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Micro management Flashcards

1
Q

Brucellosis

A

Doxycycline and Streptomycin

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2
Q

Meningitis Empirical more than 50 years

A

IV Cefotaxime + Amoxicillin

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3
Q

Q Fever

A

Doxycycline

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4
Q

Meningococcal Meningitis

A

IV Benzylpenicillin or Cefotaxime

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5
Q

Strongyloides Stercoralis

A

Thiabendazole, Albendazole, Ivermectin

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6
Q

Gonorrhoea

A

Single dose IM Ceftriaxone 1g
if sensitive to Ciprofloxacin –> single dose oral ciprofloxacin 500mg
If Ceftriaxone is refused –> oral cefixime 400mg + oral azithromycin 2g single dose only

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7
Q

Cholera

A

Oral rehydration therapy

Role fo doxycycline or ciprofloxacin

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8
Q

Legionella

A

Erythromycin or Clarithromycin

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9
Q

Rabies

A

If Immunised –> give 2 further doses

If nont immunised –> Human rabies immunoglobulin with full course of vaccine

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10
Q

Cellulitis

A

Flucloxacillin(clarithromycin or clindomycin if penicillin-allergic)

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11
Q

Toxoplasmosis

A

Pyrimethamine + Sulphadiazine for 6 weeks

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12
Q

Trypansomiasis African

A

Early: IV Pentamidine or Suramin
Late: IV Melarosoprol

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13
Q

Impetigo

A

Topical fusidic acid, oral flucloxacillin or erythromycin if widespread

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14
Q

Amoebiasis

A 
Metronidazole (trophozoite stage)
Diloxanide Furoate (dormant cystic stage)
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15
Q

Meningitis Pre-Hospital

A

IM Benzylpenicillin

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16
Q

Leprosy

A

Rifampicin, Dapsone and Clofazimine

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17
Q

Uncomplicated community-acquired pneumonia

A

Amoxicillin, (Doxycycline or clarithromycin in penicillin allergic, add flucloxacillin if staphylococci suspected e.g. In influenza)

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18
Q

Meningitis by Haemophilus Influenzae

A

IV Cefotaxime

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19
Q

Leptospirosis

A

Benzylpenicillin or Doxyycline

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20
Q

Hepatitis A Post Exposure Prohpylaxis

A

Hepatitis A Vaccine and Human Normal IgG

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21
Q

Lyme Disease

A

Doxycycline or Amoxicillin if early disease

Ceftriaxone if disseminated

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22
Q

Pubic Lice

A

Deconatminate clothes and bedding
Permethrin 1%
Malathion 0.5%
Re-apply after 3 days

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23
Q

Shigella

A

Self limiting

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24
Q

Meningitis by Listeria

A

IV Amoxicillin + Gentamicin

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25
Q

Non-Gonoccocal Urethritis

A

Oral azithromycin or doxycycline

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26
Q

Mastitis during breast-feeding

A

Flucloxacillin

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27
Q

Mycobacterium Avium Intracellulare

A

Rifabutin, Ethambutol, Clarithromycin

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28
Q

Genital Warts

A

Topical Podophyllum or cryotherapy
Multiple non-keratinised warts –> topical agent
Single keratinised wart –> cryotherapy
Imiquimod –> topical cream –> second line
Most clear spontaneously in 1-2 years

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29
Q

PCP

A

Co-trimoxazole

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30
Q

Chlamydia

A 
Doxycycline 7 day course
OR Azithromycin (single dose - fist line)
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31
Q

CMV Retinitis

A

IV Ganciclovir

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32
Q

HSV1 and HSV2

A

Oral Aciclovir

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33
Q

Cellulitis

A

Flucloxacillin or Clarithromycin if allergic

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34
Q

Chikungunya

A

Sypmtomatic relief only

35
Q

Japanese Encephalitis

A

Supportive

36
Q

Hepatitis C Post Exposure Prohpylaxis

A

Monthly PCR

If seroconversion –> IFN +/- Ribavirin

37
Q

Exacerbations of chronic bronchitis

A

Amoxicillin or tetracycline or clarithromycin

38
Q

Throat infections

A

Phenoxymethylpenicillin(erythromycin alone if penicillin-allergic)

39
Q

Clostridium difficile

A

First episode: metronidazole - Second or subsequent episode of infection: vancomycin

40
Q

Syphillis

A

IM Benzathine Penicillin

OR Doxycycline

41
Q

Lower urinary tract infection

A

Trimethoprim or nitrofurantoin. Alternative: amoxicillin or cephalosporin

42
Q

Bacterial Vaginosis

A

Oral metronidazole 5-7 days

43
Q

Listeria

A

Amoxicillin

44
Q

Animal or human bite

A

Co-amoxiclav(doxycycline + metronidazole if penicillin-allergic)

