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PBR FlashCards > ID > Flashcards

ID Flashcards

1
Q

which abx should not be given ideally until age 8

A

tetracylcine and doxycycline

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2
Q

what to treat RMSF with even if under 8

A

doxy

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3
Q

what medications shoudl ideally not be given before 18

A

floroquinolones ( cipro/levofloxacin)

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4
Q

what is cipro used for

A

pyelo
complicated uti
shigella

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5
Q

when to not give erythromycin

A

to chidlren uder 6 weeks epecially under 2 weeks

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6
Q

qhat does clinda cover

A

gram positive including MRSA

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7
Q

to cover enterococcus what drugs?

A

vanco
ampicillin
linezolid

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8
Q

what does enterococcus cause

A

UTI
intrabdominal infections
endocarditis
bacteremia

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9
Q

do cephalosporins cover enterococcus

A

no

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10
Q

name two 1st gen cephalosporins

A

cefazolin ( IV) and cephalexin ( Keflex PO)

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11
Q

1st gen cephalosporins cover what

A

gram T but not MRSA
(PEcK - Klebsiella, e coli and proteus)

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12
Q

name some 2nd gen cephalosporins

A

cefaclor
cefuroxime
cefotetan
cefoxitin

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13
Q

what do 2nd gen cephalosporins cover

A

gram negative (HENPEck - haemophillus, enterobacter, neisseria, proteus, e coli and klebsiella )

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14
Q

name some 3rd gen cephalosporins

A

CTX, ceftazidime and cefotaxime and cefpodoxime

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15
Q

what do 3rd gen cephalosporins cover

A

gram negative and CNS infections

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16
Q

what 3rd gen cephalospirn can be used with amp and gent in a baby with concerns for meningitis

A

ceftazidime

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17
Q

which 3rd gen cephalosporin has pseudomonas coverage

A

ceftazidime

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18
Q

name the 4th gen cephalosporin

A

cefepime

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19
Q

4th gen cephalosporin covers what

A

psudomonas and gram T/-

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20
Q

name a carbapenem

A

imipenam

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21
Q

name a medicine that treats enterobacter

A

imipenam

22
Q

name two medications used to treat worms

A

albendazole and pyrantel pamoate

23
Q

what is the bug that causes pinworms

A

enterobius

24
Q

how to treat pinworms

A

give first dose followed by another in 2 weeks

25
Q

name the bugs that metronidazole is used to treat

A

giardia
entamoeba
trich
bacteroides
clostridium
gardnerella

26
Q

what kind of bug is enterococcus

A

gram positive that can cause sepsis and NEC

27
Q

gram positive dipthroid which can be associated with nodules on the placenta or mild maternal viral illness with fever

A

listeria

28
Q

tc for listeria

A

ampicillin

29
Q

what is the treatment for c. tetanus

A

debridement, tetanus IG+ metronidazole or PNC

30
Q

progressive decending weakness in a baby less than 6 months

A

botulism

31
Q

why does botulinum affect <6 months

A

because botulism can colonize in the gut

32
Q

botulinium is what kind of organism

A

gram+

33
Q

diptheria is what kind of organism

A

gram+rod

34
Q

how to treat diptheria

A

erythromycin or PCN

35
Q

gram + organism in Pairs and Chains that stains blue

A

streptococcus

36
Q

can GAS cause rheumatic fever and PSGN

A

yes

37
Q

strep skin infection cannot cause

A

rheumatic fever

38
Q

hematuria, protienuria, swelling and HTN after GAS skin or throat

A

PSGN

39
Q

how to treat PSGN

A

fluids, loop diuretics for HTN and maybe steroids if severe, follow C3 levels till they are normal

40
Q

if C3 doesnt normalize in six weeks after PSGN what should you consider

A

lupus nephritis, membranoproliferative GN, RPGN

41
Q

what will bopsy of PSGN show

A

lumpy bumpy IgG deposits and low C3

42
Q

peritonsillar abscess and RPA are due to

A

GAS

43
Q

IV treatment for GAS peritonsillar abscess or RPA

A

clinda or unasyn

44
Q

Xray of lateral neck that shows widening of the retropharyngeal space

A

RPA

45
Q

scarlet fever due to GAS will have rash were

A

in skinfolds and creases (sandpaper rash in groin or armpit)

46
Q

pink or red lines near creases seen in scarlet fever is called

A

Pastia’s lines

47
Q

most common cause of occult bacteremia ( no source)

A

strep pneumo

48
Q

most common cause of PNA in kids

A

strep penumo

49
Q

most common cause of PNA in kid with CF

A

staph aureas or pseudomonas

50
Q

early onset GBS < 6 days causes

A

sepsis

51
Q

GBS late onset causes

A

meningitis, cellulitis, ostep ( >6 days)

52
Q
A

PBR FlashCards (13 decks)

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