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Peds ⛄️ > Infectious > Flashcards

Infectious Flashcards

1
Q

Most common organisms for neonate meningitis

A

GBS, E Coli, Listeria

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2
Q

Treatment of Meningitis for <3 m

A

Cefotaxime+Vanccomycin

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3
Q

Treatment of Meningitis for <1 m

A

Ampicillin + Cefotaxime

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4
Q

Meningitis organisms in infants > 3m

A

S. pneumoniae, N Meningitidis

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5
Q

Meningitis Abx in infants > 3m

A

Vancomycin + Ceftriaxone

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6
Q

LP Contraindications

A

Increased ICP
Cardiopulmonary instability
Coagulopathy
Infection at site of LP

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7
Q

You want to do LP but patient has inc ICP

A

If AF open, do LP. If not, CT first

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8
Q

What complication screening is IMP for meningitis

A

Hearing (within 4 wks of discharge)

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9
Q

When is Dexamethasone given in the treatment of Meningitis?

A

Within 1 hour of Abx initiation in HIb

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10
Q

Which meningitis has sterile CSF culture 2hours after treatment with 3rd G Cephalosporins

A

Meningococcal Meningitis

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11
Q

Which meningitis has sterile CSF culture 4 hours after treatment with 3rd G Cephalosporins

A

Pneumococcal Meningitis

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12
Q

How would microbial pretreatment affect CSF?

A

Cell count will not change
Glucose will increase
Protein would decrease

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13
Q

Which organism require the lengthiest Abx treatment (Meningitis)

A

E Coli

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14
Q

When to measure head circumference in Meningitis

A

In <18m

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15
Q

When to repeat LP in Meningitis?

A

If the organism is Gram -ve Bacilli, 24-48 hrs after initiation of therapy to ensure sterility

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16
Q

Meningococcal Meningitis/Hib prophylaxis

A

Rifampin

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17
Q

Severe ICP

A

Mannitol, hyperventilation

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18
Q

Purpura occurs with which meningitis?

A

Meningococcal Meningitis

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19
Q

Most common organism causing Pneumonia in <3m

A

Strept Pneumonia

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20
Q

Most common organism causing Pneumonia in 3m-5y

A

Viral (RSV)

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21
Q

Most common organism causing Pneumonia in > 5y

A

M pneumonia

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22
Q

Lobar pneumonia organism and treatment

A

S pneumoniae.
Outpatient: Amoxicillin
Inpatient: IV Cefuroxime

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23
Q

Bilateral lower lobe pneumonia organism and treatment

A

M pneumonae

Erythromycin

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24
Q

Bilateral lower lobe pneumonia with Eosinophilia organism and treatment

A

C Pneumoniae

Erythromycin

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25
Q

Afebrile pneumonia with Eosinophilia and Staccato cough + conjunctivitis <3m organism and treatment

A

C Trachomatis, Erythromycin

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26
Q

Bilateral interstitial pneumonia

A

Supportive (Viral)

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27
Q

Hallmark of pneuminia

A

Fever and cough

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28
Q

Most sensitive marker for pneumonia <5years

A

Tachypnea and retraction

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29
Q

Virus causing Measles

A

Paramyxovirus

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30
Q

Virus causing Mumps

A

Paramyxovirus

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31
Q

Virus causing Rubella

A

Togavirus

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32
Q

Virus causing Roseola

A

HHV6

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33
Q

Virus causing Hand Foot Mouth Disease

A

Coxsackie A

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34
Q

Virus causing Erythema Infectiousum

A

Parvovirus B19

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35
Q

Mumps features:

A

Orchitis and parotid gland swelling

36
Q

Mumps other name

A

Epidemic Parotitis

37
Q

Other name of Measles?

38
Q

Fifth disease is ____

A

Erythema Infectiousum

39
Q

Koplik spots are present in _____

40
Q

Head to toe rash + lymphadenopathy

41
Q

Vesicles + oral pain

42
Q

Which rash has a high fever?

