Flu/Anbx

Question 1

MC types of flu

Answer 1

A and B

H1/H2/H3 and N1/N2 can cause pandemic

Question 2

how is flu transmitted

Answer 2

via inhalation of large and small aerosolized particles

Question 3

refers to minor changes in HA and less often in NA that occurs frequently (usually every few years)

Answer 3

antigenic drift

Question 4

occurs only in influenza A as a result of acquisition of new gene segments of HA and/or NA (occurs every few decades). Result: major antigenic change causing pandemics

Answer 4

antigenic shift

Question 5

S/S flu

Answer 5

Abrupt onset, fever (100-1040 F), sore throat, myalagia,

Question 6

who should get the flu vaccine

Answer 6

All persons 6 months or older

Question 7

meningococcal vaccine does not cover

Answer 7

group B meningococcus

Question 8

which vaccine an’t be given to pregnant ladies/immunosuppressed

Answer 8

varicella, zoster, MMR, wait till they give birth then administer

Question 9

HIV + and CD4 > 200 w/ no immunity to MMR give….

Answer 9

MMR 2 doses 1 month apart

Question 10

what vaccine should adults >65 receive?

Answer 10

pneumococcal, PCV 13 first then PCV 23 6-12 months later

Question 11

MC brain bacteria

Answer 11

Haemophilus influenzae*
Neisseria meningitidis*
Streptococcus pneumoniae*
Treponema pallidum*

Question 12

MC UT bacteria

Answer 12

Enterococci*

Escherichia coli*

Question 13

MC HA lung infection

Answer 13

Pseudomonas aeruginosa*

Staphylococcus aureus*

Question 14

gram + cocci and their antibiotics

Answer 14

Staphylococcus aureus
Staphylococcus epidermidis
Streptococcus pneumoniae
Streptococcus viridans

PCNs
1st gen cephs (cefadroxil, cefazolin, cephalexin)
sensitive staph-oxacillin, nafcillin

Question 15

gram + rods and anbx

Answer 15

clostridium perfringens
listeria monocytogenes

PNCs

Question 16

gram - cocci and anbx

Answer 16

Neisseria gonorrhoeae
Neisseria meningitidis

PNCs

Question 17

gram - rods and anbx

Answer 17

E. Coli
Klebsiella
proteus

3rd gen cephs
carbapenems
gentamycin

Question 18

other gram - and anbx

Answer 18

Salmonella
Pseudomonas
H. influenza (sepsis)
Gonococci

3rd gen cephs

Question 19

Useful in treating infections caused by aerobic gram negative bacteria including pseudomonas

Answer 19

aminoglycosides

Question 20

Used to treat uncomplicated and complicated infections with streptococci, pneumococci, legionella, mycoplasma, C. pneumoniae, H. influenzae, bordetella, campylobacter

Answer 20

macrolides

GI is major SE

Question 21

Used to treat complicated and uncomplicated infections with E.coli, proteus, klebsiella, enterobacter, pseudomonas, salmonella, shigella, campylobacter, H. influenzae, gonococcus, chlamydia, mycoplasma, legionella, mycobacteria

Answer 21

fluoroquinolones

tendinitis is major SE

Question 22

rickettsia, Q fever, mycoplasma, chlamydia, brucella, spirochetes, leptospira, pasturella, francisella and some strains of VRE you should use

Answer 22

tetracyclines

don’t use in children

Question 23

Used only for resistant or refractory bacteria (VRE, N. meningitidis, salmonella, B. fragilis )

Answer 23

chlormaphenicol

aplastic anemia is major SE

Question 24

aerobic gram positive organisms ( S. aureus, S. pneumoniae, streptococci ) and most anaerobes (orophargeal)

Answer 24

clinda

Question 25

daptomycin and linezolid are part of this class

Answer 25

oxazolidines