulose), stimulants (senna,
bisacodyl)--used for pts taking opioids, stool softners (docusate), lubricants
(mineral oil)
others: Cl channel activator (lubiprostone--amitiza), guanylate cyclase C
agonist (linaclotide--linzess), PAMORAs (alvimopan), 5HT-4 agonists
(prucalopride)
,diarrhea - CORRECT-ANSWERSnon drug: fluids, electrolyte replacement
(ORS--pedialyte)
drug: pepto bismuul, loperamide, diphenoxylate/atropine (lomotil), viberzi
(eluxadoline), dicyclomine
other: rifaximin. alosetron--women only
Ulcerative colitis - CORRECT-ANSWERS-non drug: avoid food triggers
(sorbitol, lactose, alcohol, caffeine), increase fiber, drink water, peppermint,
chamomile
-OTC: vitamins (b12, folate, vitD, calcium, iron, zinc), probiotics, fish oil,
antidiarrheals, antispasmodics (bentyl), -drug: nicotine patches, steroids
(oral or rectal--exacerbations), aminosalicylates (1st line---maintenance)
-alternatives/add on: immunosupressants (TNF inhibitors, tofacitinib
(xeljanz), ustekinumab (stelara), vedolizumab (entiviyo), cyclosporine)
chron's disease - CORRECT-ANSWERS-non drug: avoid food triggers (sorbitol,
lactose, alcohol, caffeine), increase fiber, drink water, peppermint,
chamomile
-OTC: vitamins (b12, folate, vitD, calcium, iron, zinc), probiotics, fish oil,
antidiarrheals, antispasmodics (bentyl), drug: steroids (budosenide--
exacerbations 1st line for mild), mod-sev: immunosupressants (thiopurine,
TNF inhibitors, ustekinumab (stelara), MTX/cyclosporine--off label if cannot
use a thiopurine
motion sickness - CORRECT-ANSWERSnon drug: ginger, peppermint, wrist
band
drug: antihistamines (benadryl, dramamine, meclizine), anticholinergics
(scopolamine trans-behind ear), antiemetics (promethazine)
birth control - CORRECT-ANSWERS-hormonal contraceptives: implants, IUD,
injectables, pill, patch, ring
-temp and cervial mucus method: record temp changes to predict ovulation
(increase in temp)
-barrier methods: diaphragm, condoms
-other: foam. film cream, sponge, spermicide, withdrawal, sterilization
endometriosis - CORRECT-ANSWERScombination oral contraceptive
Heavy menstrual bleeding (menorrhagia) - CORRECT-ANSWERSIUD (mirena),
natazia, lysteda
emergency contraception - CORRECT-ANSWERSIUD (paragard), ullipristal
(ella), levonorgestrel (plan B, next choice)
infertility - CORRECT-ANSWERSclomiphene (SERM, letrozole (aromatase
inhibitor), (leuprolide (gonoadtropin)
, pregnanacy - CORRECT-ANSWERSN/V: pyridoxine
GERD: tums
flatuence: simethicone (gas-x)
constipation: fiber (1st line), docusate, PEG
cough/cold/allergies: cromolyn, antihistamines
pain: APAP
asthma: budosenide
anemia: iron supplements
HTN: labetolol, mehtyldopa, nifedipine
diabetes: insulin
infection: generally safe (PCNs, cephs, erythromyin, azithromycin), vaginal
(topical antifungals), UTI (cephalexin, ampicillin, nitrofurantoin, bactrim
VTE: LMWH
hypothyroidism: keep levo but inc dose 30-50%
hyperthyroidism: PTU (1st trim), methimazole (2nd and 3rd trim)
allergic rhinitis ("allergies") - CORRECT-ANSWERS-non drug: avoid allergen
exposure, nasal irrigation (neti-pot), wetting agents (saline)
-drug: mild (antihistamines), mod-sev (intranasal steroids), decongestants,
opthalamic solution (itchy eyes)
-additional: intranasal cormolyn, montelukast, intranasal ipratoropium
cough - CORRECT-ANSWERS-natural: zinc, vitamin c
-expectorants: guaifenisin (muciniex, robitussin)
-cough suppressants: dextromethorphan, codeine, benzonatate, benadryl
glaucoma - CORRECT-ANSWERS1st line: prostaglandin analogs ("prost"),
opthalmic beta blockers (timolol)--preferred if drops in one eye only
alternatives: miotics (cholinergic)---pilocarpine, CAIs ("amide"), alpha
adrenergic agonists ("nidine"), rho kinase inhibitor (rhopressa)
Conjuctivitis (Pink Eye) - CORRECT-ANSWERSviral: nothing (go away on own)
bacterial: moxifloxacin, neomyocin/polymixin/dexamethasone,
trimethoprin/polymyxin
allergen: mast cell stabilizers (cromolyn), antihistamines (azelastine,
olopatidine, zyrtec)
blepharitis (eyelid inflammation) - CORRECT-ANSWERSmild: warm compress
sev: ATB ointment, steroid eyedrops, artificial tears
chronic dry eye - CORRECT-ANSWERSartificial tears: restatsis,
refresh ,systane
occular redness - CORRECT-ANSWERSnaphzoline, tetrahydrozoline
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Elitaa. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72042 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now