Disease and treatment

Question 1

Gonorrhea

Answer 1

Ceftriaxone 25 to 50 mg/kg/day IV or IM in a single daily dose for 7 days wduration of 10-14 days
Cefotaxime

Question 2

Chlamydia

Answer 2

20 mg/kg azithromycin tid for 3 days
Erythromycin
Zithromax

Question 3

Syphilis

Answer 3

Aqueous crystalline Penicillin G 100,00-150,000 units/kg/day
50,000 units/kg/dose IV every 12 hours during 1st 7 days of life or every 8 hours if infant is over 1 week of age for 10 days

Question 4

Herpes

Answer 4

Acyclovir 20 mg/kg IV every 8 hours for 21 days (desseminated)
60 mg/kg/day for CNS disease

Question 5

CMV

Answer 5

If gut is not working: Gangcliclovir 6 mg/kg/
If gut is working: Valganciclovir 16 mg/kg/dose every 12 hours for 6 months
Hearing screens

Question 6

Hepatitis B

Answer 6

Interferon >1 year
lamivudine > 3 years
adefovir > 12 years

Question 7

Hepatitis B perinatal transmission prevention

Answer 7

HBIG .5 ml 1 vaccination w/in 1st 12 hours of life. Second dose within 1-2 months and third dose at 6 months. Test for HBsAg and anti-HBs at 9 to 18 months

Question 8

HIV newborn exposure

Answer 8

ARV prophylaxis

Zidovudine within 6 to 12 hours

Question 9

Toxoplasmosis

Answer 9

Prevention is best. Tell pregnant women to wash fruits and veggies. Wear gloves and do not change cat litter.
Congenital infection=Pyrimethamine with Sulfadiazine with folic acid for 1 year. Consult ID

Question 10

Newborn sepsis

Answer 10

Ampicillin and gentamycin

Question 11

Dysmenorrhea

Answer 11

NSAIDS
OCP for 3-6 months
Omega 3 fatty acids

Question 12

Endocarditis Prophylaxis

Answer 12

Amoxil 50 mg/kg one hour prior to dental care

Question 13

Varicella

Answer 13

Benadryl/oatmeal bath

Acyclovir in high risk patients

Question 14

Localized impetigo

Answer 14

Bactroban/ muciprocin/altabax

Question 15

MRSA soft tissue infection

Answer 15

Bactrim or clindamycin

Question 16

Meningitis

Answer 16

Cephalosporin 2 g IV q24h

Cefotaxime 2 g IV q4-6h

Question 17

Rocky mountain spotted fever

Answer 17

Doxycycline for 7-10 days

Question 18

Lyme disease

Answer 18

Amoxicillin in patients younger than 8. 50 mg/kg/day tid for 14-21 days
Doxycycline 100 mg PO bid for 14-21 days

Question 19

Roundworm

Answer 19

Albendazole with food
Nitazoxanide bid for 3 days
Single dose Ivermectin

Question 20

Hookworm

Answer 20

Albendazole (Alebnza)
Mebendazole (Vermox)
Oyrantel pamoate (pin x)

Question 21

Pinworms

Answer 21

Single dose Mebendazole (vermox)
Pyrantel pamoate
Wash clothes after use @ night

Question 22

Giardiasis

Answer 22

Metroidazole (flagyl)

Question 23

Scabies

Answer 23

Permethrin

Question 24

Acute herpetic gingivostomatitis tx

Answer 24

Antipyretic for fever and pain

Soft acid free foods