Micro Flashcards

1
Q

Congenital infections

A
TORCHS
Toxo
Other (HIV/Hep B)
Rubella
CMV
HSV (VZV)
Syphilis
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2
Q

Features of congenital infections

A
TORCH
Thrombocytopoenia
Other: Eyes/ears
Rash
Cerebral abnormalites (microcephaly, meningoencephalitis)
Hepatosplenomegaly (Hepatitis, Jaundice)
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3
Q

Live Vaccines

A
MMR
VZV
Yellow Fever
BCG
Oral Polio (Sabin)
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4
Q

Inactivated vaccines

A

Rabies
HAV
Polio (Salk)

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5
Q

Conjugate vaccines

A

MenC

Pneumococcus

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6
Q

Detoxified vaccine

A

Tetanus

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7
Q

Recombinant protein vaccine

A

HBV

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8
Q

Subunit vaccines

A

Typhoid

Influenza

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9
Q

2 month old vaccines

A
DTaP
IPV
HiB
PCV
Rotavirus
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10
Q

3 month old vaccines

A
DTaP
MenC
IPV
HiB
Rotavirus
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11
Q

4 month old vaccines

A

DTaP
PCV
IPV
HiB

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12
Q

12 month old vaccines

A

MMR
HiB/MenC
PCV

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13
Q

3 years and 4 months vaccines

A

MMR
IPV
DTaP

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14
Q

14 year old vaccines

A

Td
IPV
MenC

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15
Q

Bacteriostatic ABx

A

Tetracyclines (Doxycycline)
Sulphonamides
Trimethoprim

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16
Q

Vancomycin coverage

A

Gram +ve only

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17
Q

Gentamicin coverage

A

Gram -ve only

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18
Q

Vancomycin SEs

A

Red man syndrome

Nephrotoxic

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19
Q

Gentamicin SEs

A

Ototoxic (tinnitus, deafness, nystagmus)

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20
Q

Metronidazole coverage

A

Anaerobes

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21
Q

B lactam order of increasing spectrum

A
PBAFC To CCC ME
Penicillin
BenPen
Amoxicillin
Fluclox
Co-amox
Tazocin
Cefuroxime
Ceftriaxone
Cefalexin
Meropenem
Ertapenem
22
Q

Skin infection (S aureus) Abx

A

Fluclox

23
Q

Pharyngitis (GAS) Abx

A

BenPen

24
Q

CAP mild + severe Abx

A
Mild= Amox
Severe= Cefuroxime + Clarithromycin
25
Q

HAP Abx

A

Cefuroxime

26
Q

Meningitis Abx

A

Ceftriaxone (BenPen in community)

Amox if Listeria likely

27
Q

UTI Abx (community + hospital)

A
Community= Trimethoprim
Nosocomial= Augmentin (Co-Amox)
28
Q

Sepsis Abx (severe + neutropoenic)

A
Severe= Cefuroxime, Met + Gent
Neutropoenic= Taz + Gent
29
Q

C diff colitis Abx

A

Stop Ceph/Clinda/Cef

Metronidazole

30
Q

TB meds SEs

A
R= Orange secretions, Hepatotox, cP45- inducer
I= Peripheral neuropathy (B6 def), Hepatotox
P= Hyperuricaemia, Hepatotox
E= Optic neuritis, avoid in RF
31
Q

CURB 65

A
Confusion (AMTS less than 8)
Urea >7
RR >30
BP Less than 90/60
Age >65
3+ = hospital
32
Q

Legionella pneumonia ABx

A

Macrolide + Rifampicin

33
Q

S aureus pneumonia ABx

A

Fluclox

34
Q

Pseudomonas pneumonia ABx

A

Taz

35
Q

MRSA pneumonia ABx

A

Vanc

36
Q

Aspiration pneumonia ABx

A

Cef + Met

37
Q

Gonorrhoea Tx

A

IM Ceftriaxone 250mg or PO Cefotaxime 400mg

38
Q

Chlamydia Tx

A

Azithromycin 1g PO or Doxycycline 100mg BD for 7/7

39
Q

Syphilis Tx

A

IM BenPen

40
Q

Trichomonas Tx

A

Met

41
Q

Bacterial Meningitis CSF

A

Neuts, High Protein, Low Glucose

42
Q

Viral Meningitis CSF

A

Lymphos, High Protein, Normal glucose

43
Q

TB Meningitis CSF

A

Lymphos, V High Protein, Low Glucose

44
Q

Diagnostic test for Leptospira

A

Microscopic Agglutination test

45
Q

Prion disease feats

A
Demented LAMB
LMN signs
Akinetic mutism
Myoclonus
Blindness (Cortical)
46
Q

(s)CJD CSF

A

Protein 14-3-3

47
Q

EBV serology

A

+ve Paul Bunnell test
Atypical Lymphocytes
Heterophile Abs

48
Q

CMV serology

A

Owl’s eye inclusions on fibroblast culture

49
Q

HBV Tx

A

PegIFNalpha2a, Lamivudine, Tenofivir

50
Q

HCV Tx

A

PegIFNalpha2b, Ribavarin