EXAM #2: REVIEW Flashcards
How is N. gonorrhea septic arthritis treated?
Ceftriaxone
How is gram negative septic arthritis treated?
Cephalosporin
What patients require droplet precautions?
Patients with:
1) Influenza
2) Pertussis
3) Adenovirus
What NNRTI is teratogenic?
Efavirenz
What are the benefits of the varicella vaccine?
- Prevents 12,000 hospitalizations and 100 deaths annually
- Of those hospitalized it presents: pneumonia, encephalitis, and superimposed “flesh-eating” bacteria infections
How is late onset newborn sepsis treated?
2nd or 3rd generation cephalosporin
Vancomycin
What are the risk factors for early onset newborn sepsis?
1) Rupture of membranes greater than 18 hours
2) Maternal fever/ chorioamionitis
3) Previous infant with GBS
4) Mother less than 20 y/o
5) Prematurity/low birth weight
What is the algorithm for deciding to treat occult bacteremia?
1) Order WBC count
2) WBC high, get blood culture
3) Positive blood cultures= IM ceftriaxone
What is the treatment for early onset newborn sepsis?
Ampicillin + aminoglycoside
2nd generation cephalosporin
What is the drug of choice for meningococcemia?
PCN G
What are the symptoms of early congenital syphilis?
1) Mucocutaneous lesions
2) LAD
3) Rash
4) Snuffles
5) Metaphyseal dystrophy
6) Periositis
What are the clinical manifestations of secondary syphilis in adults?
1) Rash
2) Mucocutaneous lesions
3) LAD
What is the treatment for Chancroid?
Azithromycin or Ceftriaxone
What patients require inpatient management of PID?
1) Unable to exclude surgical diagnosis
2) Pregnant
3) Non-compliant
4) Unable to tolerate PO meds
5) Tubo-ovarian abscess
What is the treatment for gonorrhea?
Ceftriaxone and Azithroymcin
