infectious diseases Flashcards

1
Q

best antifungal therapy for neutropenic fever

A

ECHINOCANDINS

  • caspofungin
  • Micafungin
  • Anidulafungin
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2
Q

treatment for staph osteomyelitis

A

6 weeks IV
-Oxacillin or -Nafcillin
MRSA
-vanco,linezolid,ceftaroline or daptomycin

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3
Q

otitis media treatment

A

amoxicillin 7 days

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4
Q

treatment for strep pharyngitis

A

penicillin or amoxicillin

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5
Q

urethritis treatment

A

Ceftriaxone + doxycycline

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6
Q

inpatient treatmetn for PID

A

cefoxitin and doxycycline

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7
Q

PID treatment in penicillin allergic patient

A

Clindamycin and gentamicin

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8
Q

epididimiits in <35-year patient

A

Ceftriaxone + doxycycline

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9
Q

epididimitis in > 35-year patient

A

Fluoroquinolone

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10
Q

chancroid treatament(haemophilus ducreyi)

A

ceftriaxone or oral azythromycin

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11
Q

LGV(chlamydia)

A

doxycycline or azithromycin

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12
Q

most accurate test in primary syphilis

A

darkfield microscopy

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13
Q

treatment for syphilis inpatient allergic to penicillin

A

Doxycycline

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14
Q

Treatment for tertiary syphilis in a patient allergic to penicillin

A

Desensitization if allergic

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15
Q

Cystitis

A

3 days fosfomycin or nitrofurantoin

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16
Q

complicated cystitis

A

7 days of TMP/SMX or ciprofloxacin

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17
Q

perinephric abscess treatmetn

A

quinolone plus staphylococcal coverage

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18
Q

indications for HAART

A

CD4<500
pregnant
needle-stick scenario

19
Q

Check for HLA-B*5701

20
Q

NRTI

Class side effect lactic acidosis

A
zidovudine (anemia)
didanosine(pancreatitis and periferal neuropathy)
Stavudine(pancreatitis and neuropathy)
lamivudine
Abacavir(HLA-B*5701)
Emtricitabine
Tenofovir(renal tox)
21
Q

integrase inhibitors

A

Raltegravir
Elvitegravir
Dolutegravir

22
Q

NNTI

A

Efavirenz
nevirapine
Etravirine
Rilpivirine

23
Q

Protease ihibitor for HIV

Class side effect hyperglycemia and hyperlipidemia

24
Q

needle stick injury (postexposure prophylaxis)

A

ART for a month
2 NNTI + integrase inhibitor
START within 72 h

25
PCP profilaxis
TMP/SMX | atovaquone or dapsone if allergic
26
inpatient treatmetn for PID
cefoxitin and doxycycline
27
Esquema oficia de AIDS en el embarazo
zidovudine and lamivudine
28
PCP treatment
IV TMP/SMX IV Pentamidine if allergic STEROIDS if pO2<70 or A-a gradient >35
29
MAI treatment
Clarithromycin and etambutol
30
Ehrlichia
Ixodes MOrulae in WBC,Dx with PCR Treat with doxy
31
Babesiosis
IXODE ring cyst in RBC,Dx with PCR Treat with azithromycin and atovaquone
32
malaria profilaxis
Mefloquine(weekly) gives WT prolongation or atovaquone/proguanil(daily) treat with the same medications ARTESUNATE for severe
33
``` coccidioidomycosis treatment (erythema nodosum, joint pain) ```
itraconazole
34
most common cause of osteomyelitis
staphylococcus | -Treat with oxacillin or nafcillin IV for 4-6 weeks
35
most common cause of erysipelas
Group A strep, treat with dicloxacillin or cephalexin
36
treatment for cryptococcus
amphotericin and 5FC followed by fluconazole
37
most common cause of culture-negative endocarditis
Coxiella and Bartonella
38
most common cause of Endocarditis
S.aureus and viridans group steptococci
39
Endocarditis empiric treatmetn
vango + genta for 4 weeks
40
endocarditis prophilaxis
-prostetics valves,unrepaired cyanotic heart disease,previous endocarditis,transplant recipients who develop valve disease
41
procedures that require prophilaxis
Dental procedure with bleeding=amoxicillin Respiratory Surgery of infected skin=cephalexin
42
treatment for Lyme
doxyclycline | Amoxicillin for kids<8 years,pregnancy and lactating woman.
43
treatment for histoplasmosis
Ampho followed by itraconazole