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Transition block > Micro > Flashcards

Micro Flashcards

1
Q

best ix for asymp STI in a female

if symp

A

vulvovaginal swab for C/G PCR

do speculum exam

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2
Q

rx of BV and TV

A

metro treats anaerobes, protozoa

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3
Q

BC

A

gardanella - anaerobic

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4
Q

TV

A

protozoa

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5
Q

candida

A

fungus

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6
Q

can chlamydia trach culture

A

no

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7
Q

chlamydia A-C
D-K
L1-L3

A

trachoma - eye infection

associated with lymphogranuloma venereum in MSM

genital but can also cause eye infections in neonates

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8
Q

clue cells

A

BV

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9
Q

tap of pus in men

A

gon

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10
Q

what is done in all px with gon and why

A

test of cure

increase in antimicrobial resistance

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11
Q

gram neg diplo

A

gon

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12
Q

rx for gon

A

IM ceft 500 and PO azitho

Oral cefixime 400mg second line

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13
Q

most confirms are sensitive to what

A

gentamicin

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14
Q

amox

A

entero and strep

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15
Q

metro

A

protozoa and anaerobes

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16
Q

empirical treatment for intra abd sepsis

A

Amox (PA co trimox) gent and metro

17
Q

severe CAP

A

co amoxiclav and clarithro

18
Q

low blood pressure that doesn’t come back up when IV fluids are given re diagnostic of what

A

severe septic shock

19
Q

dizziness

A

gent

20
Q

college entrants meningitis

A

neisseria mening

21
Q

general adults meningitis

A

pneumoniae

22
Q

listeria infection is assoc with what

A

consumption of soft cheese

23
Q

gram pos bacillus

A

listeria

24
Q

ceftriaxone has a what compared to penicillin

A

longer half life

25
Q

why is azithro given stat

A

long half life

26
Q

what else is azithro

A

intracellular and penetrates cell wall

27
Q

how long before px can have sex after being treated for chlamydis

A

one week

28
Q

how long can chlamydia be asymp

A

months to years

29
Q

tests for male suspected of chlamydia (who’s partner has it )

A

FPU for G/C PCR
blood for syphillis
hep
HIV

30
Q

test for herpes

A

de roofed blisters for PCR

31
Q

infection and SIRS

A

sepsis

32
Q

sepsis 6

A

give 3 take 3
give oxygen, IV fluids, Abs
take bloods, UO, lactate

33
Q

usual contaminants in blood cultures

A

staph epidermis and diptheroids

34
Q

step down for intra abd sepsis with coliforms as the organism

A

co trimoxazole

35
Q

can penicillin be given in meningitis if its expires

A

as long as you tell the px before

36
Q

encephalitis

A

stupor come seizures

give IV ceftriaxone

37
Q

herpex simplex encephalitis

A

bloody CSF

38
Q

when should the health protection team be informed about a suspected case of meningitis

A

as soon as suspected so within 24 hours of admission

Transition block (9 decks)

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