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Medicine SHELF Prep > ID > Flashcards

ID Flashcards

1
Q

Tx strep pharyngitis

A

Penicillin V

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2
Q

Tx strep pharyngitis/PCN allergy

A

Azithromycin

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3
Q

Tx otitis media

A

Amoxicillin

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4
Q

CURB-65

A

Confusion, Uremia (BUN>30), RR>20, BP<90/60, Age>65

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5
Q

Electrolyte abnormality associated with Legionella

A

Hyponatremia

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6
Q

Dx sarcoidosis

A

transbronchial biopsy

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7
Q

Tx CAP Outpt (no risk factors) (2)

A

Doxycycline or Azithromycin

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8
Q

Tx CAP Inpt (risk factors) (2)

A

Levofloxacin, Beta-lactam + azithromycin or doxycycline

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9
Q

Tx CAP ICU

A

Levofloxacin/Beta-lactam or Azithromycin/Beta-lactam

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10
Q

Tx CAP MRSA: Add ____

A

linezolid and vancomycin

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11
Q

Tx Aspiration Pneumonia (3)

A

Clindamycin, Pip-Taz, ampicillin-sulbactam

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12
Q

What is the TST threshold? No risk factors

A

15mm

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13
Q

What is the TST threshold? IVDU

A

10mm

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14
Q

What is the TST threshold? HIV

A

5mm

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15
Q

What is the TST threshold? Contact with active TB

A

5mm

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16
Q

What is the TST threshold? Healthcare worker

A

10mm

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17
Q

What is the TST threshold? Prison

A

10mm

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18
Q

What is the TST threshold? organ transplant/immunocompromise

A

5mm

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19
Q

What is the TST threshold? arrival from foreign high risk country

A

10mm

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20
Q

What is the TST threshold? CXR findings consistent with TB

A

5mm

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21
Q

Which diagnosis? Multiple lung nodules with associated bronchiectasis

A

MAC

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22
Q

Which diagnosis? necrotizing granulomas, glomerulonephritis, cavitary lesions common

A

Granulomatosis with Polyangiitis

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23
Q

Dx TB (2)

A

Acid fast bacilli on culture or NAAT of morning sputum

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24
Q

Tx TB

A

9months: isoniazid, rifampin, ethambutol, pyrazinamide

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25
Q

Tx LTBI

A

Isoniazid (9mo) + rifampin (4 mo) OR isoniazid/rifapentine (3mo)

26
Q

Ppx endocarditis

A

Amoxicillin x1

27
Q

Tx endocarditis empiric

A

Gentamicin/Vancomycin

28
Q

Tx endocarditis MSSA (2)

A

Oxacillin or nafcillin

29
Q

Tx endocarditis Strep (2)

A

PCN or Ceftriaxone

30
Q

Tx endocarditis prosthetic valve

A

Gentamicin/Vancomycin/Rifampin

31
Q

Dx complicated prostatitis

A

rectal US

32
Q

Dx prostatic abscess

A

CT

33
Q

Which UTI drug should not be used for pyelonephritis?

A

Nitrofurantoin

34
Q

Tx Inpt pyelonephritis

A

Fluoroquinolone

35
Q

Tx UTI pregnancy (2)

A

Nitrofurantoin or Amoxicillin

36
Q

Dx chancroid

A

Culture

37
Q

Tx chancroid

A

Azithromycin or ceftriaxone

38
Q

Tx GC/Chlamydia

A

Ceftriaxone + (Doxycycline or Azithromycin)

39
Q

CD4 count PCP

A

200

40
Q

CD4 count Candida

A

200

41
Q

CD4 count Toxo

A

100

42
Q

CD4 count MAC

A

50

43
Q

CD4 count Cryptococcus

A

100

44
Q

CD4 count PML/JCV

A

100

45
Q

CD4 count CMV

A

50

46
Q

CD4 count Cryptosporidium

A

100

47
Q

MAC PPx

A

Azithromycin qw when CD4 <50

48
Q

HIV PI suffix

A

-navir

49
Q

HIV II suffix

A

-tegravir

50
Q

HIV Coreceptor antagonist

A

Maraviroc

51
Q

Pathogen Osteomyelitis dog/cat bite

A

Pasteurella multocida

52
Q

Pathogen Osteomyelitis IVDU

A

Staph aureus, pseudomonas

53
Q

Pathogen Osteomyelitis Sickle Cell

A

Salmonella

54
Q

Duration of osteomyelitis tx

A

4-6 weeks

55
Q

Tx Osteomyelitis empiric (3)

A

nafcillin, cephazolin, vancomycin

56
Q

Tx Osteomyelitis IVDU/SCD (2)

A

Vancomycin, levofloxacin/nafcillin

57
Q

First-line vasopressor in sepsis

A

Norepinephrine

58
Q

Airborne precautions (3)

A

VZV, Measles, TB

59
Q

Droplet precautions (2)

A

N. meningitidis, flu

60
Q

Contact precautions (3)

A

VRE, MRSA, C diff

61
Q

Tx CLABSIs

A

Vancomycin + 3rd/4th cephalosporin +/- amphotericin B

62
Q

Tx VAP (2)

A

Ceftriaxone or Levofloxacin (+/- vancomycin or anti-pseudomonal)

Medicine SHELF Prep (12 decks)

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