Term
| Pts with staph infection, what is the tx options? |
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Definition
Penicillins or cephalosporins
If allergic to PCN, Macrolides |
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Term
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Definition
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Term
|
Definition
Ciprofloxacin
Doxy is the alternative |
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Term
| Pt has "rice water" diarrhea, what is the tx? |
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Definition
Cholera
Tetracycline, ampicillin, or Bactrim |
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Term
| What is the tx for tetanus? |
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Definition
| Tetanus immune globulin IM + penicillin |
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Term
| Pt says that she has "pea soup" diarrhea, what is the tx? |
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Definition
Ampicillin or Bactrim
If resistant, Ceftriaxone or fluoroquinolone |
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Term
| This is the most common type of dysentary, what is the tx? |
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Definition
(Shigellosis) Bactrim is tx
Fluid replacement is essential |
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Term
| Pt has a grey membrane covering the tonsils and pharynx, what is the treatment? |
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Definition
Horse serum antitoxin
Possible removal of grayish membrane, if obstructing
Penicillin or erythromycin |
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Term
| Patient has episodes of rapid coughing followed by a high pitched inspiration. What is the tx? |
|
Definition
(Pertusis) Whooping cough
Erythromycin |
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Term
| Patient has fever, ST, exudative pharyngitis, and soft palate petechia. Pt has lymphadenopathy, and splenomegaly. What medication is contraindicated for this patient? |
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Definition
| Amoxicillin, raises the incidence of rash to 90% |
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Term
| Pt with mono, what is the tx? |
|
Definition
Symptomatic.
Non aspirin antipyretics and anti inflammatories |
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Term
| What is herpes keratitis tx with? |
|
Definition
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Term
| What is HSV treated with? |
|
Definition
| Antivirals; acyclovir or valacyclovir |
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Term
| What is the tx of Reye's? |
|
Definition
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Term
| What is the treatment of influenza? |
|
Definition
| Zanamivir or combination of oseltamivir + ramantidine |
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Term
| What is the tx of rabies? |
|
Definition
Mechanical ventilation and O2 should be started
Rabies vaccine + monoclonal antibodies + ribaviron + interferon-alpha + ketamine |
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Term
| Post exposure immunization of rabies includes what? |
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Definition
Rabies immunoglobulin (in the wound and a distant site)
5 injections of HDCV given on days 0, 3, 7, 14, 28 |
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Term
| When should poster exposure prophylaxis for HIV be initiated? |
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Definition
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Term
| Pt has recently been around soil that has had bird and bat droppings, what is the tx of this patient? |
|
Definition
Histoplasmosis
Itraconazole for weeks to months |
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Term
| Pt states he has recently been in Central Park feeding the pigeons lately. Pt is complaining of fever, cough, dyspnea. What is the treatment of this patient? |
|
Definition
Cryptococcus
HIV: Oral fluconazole for 10 weeks
Non-HIV: Amphotercin B |
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Term
| This patient has the most common opportunistic infection in HIV patients, how should you treat the patient? |
|
Definition
Pneumocystis jiroveci
Bactrim
Dapsone if they have a sulfa allergy |
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Term
| A stool specimen is obtained from the patient. It shows trophozoites, what is the treatment? |
|
Definition
Amebias:
Asymptomatic: Amebicide (diloxanide, furoate, iodoquinol, paromomycin)
Mild to moderate infection: Tinidazole or metronidazole + amebicide |
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Term
| Pt lives in the tropical region of the US. Pt has a erythematous rash with a vesicular eruption. Pt then describes that he has been having diarrhea and epigastic pain. You do a fecal occult blood test and it is positive. What is the treatment of this patient? |
|
Definition
Hooksworms
Mebendazole bid x 3 days |
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Term
| What is a lab test you can do for pinworms? |
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Definition
| Cellophane tape over the perianal region can capture the worms |
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Term
| What is the treatment of pinworms? |
|
Definition
Albendazole, mebendazole, or pyrantel
All members of the house should be treated concurrently |
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Term
| A patient comes in stating that he has traveled to South America within the past two months. He states that he has been having the shaking chills, followed by fever, and diaphoresis. What labs do you want to do on this patient and what is the treatment? |
|
Definition
Malaria
Blood films stained with Giemsa or Wright stain
Chloroquine is the drug of choice for tx and prophylaxis |
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Term
| Patient comes in with a painless ulcer in the genital area. Preonema pallidum is identified on microscopy. VDRL and RPR tests are positive. What is the treatment of this patient? |
|
Definition
Syphilis
Benzathine penicillin G, 2.4 million U IM in single dose |
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Term
| What is the reaction that can occur from syphilis tx? What do you do to prevent this? |
|
Definition
Jarisch-Herxherimer
You give antipyretics for the first 24 hours of tx |
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Term
| Male patient comes in the milky discharge from his penis and urethral pain. You culture the discharge, what are you likely to find and how do you treat it? |
|
Definition
Gonorrhea
IM Ceftriaxone or oral cefixime
All partners must be treated, as well as concurrent treatment of chlamydia (Azithromycin, doxy, or erythromycin) |
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Term
| How do you treat a pregnant women with chlamydia? |
|
Definition
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Term
| Women comes in with a malodorous, frothy, yellow-green discharge. Wet mount reveals motile flagellates. What is the treatment? |
|
Definition
Trichomonas
Tx: Metronidazole 2g
All partners should be treated |
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Term
| Patient comes in stating he has a erythematous rash that has been getting bigger of the past 2 days. Pt states he has had a H/A, stiff neck, and fatigue as well. Pt states he went camping last weekend and was in the woods. What lab would you do for this patient? What is the tx of this patient? |
|
Definition
Lyme's
Immunofluorescent assay or ELISA, confirm with Western Blot
Tx: Doxycycline |
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Term
| Patient comes in with faint macules that started on the wrist an ankles, but have since spread to her trunk. She has also experienced fever, chills, H/A, N/V. CSF reveals pleocytosis and hypoglycorrhachia. What is the tx for this patient? |
|
Definition
Rocky Mountain Spotted fever:
Doxycycline or chloramphenicol |
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