43
Q

German measles?

44
Q

Erythema Infectiousum characteristic

A

Slapped cheek appearance

45
Q

Which rash starts from the trunk?

46
Q

Most common organism in Cat Scratch Disease

A

Bartonella henselae

47
Q

Cat Scratch Disease Tx

A

Azithromycin

48
Q

Most common cause of lymphadenitis lasting > 3 weeks

49
Q

Parinaud oculoglandular syndrome triad

A
  1. Unilateral conjunctivitis
  2. Preauricular lymphadenopathy
  3. Cervical lymphadenopathy
50
Q

Parinaud oculoglandular syndrome Tx

51
Q

When does Parinaud oculoglandular syndrome occur?

A

After rubbing the eye after touching the pet

52
Q

Contaminated Cat bite Tx

53
Q

Dog/human bite Tx

54
Q

When to consider a urine catheter sample +ve

A

If > 50,000 CFU/mL of urine bacterial growth

55
Q

When to consider a Mid-urinary stream +ve

A

UTI if > 10^5 (100,000) CFU/mL

56
Q

Organisms causing Acute otitis media

A

SHM:
Strept
Haemophilis
Mraxella

57
Q

Treatment for acute otitis media

A

Amoxicillin

58
Q

Acute otitis media risk factors

A

Passive cigarette smoke
Pacifier use
Bottlefeeding
Day care centers

59
Q

Complication of acute otitis media

A

Mastoiditis

60
Q

Treatment of mastoiditis

A

Vancomycin

61
Q

Organism causing otitis externa

A

Pseudomonas aeruginosa

62
Q

Which antibiotic to avoid in perforated tympanic membrane

A

Topical Ciprofloxacin

63
Q

Patient has otitis externa and a perforated tympanic membrane. Which antibiotic to give?

A

Ofloxacin

DEXA and ciprofloxacin

64
Q

Patient with mastoiditis, next step

A

CT of temporal bone

65
Q

Etiology of scarlet fever

A

Streptococcus pyogenes

66
Q

Clinical features of scarlet fever

A

Fever
Strawberry tongue
Tonsillar erythema and exudate

67
Q

Treatment of scarlet fever

A

Amoxicillin

68
Q

Precautions for measles ____

69
Q

Haemophilus influenza B and meningococcal disease precaution

70
Q

The major cause of conductive hearing loss in children is

A

otitis media with effusion (glue ear).

71
Q

most common cause of congenital non-genetic sensorineural hearing loss in the developed world

72
Q

Most common deep neck infection

A

Peritonsillar Abscess

73
Q

Examination in Peritonsillar Abscess

A

Uvula shifted to the contralateral side

Inflamed ipsilateral tonsil: fluctuant, swollen, erythematous with exudates

74
Q

Parapharyngeal Abscess etiology

A

Peritonsillar abscess

75
Q

widened prevertebral (soft tissue) space is seen in

A

Retropharyngeal Abscess

76
Q

Treatment of abscess

A

IV antibiotics

Surgical drainage

77
Q

Neck asymmetry is seen with

A

Retropharyngeal Abscess

78
Q

Medial displacement of the lateral pharyngeal wall and tonsils is seen with

A

Parapharyngeal Abscess

79
Q

vaccine - Active Vomiting illness =

A

Postpone OPV

80
Q
  • Patient wants to take vaccine but has Active profuse diarrhea illness =
A

postpone Rota

81
Q

History of intussusception

What vaccine is CI?

A

⇎ Rota vaccine

82
Q
  • Gelatine allergy what vaccine to avoid ⇎
83
Q

Egg allergy, which vaccine is contraindicated?

A

Yellow fever vaccine

84
Q

Patient had Kawasaki and received IV I G what vaccination is contraindicated

A

Varicella and measles for 11 months

85
Q

Infections that are diagnostic of sexual abuse

A

 syphilis and gonorrhea

Peds ⛄️ (12 decks)

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