behandelingen

Question 1

bacterieel secretoire diarree

Answer 1

geen AB, wel loperamide

ernstig: azithromycine of fluoroquinolones

Question 2

bacterieel dysenterische diarree

Answer 2

GEEN loperamide

azithromycine of fluoroquinolones

Question 3

diarree door gardia lamblia

Answer 3

5NI

Question 4

dairree door entamoeba histolytica

Answer 4

5NI
- metronidazole
- ornidazole
- tinidazole
contactamoebicide
- diloxamide furoaat
- paromomycine

Question 5

diarree isospora belli

Answer 5

cotrimoxazole

Question 6

diarree door cyclospora

Answer 6

cotrimoxazole

Question 7

diarree door cryptosporidium

Answer 7

geen effectieve behadeling

Question 8

malaria

Answer 8

chloroquine
proguanil
mefloquine
kinine
malarone
artemisinine
primaquine

Question 9

cerebrale malaria

Answer 9

artisunaat IV

Question 10

malaria profylaxe

Answer 10

malarone
doxycycline
lariam

Question 11

viscerale leishmania

Answer 11

amfotericine B = 1e keuze
antimoonverbindingen
- pentostam
- glucantime
miltefosine

Question 12

cutane leishmania

Answer 12

amfotericine B

itraconazole

Question 13

t. brucei gambiense

Answer 13

stadium I:
- efflornethine
stadium II:
- efflornethine (+nifurtimox)
alt.: suramine/pentamidine + melarsoprol + CS

Question 14

T. brucei rhodiense

Answer 14

stadium I:
- suramine
stadium II:
- suramine + melarsoprol + CS

Question 15

T. cruzi

Answer 15

supportief

Question 16

lepra

Answer 16

multibacillair
- rifampicine
- clofazimine
- dapsone
paucibacillair
- rifampicine
- dapsone

Question 17

omkeerreactie lepra

Answer 17

CS + verder zetten medicatie tegen lepra

Question 18

erythema nodosum leprosum

Answer 18

mild: aspirine
matig: aspirine/CS + opdrijven clofazimine
ernstig: CS

Question 19

schistosoma

Answer 19

praziquantel + CS

Question 20

clonorchis sinensis

Answer 20

praziquantel

Question 21

paragonimus westermani

Answer 21

praziquantel

Question 22

wucheria bancrofti

Answer 22

ivermectine + albendazole
DEC
doxycycline

Question 23

loa loa

Answer 23

albendazole/ivermectine

DEC (traag opbouwen)

Question 24

onchocerca volvulus

Answer 24

ivermectine

doxycycline

Question 25

ascaris lumbricoides

Answer 25

mebendazole

albendazole

Question 26

toxocara

Answer 26

albendazole (+CS)

Question 27

ancylostoma duodenale/necator americanus

Answer 27

mebendazole/albendazole
Fe supplementen (+ foliumzuur)

Question 28

strongyloides stercoralis

Answer 28

ivermectine

albendazole

Question 29

cysticercose

Answer 29

volwassen lintworm
- niclosamide
alt.: praziquel/albendazole
neurocysticercose
- symptomatisch
- praziquantel/albendazole

Question 30

echinococcose

Answer 30

heelkundig

• albendazole 1 maand preop
• praziquantel onmiddelijk preop
• albendazole postop

Question 31

dengue

Answer 31

supportief

Question 32

chikungunya

Answer 32

supportief

Question 33

zika

Answer 33

symptomatisch

Question 34

ebola

Answer 34

supportief

Question 35

japanse encefalitis

Answer 35

supportief

Question 36

europese tekenencefalitis

Answer 36

supportief

Question 37

West Nile

Answer 37

supportief

Question 38

Rickettsia

Answer 38

dixycycline

Question 39

pest

Answer 39

tetracycline

Question 40

buiktyfus

Answer 40

fluoroquinolone
OF
ceftriaxone

Question 41

myasis

Answer 41

afsluiten van de opening met vaseline of olie

Question 42

tungiase

Answer 42

chirurgisch verwijderen

Question 43

rabies

Answer 43

palliatie

Question 44

TBC

Answer 44

rifampicine

Question 45

Cryptococcose

Answer 45

amphotericine B

Question 46

P. jiroveci

Answer 46

cotrimoxazole

Question 47

cytomegalovirus

Answer 47

gancyclovir

Question 48

1e lijn HIV

Answer 48

dolutegravir + tenofovir + lamivudine/emtricitabine