Drugs Of Choice Quiz

Question 1

Neonatal CMV

Answer 1

Ganciclovir

Question 2

Neonatal HSV

Answer 2

Acyclovir

Question 3

Kawasaki

Answer 3

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

Question 4

Turner’s syndrome

Answer 4

Recombinant growth hormone

Question 5

Klinefelter

Answer 5

Androgen replacement

Question 6

H. pylori

Answer 6

PPI + Clarithromycin + Amoxicillin/ Metronidazole

Question 7

PSGN

Answer 7

Penicillin G for 10 days to stop nephritogenic strains from spreading

Question 8

Shigella

Answer 8

Ciprofloxacin 15mkd 2x day for 3 days

IMCI

Question 9

Streptococcal sore throat

Answer 9

Benzanthine Penicillin IM
OR Phenoxymethyl penicillin PO
IMCI

Question 10

Which supplements to give for:

1 Measles <2YO

Answer 10

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

Question 11

Anemia

Answer 11

Iron
Mebendazole 500mg/tab
IMCI

Question 12

Status migranosus (>3 days)

Answer 12

Pro chlorpromazine IV 0.15mg/kg

Question 13

Migraine prophylaxis

Answer 13

Propranolol

Flunarizine

Question 14

Bac men
N meningitidis
S pneumoniae

Answer 14

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

Question 15

Bain abscess
Empiric
Head trauma 
CHD
Infected VP shunt
ICC

Answer 15

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

Question 16

MG

Answer 16

Neostigmine

Thymectomy if high titers of Ab
Consider prednisone and plasmapheresis

Question 17

Status epilepticus

Answer 17

Diazepam/lorazepam then phenytoin then phenobarbital

Question 18

GBS

Answer 18

IVIG

High dose methyprednisolone for relapse

Question 19

Corynebacterium diphtheria

Answer 19

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

Question 20

Bored tells pertussis

Answer 20

Erythromycin AND isolation for 5 days after therapy initiation

Even for household contacts

Question 21

N. meningitidis

Tx and prophylaxis

Answer 21

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

Prophylaxis: Rifampicin/ ciprofloxacin and ceftriaxone

Question 22

S. typhi

Answer 22

Chloramphenicol if MDR FQ like ciprofloxacin if FQ resistant ceftri

If severe start with with Ampicillin

Question 23

Shigella

Answer 23

Oral ampicillin in the US
IMCI dysentery is Cipro

Give zinc!

Question 24

ETEC

Answer 24

TMP-SMZ

Question 25

Vibrio cholera

Answer 25

Tetracycline NOT for less than 9 | Give TMP SMZ instead

Question 26

Tetnaus

Answer 26

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

Question 27

``` Syphyllis Primary Secondary Early latent Congenital ```

Answer 27

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

Question 28

Leptospirosis

Answer 28

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

Question 29

Measles Treatment Prophylaxis

Answer 29

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

Question 30

Varicella

Answer 30

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!!!

Question 31

Herpes simplex

Answer 31

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

Question 32

CMV

Answer 32

Ganciclovir for 14 days | IVIG

Question 33

Influenzae

Answer 33

Amantadine Rimantadine Oseltamivir

Question 34

Rabies | Cat 3

Answer 34

Anti rabes Vaccine 0 3 7 14 28 | HRIG 20u per kg or ERIG

Question 35

Impetigo

Answer 35

Cloxacillin

Question 36

Ecthyma

Answer 36

Cloxacillin

Question 37

Cellulitis Strep Staph H flu

Answer 37

Strep penicillin Staph oxacillin H flu ampicillin and chloramphenicol

Question 38

Tinea versicolor

Answer 38

Fluconazole | Selenium sulfide 2.5%

Question 39

Scabies

Answer 39

Permethrin 5% | Lindane lotion

Question 40

Urticaria

Answer 40

Diphenhydramine 1mg/kg IM

Question 41

Erythema multiforme

Answer 41

Wet compress and oral antihistamines

Question 42

RF primary tx

Answer 42

Pen VK or Benzanthine pen or Erythromycin | Also give ASA ad prednisone

Question 43

RF prophylaxis

Answer 43

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

Question 44

Infective endocarditis Staph Strep Staph with prosthetic valves

Answer 44

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

Question 45

Hyperpit with excess growth

Answer 45

Octreotide a somatostatin analog

Question 46

Chlamydia pneumonia

Answer 46

Erythromycin PO 14d

Question 47

Mycoplasma pneumonia

Answer 47

Erythromycin, clarithromycin or AZITHROMYCIN

Question 48

Neonatal hepatitis

Answer 48

Empiric: ampicillin + 3rg gen ceph or aminoglycoside