Drugs Of Choice Quiz Flashcards

0
Q

Neonatal CMV

A

Ganciclovir

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1
Q

Neonatal hepatitis

A

Empiric: ampicillin + 3rg gen ceph or aminoglycoside

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2
Q

Neonatal HSV

A

Acyclovir

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3
Q

Kawasaki

A

IVIG 2g/kg over 12h AND ASA 100mg/kg/day

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4
Q

Turner’s syndrome

A

Recombinant growth hormone

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5
Q

Klinefelter

A

Androgen replacement

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6
Q

H. pylori

A

PPI + Clarithromycin + Amoxicillin/ Metronidazole

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7
Q

PSGN

A

Penicillin G for 10 days to stop nephritogenic strains from spreading

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8
Q

Shigella

A

Ciprofloxacin 15mkd 2x day for 3 days

IMCI

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9
Q

Streptococcal sore throat

A

Benzanthine Penicillin IM
OR Phenoxymethyl penicillin PO
IMCI

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10
Q

Which supplements to give for:

1 Measles <2YO

A

Which supplements to give for:
1 Measles <2YO 10mg Zn
IMCI

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11
Q

Anemia

A

Iron
Mebendazole 500mg/tab
IMCI

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12
Q

Status migranosus (>3 days)

A

Pro chlorpromazine IV 0.15mg/kg

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13
Q

Migraine prophylaxis

A

Propranolol

Flunarizine

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14
Q

Bac men
N meningitidis
S pneumoniae

A

Bac men
N meningitidis Pen IV 5-7D
S pneumoniae Pen IV 10-14 D

Listeria monocytogenes Ampicillin
H influenzae 7-10D

Empiric tx: 3rd gen ceph or vanco

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15
Q
Bain abscess
Empiric
Head trauma 
CHD
Infected VP shunt
ICC
A
Empiric: 3rd gen ceph plus metro
If head trauma or NSS add nafcillin OR vanco
If CHD pen plus metro
If infected VP shunt vanco plus ceftaz
ICC: broad spectrum with ampho B
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16
Q

MG

A

Neostigmine

Thymectomy if high titers of Ab
Consider prednisone and plasmapheresis

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17
Q

Status epilepticus

A

Diazepam/lorazepam then phenytoin then phenobarbital

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18
Q

GBS

A

IVIG

High dose methyprednisolone for relapse

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19
Q

Corynebacterium diphtheria

A

Main: ANTI TOXIN
Pen G to stop toxin production
Erythromycin for nasopharyngeal production

20
Q

Bored tells pertussis

A

Erythromycin AND isolation for 5 days after therapy initiation

Even for household contacts

21
Q

N. meningitidis

Tx and prophylaxis

A

Pen G 250k/kg/day for 5-7days
Alt ceftri/ cefotaxime

Prophylaxis: Rifampicin/ ciprofloxacin and ceftriaxone

22
Q

S. typhi

A

Chloramphenicol if MDR FQ like ciprofloxacin if FQ resistant ceftri

If severe start with with Ampicillin

23
Q

Shigella

A

Oral ampicillin in the US
IMCI dysentery is Cipro

Give zinc!

24
Q

ETEC

A

TMP-SMZ

25
Q

Vibrio cholera

A

Tetracycline NOT for less than 9

Give TMP SMZ instead

26
Q

Tetnaus

A

Penicillin G 100k/kg/day plus TIG or antitoxin and toxoid booster
Alt metronidazole or erythromycin

27
Q
Syphyllis
Primary
Secondary
Early latent
Congenital
A

Syphyllis
Primary Benzanthine pen g 50k per kg single dose
Secondary Benzanthine pen g
Early latent Benzanthine pen g
Congenital aqueous pen g 100k/kg/day for 10 d

28
Q

Leptospirosis

A

Pen G 6-8M units/m2/day for 7D

29
Q

Measles
Treatment
Prophylaxis

A

Give vitamin A
Give Ig 6 days after exposure
Also give post exposure vaccine if more than 1 year old

For SSPE give interventricular interferon a2b inosiplex

30
Q

Varicella

A

Acyclovir if severe dz or ICC 24h from the onset of the rash

Post exposure: active vaccine within 3-5 days of exposure to modify course
If if preggy or ICC within 4D post exposure

IF MOTHER HAS LESIONS 5D before to 2D days after birth GIVE BABY VARIZ IG ASAP!!!

31
Q

Herpes simplex

A

Acyclovir
IV disseminated
Topical genital if NOT recurrent
Oral within 72 hours of lesion onset

32
Q

CMV

A

Ganciclovir for 14 days

IVIG

33
Q

Influenzae

A

Amantadine
Rimantadine
Oseltamivir

34
Q

Rabies

Cat 3

A

Anti rabes Vaccine 0 3 7 14 28

HRIG 20u per kg or ERIG

35
Q

Impetigo

A

Cloxacillin

36
Q

Ecthyma

A

Cloxacillin

37
Q

Cellulitis
Strep
Staph
H flu

A

Strep penicillin
Staph oxacillin
H flu ampicillin and chloramphenicol

38
Q

Tinea versicolor

A

Fluconazole

Selenium sulfide 2.5%

39
Q

Scabies

A

Permethrin 5%

Lindane lotion

40
Q

Urticaria

A

Diphenhydramine 1mg/kg IM

41
Q

Erythema multiforme

A

Wet compress and oral antihistamines

42
Q

RF primary tx

A

Pen VK or Benzanthine pen or Erythromycin

Also give ASA ad prednisone

43
Q

RF prophylaxis

A
Pen VK
Benzanthine pen
Arthritis 5 y
Heart dz resolved 10y or until 21
Heart dz with residual 10y or 40
44
Q

Infective endocarditis
Staph
Strep
Staph with prosthetic valves

A

Staph Oxacillin with genta (pocket Pedia says methicillin plus genta)
Strep pen g plus genta
Staph with prosthetic valves same as staph above but add Rifampicin

45
Q

Hyperpit with excess growth

A

Octreotide a somatostatin analog

46
Q

Chlamydia pneumonia

A

Erythromycin PO 14d

47
Q

Mycoplasma pneumonia

A

Erythromycin, clarithromycin or AZITHROMYCIN