Immunology
Treatment for hypotension, wheezing, and diffuse urticaria min after a bee sting
What is IM epinephrine?
Treatment for tremor, agitation, hallucinations, tachycardia, and htn 72 hrs after the last alcoholic drink
What are benzodiazepines?
Next best step for secondary amenorrhea
What is a pregnancy test?
Next best step for a hot, swollen knee with fever and inability to bear weight
What is arthrocentesis?
Treatment for C. Diff
What is oral vancomycin or fidaxomicin?
Treatment for pruritic linear vesicular rash after poison ivy exposure
What are topical steroids?
1st step for pt w/ fever, hyperreflexia, clonus, and diarrhea after starting linezolid in a patient taking sertraline
What is stop serotonergic medications?
Next best step for postmenopausal bleeding
What is endometrial biopsy?
Treatment for persistent rheumatoid arthritis despite NSAIDs
What is methotrexate?
First step in treating DKA
What is IV fluids?
Treatment for recurrent sinopulmonary infections, Giardia, and low IgG
What is IVIG?
1st step for pt fever, lead pipe rigidity, AMS, and elevated CK after starting haloperidol
What is stop antipsychotic ± dantrolene or bromocriptine?
Next best step for positive β-hCG, unilateral pelvic pain, and vaginal bleeding
What is transvaginal US?
Initial treatment for inflammatory back pain with sacroiliitis
What is NSAIDs?
Next best step for rhabdomyolysis
What is aggressive IV fluids?
Next best step for fever, flank pain, hypotension, and hemoglobinuria develop during a blood transfusion
What is stop the transfusion!
Next best step for a patient with active suicidal ideation, a specific plan, and intent
What is inpatient psychiatric hospitalization?
Next best step for sudden unilateral pelvic pain, nausea/vomiting, and an enlarged ovary with absent Doppler flow
What is emergent detorsion?
Next best step for a patient with Marfan syndrome who develops sudden tearing chest pain radiating to the back
What is CT angiography?
Next best step for thrombocytopenia and new thrombosis 7 days after starting heparin
What is stop heparin and start argatrobran?
Acute hypoxemia and bilateral pulmonary infiltrates occur within 6 hours of a transfusion without signs of volume overload
What is TRALI?
Next best step for a patient who develops decreased need for sleep, grandiosity, and risky behavior after starting an SSRI
What is stop the antidepressant and start a mood stabilizer?
Next best step for a 52-year-old woman with a new painless breast mass
What is diagnostic mammogram?
Next best step for proximal muscle weakness with a heliotrope rash and Gottron papules
What is malignancy screening?
Next best step for extensive facial burns, hoarseness, and singed nasal hairs
What is endotracheal intubation?