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Bugs and Drugs Flashcards

1
Q

campylobacter

A

gram-, curve/S shaped

erythromycin

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2
Q

C diff

A

gram+, blood agar, recent PCN, quinolone, clindamycin use

flagyl, vanc

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3
Q

E histolytica

A

flagyl

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4
Q

E colic O157:H7

A

gram- rod

NO abx!! increase risk HUS (hemolytic anemia + acute kidney failure + thrombocytopenia)

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5
Q

Salmonella

A

gram- bacillus

Cipro, bactrim

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6
Q

Cryptococcus

A

india ink stain = cysts
Amp B
Fluconazole

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7
Q

Histoplasmosis

A

Itraconazole

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8
Q

P Jirovecci

A

Bactrim

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9
Q

Rheumatic fever (GAS)

A

PCN

erythromycin

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10
Q

Botulism

A

progressive weakness + diplopia + dry mouth

PCN

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11
Q

Diptheria

A

PCN

erythromycin

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12
Q

TB

A

add B6 w/ isonazide to avoid peripheral neuropathy

rifampin, ethabutol, pyrazinamide

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13
Q

Toxoplasmosis

A

clindamycin + pyrimethamine

sulfadiazine + pyrimethamine

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14
Q

RMSF rickettsia rickettsii

A

doxycycline

chloramphenicol for prego

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15
Q

Syphilis

A

dark field microsocpy
RPR/FTA-ABS
PCN or doxy

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16
Q

condyloma acuminatum (HPV)

A

imiquimod

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17
Q

Shigella bloody diarrhea

A

Azithromycin kid

Cipro adult

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18
Q

Lyme Disease Borrelia burgorferi

A

Doxy
Rocephin
Amoxicillin - kids, prego

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19
Q

CMV

A

owl eye inclusion bodies, pizza pie retinopathy

gancyclovir

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20
Q

Community acquired pneumonia

A

Macrolide

Doxycycline

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21
Q

Chlamydia

A

doxycycline x 7D

azithromycin or amoxicillin for prego

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22
Q

MRSA

A

IV vanc
PO linezolid
PO bactrim

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23
Q

H pylori

A

PPI + clarithromycin + amoxicillin
PPI + clarithromycin + flagyl
PPI + pepto + flagyl + tetracycline

24
Q

Prophylactic abx for dental work

A

amoxicillin 2g PO 1hr before

allergy: clindamycin, cephalexin, azithromycin or clarithromycin

25
Q

Neisseria

26
Q

Neonatal meningitis

A

GBS, e coli, listeria

Ampicillin + cefotazime or gentamicin

27
Q

Infant meningitis

A

Pneumococcus, meningococcus, H flu

Vanc + cefotazime or ceftriaxone

28
Q

Klebsiella

A

3rd gen ceph (cefdinir, cefotaxime)

29
Q

H ducreyi

A

Azithromycin

Rocephin

30
Q

Mycobacterium Avium Complex

A

bx = foamy macrophages + acid fast bacilli

Clarithromycin

31
Q

Acute sinusitis

A 
S pneumo, H flu, M cat
Augmentin
Macrolide
Bactrim
tx 10D
32
Q

Chronic sinusitis

A

Augmentin
Macrolide
Bactrim
tx 3-6 wk

33
Q

UTI ecoli

A

uncomplicated: bactrim or fluoroquinolone x 3D
complicated: 7-14D
prego: macrobid or amoxicillin x 3-7D

34
Q

Malaria

A

protazoa
Chloroquine
Primaquine
Quinidine

35
Q

Orbital cellulitis

A

S aureus, S pneumo
IV vanc
Amp B in diabetic w/ Mucor or Rhizopus

36
Q

Otitis externa

A

pseudomonas

neomycin, cipro, ofloxacin

37
Q

Acute bacterial endocarditis

A

vancomycin + rocephin

38
Q

Pseudomonas

A

1) pipercillin/tazobactam (zosyn)

ceftazidime, cefipime
imipenem, meropenem
gentamicin, tobramycin

39
Q

“empiric coverage”

A

ampicillin (gram +)
gentamicin (gram -)
tetracycline or macrolide (atypical)

40
Q

Prophylactic abx for posterior nasal packing

41
Q

Mastoiditis

A 
Strep, staph, H flue, M cat
IV cefepime (for pseudomonas) + vanc (for MRSA)
42
Q

Acute otitis media

A

1) Amox

PCN allergy mild - cefidinir
PCN allergy severe - clindamycin + bactrim

43
Q

Recurrent otitis media

A

1) Augementin

PCN allergy mild - clindamycin + cef
PCN allergy severe - clindamycin + bactrim

44
Q

Eikenella

A

PCN
Tetracycline
Chloramphenicol

45
Q

Cystitis

46
Q

Epiglottitis

A

3rd gen ceph - Ceftriaxone

47
Q

Epididymitis 14-35y

A

Rocephin + doxy

48
Q

Prostatitis

A

bactrim x 4-6 weks

49
Q

Urethritis

A

Rocephin + doxy

50
Q

Pertussis

A

Bordetella pertussis

Erythromycin x 7-14D

51
Q

3mon-adulthood meningitis

A

Pneumococci, meningococci

Vanc + ceftriaxone or cefotaxime

52
Q

Prophylaxis meningitis

A

Rifampin

cipro, rocephin, axithromycine

53
Q

Mastitis

A

S aureus
dicloxacillin
cephalexin or erythromycin
NO breast feeding if abscess

54
Q

lysteria monocytogenes meningitis

meningitis 50+ alcoholic

A

ampicillin

55
Q

epididymitis (36+)

A

ecoli
Bactrim
levo
cipro

56
Q

Cat scratch

A

Azithromycin 5D

PANCE (7 decks)

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