Infectious disease p 3-12

Question 1

Bacteria covered by amoxicillin

Answer 1

HELPS… H.Influenza, E.coli, Listeria, Proteus, Salmonella

Question 2

Penicillinase resistant penicillin

Answer 2

Oxacillin, Cloxacillin, Dicloxacillin, Nafcillin

Question 3

Side effect of Methcillin

Answer 3

Renal failure from allergic interstitial nephritis

Question 4

If rash develops with penicillin use what to use as an alternative

Answer 4

Cephalosporins

Question 5

If anaphylaxis with penicillin…what to use as an alternative

Answer 5

Non beta lactam antibiotic

Question 6

Disulfiram like reaction with alcohol and increase risk of bleeding ,which cephalosporin

Answer 6

2nd generation, cefoxixitn, cefotetan

Question 7

first line tx for pneumococcus

Answer 7

3rd generation, ceftriaxone

Question 8

tx for Pelvic inflammatory disease

Answer 8

ceftriaxone with doxycycline

Question 9

side effect of ceftriaxone in neonate

Answer 9

impaired biliary metabolism

Question 10

tx for community acquired pneumonia

Answer 10

fluoroquinolones

Question 11

tx for cystitis and pyelonephritis

Answer 11

ciprofloxacin

Question 12

tx for diverticulitis

Answer 12

fluoroquinolones with metronidazole except moxifloxacin which can be used as a single agent.

Question 13

side effects of quinolones

Answer 13

tendonitis, achillis tendon rupture, bone growth abnormalities

Question 14

side effect of aminoglycoside

Answer 14

ototoxicity, nephrotoxicity

Question 15

doxycycline…tx for, side effect..

Answer 15

treats chlamydia, lyme disease, ricketssia..side effect- tooth discoloration, fanconi syndrome, photosensitivity, esophagitis/ulcer

Question 16

TMP/SMX..use and side effect

Answer 16

used for cystitis, prophylaxis for pnuemocystis pneumonia….side effect–hemolysis with G-6-PD deff, Bone marrow suppression (folate anatagonist)

Question 17

MRSA best treated by

Answer 17

vancomycin, linezolid

Question 18

Sx of CNS infection

Answer 18

fever, headache, nausea, vomiting, seizures

Question 19

stiff neck, photophobia, meningismus…dx

Answer 19

Meningitis

Question 20

Sx of Encephalitis

Answer 20

Confusion

Question 21

Sx of CNS abscess

Answer 21

Focal neurologic deficits

Question 22

meningitis with recent neurosurgery…which organism

Answer 22

Staphylococcus

Question 23

Dx of meningitis

Answer 23

CT and lumbar puncture

Question 24

meningitis in immunocompromised..which organism

Answer 24

Cryptococcus

Question 25

target shape rash, joint pain, facial palsy..dx

Answer 25

Lyme disease

Question 26

Camper/Hiker, rash moves from arms/legs to trunk..dx

Answer 26

Rocky Mountain spotted fever

Question 27

when is head CT scan the best test

Answer 27

seizures, papilledema, confusion, focal neurologic deficits

Question 28

dx test of cryptococcus

Answer 28

India Ink, cryptococcal antigen

Question 29

test for tuberculous meningitis

Answer 29

acid fast stain and culture

Question 30

treatment for bacterial meningitis

Answer 30

ceftriaxone, vancomycin

Question 31

Ampicillin+ceftriaxone+vancomycin..tx of

Answer 31

Listeria monocytogenes

Question 32

Management of Neisseria meningitidis

Answer 32

Respiratory Isolation, Rifampin, ciprofloxacin or ceftriaxone to close contacts

Question 33

untreated bacterial meningitis affects which nerve

Answer 33

eighth cranial nerve(vestibulocochlear) causing deafness