45
Q

Tularaemia

A

Doxycycline

46
Q

Dengue

A

Symptomatic

47
Q

Varicella Zoster Post Exposure Prohpylaxis if immunosuppressed or pregnant

A

VZV Immunolobulin for IgG negative women

48
Q

Meningitis Empirical less than 3 months

GBS, E. Coli, Listeria

A

IV Cefotaxime + Amoxicillin

49
Q

Invasive Aspergillosis

A

Voriconazole

50
Q

Gingivitis: acute necrotising ulcerative

A

Metronidazole

51
Q

Hepatitis B

A

Pegylated interferon-alpha

52
Q

Acute prostatitis

A

Quinolone or trimethoprim

53
Q

Acute pyelonephritis

A

Broad-spectrum cephalosporin or quinolone

54
Q

Hepatitis C

A

Protease inhibitors +/- Ribavirin

i. e. Daclastasvir + Sofosbuvir
i. e. Sofosbuvir + Simeprevir

55
Q

Shigellosis

A

Ciprofloxacin

56
Q

Tetanus

A

Supportive

57
Q

Periapical or periodontal abscess

A

Amoxicillin

58
Q

Cysticercosis

A

Niclosamide

59
Q

Erysipelas

A

Phenoxymethylpenicillin(erythromycin if penicillin-allergic)

60
Q

Cutaneous Anthrax

A

Ciprofloxacin

61
Q

Animal bites or Human bites

A

Co-Amoxiclav

IF allergy: Doxycycline + Metronidazole

62
Q

Campylobacter enteritis

A

Clarithromycin

63
Q

TB

A 
R = Rifampicin
I = Isoniazide
P = Pyrazinamide
E = Ethambutol

Active:
2 months RIPE followed by 4 months RI

Latent TB:
3 months of RI + Pyridoxine
or 6 months Isoniazid + Pyridoxine

Meningeal TB
Prolonged course + steroids

64
Q

Otitis externa

A

Flucloxacillin(erythromycin if penicillin-allergic)

65
Q

Malaria

A

Artemisinin-based combination therapy

Primaquine following acute therapy in Ovale and Virax to destroy liver hypnozoites

66
Q

Typhus

A

Doxycycline

67
Q

Otitis media

A

Amoxicillin(erythromycin if penicillin-allergic)

68
Q

Trachomonas Vaginalis

A

Oral Metronidazole 5-7 days

69
Q

Trypansomiasis American

A

Acute: Azole + Nitroderivative i.e. benznidazole or nifurtimox
Chronic: Treat complicaitons

70
Q

Salmonella (non-typhoid)

A

Ciprofloxacin

71
Q

H1N1 Influenza

A

Oseltamivir (neuraminidase inhibitor). Zanamivir (neuraminidase inhibitor)

72
Q

MRSA

A

Mupirocin 2% for nose and Chlorhexidine soap

Vancomycin, Linezolid, Teicoplanin

73
Q

Schistosomiasis

A

Praziquantel

74
Q

Mycoplasma Pneumonia

A

Doxycycline or macrolide

75
Q

Hepatitis B Post Exposure Prohpylaxis

A

HBsAg Positive Source:

  • If known responder  give booster
  • If non-responder/not fully vaccinated  give Hepatitis B Immune Globulin and Vaccine

Unknown Source:

  • Consider booster dose HBV
  • Non-responders: HBIG + Vaccine
  • Being Vaccinated  accelerate course of vaccine
76
Q

Hydatid Disease

A

Albendazole

77
Q

Sinusitis

A

Amoxicillin or doxycycline or erythromycin

78
Q

Hospital-acquired pneumonia

A

Within 5 days of admission: co-amoxiclav or cefuroxime - More than 5 days after admission: piperacillin with tazobactam OR a broad-spectrum cephalosporin (e.g. ceftazidime) OR a quinolone (e.g. ciprofloxacin)

79
Q

Cryptosporidoiosis

A

Support

Nitazoxanide if immunocompetent

80
Q

Pneumonia possibly caused by atypical pathogens

A

Clarithromycin

81
Q

HIV Post Exposure Prohpylaxis

A

Low Risk: No PEP
High Risk:
- Combination of oral antiretrovirals ASAP for 4 weeks (start 1-2 hours up to 72 hours)
- Serology testing at 12 weeks post completion
- Reduces risk of transmission by 80%

82
Q

Giardiasis

A

Metronidazole

83
Q

Meningitis Empirical 3 months to 50 years

A

IV Cefotaxime

MRCP (3 decks)

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