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***pimp questions- rachel > Crozer- bugs and drugs > Flashcards

Crozer- bugs and drugs Flashcards

1
Q

what are gram +, catalase +. cocci in clusters

A

staphylococcus aureus

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2
Q

DOC for staph?

alternatives

A

keflex or ancef

clinda, levaquin, vanco, azithro, dicloxacillin, nafcilllin

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3
Q

DOC mrsa?

alternatives

A

IV vanco, bactrim PO

synercid or linezolid

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4
Q

Topical DOC mrsa

A

bactroban

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5
Q

DOC for strep

A

ancef keflex

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6
Q

what are gram +, catalase neg cocci that are in pairs or chains

A

streptococcus

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7
Q

Strep in PCN allergy

A

clinda, levaquin, vanco

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8
Q

DOC enterococcus

alternatives

A

amoxicillin or vanco

augmentin, linezolid

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9
Q

Drug of choice for VRE

A

linezolid or synercid

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10
Q

DOC for diptheroids

A

vanco

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11
Q

short gram neg rod?

A

escherichia coli

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12
Q

DOC E. Coli

A

keflex or ancef

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13
Q

DOC proteus

A

keflex or ampicillin

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14
Q

small gram neg rod w pili and polar flagella

A

pseudomonas aeruginosa

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15
Q

DOC pseudomonas?

alternatives?

A

cipro

3rd gen cephalosporins, aztreonam, zosyn, timentin

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16
Q

how does pseudomonas typically present

A

blue gree purulence. grape odor

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17
Q

gram neg spirochete causes lyme disease?

A

borrelia burgdorferi

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18
Q

DOC for lyme disease

A

doxycyline or rocephin

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19
Q

DOC for bacteroides

A

augmentin, zosyn, unasyn, timentin

20
Q

large, gram positive, anaerobic, racquet shaped rod that forms spores?

A

clostridium perfringens

21
Q

DOC for clostridium

A

penicillin, imipenem, clinda, tetracyline

22
Q

what are 2 soft tissue clinical manifestations caused by clostridium

A

anaerobic cellulitis and gas gangrene

23
Q

why is gas gangrene a surgical emergency

A

rapidly progresses to shock and renal failure and is fatal in 30%

24
Q

DOC for aeromanas

alternative?

A

cipro po/iv

bactrim

25
Q

DOC for pseudomonas cepacia

A

bactrim

ceftazidime

26
Q

DOC necrotizing fasciitis

27
Q

DOC superficial thrombophlebitis

28
Q

DOC gonorrhea

A

ceftriaxone or PCN

29
Q

DOC cutane3ous larva migrans

A

promethia under occlusion

30
Q

what org may form gas in soft tissue

A

Gram positive – Clostridium perfringens, Staphylococcus, Streptococcus, Peptostreptococcus
Gram negative – Bacteroides, E. coli, Klebsiella, Serratia

31
Q

What are some anaerobes

A

Gram positive – Actinomyces, Clostridium, Peptostreptococcus

Gram negative – Bacteroides, Fusobacterium

32
Q

Doc diabetic w PCN allergy

A

clindamycin

33
Q

DOC severe limb threatening infection

34
Q

what are most common organism of bite wounds

A

Human-eikenella corrodens

cat/dog- pasteurella multocida

35
Q

gram neg associated w dog bites

36
Q

DOC cat and dog bites

37
Q

most common organisms causing cellulitis

A

staph and strep

38
Q

which type of strep causes impetigo cellulitis and erysipelas

A

group a strep

39
Q

difference btwn cellulitis and erysipelas

A

Cellulitis – confined superficial infection

Erysipelas – superficial infection that extends into the lymphatics

40
Q

most common org that causes acute hematogenous osteomyelitis

A

Staphylococcus aureus (adults), Gram negative rods (elderly)

41
Q

what is most common org that causes osteo following puncture

A

pseudomonas aeruginosa

42
Q

whats an anaerobic gram + filamentous bacteria

A

actinomyces

43
Q

what org may be found in puncture wound in ocean

A

vibrio vulnificus

44
Q

what type of bacteria is gonorrhea

A

gram neg diplococci

45
Q

whats gonorrhea cultured on

A

chocolate agar

46
Q

tx for gonorrhea

A

ceftriaxone

47
Q

if patient is currently on an antibiotic, how long should it be stopped before taking a wound culture

***pimp questions- rachel (12 decks)

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