microguide testing Flashcards

1
Q

severity markers for c.difficile

A

temperature >38.5
suspicion of PMC, toxic megacolon and ileus
-evidence of severe colitis in CT scan and x-ray
-wbc >15 cells
-acute rising serum creatinine >1.5 x baseline

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2
Q

treatment of c.difficile with no severity marker

A

metronidazole oral

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3
Q

treatment of c.diff with one severity marker

A

vancomycin oral

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4
Q

treatment of c.diff with one severity marker but oral route is not available or an ileus is detected

A

metronidazole iv and vancomycin

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5
Q

treatment of intra-abdominal infection eg peritonitis and diverticulitis

A

amoxicillin iv
and
gentamicin
and metronidazole oral

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6
Q

acute cholecystitis and cholangitis treament

A
amoxicillin iv
and 
gentamicin
and 
metronidazole oral
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7
Q

treatment of penicillin allergy intra abdo infection

A
vancomycin 
and 
gentamicin
and
metronidazole oral
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8
Q

spontaneous bacterial peritonitis treatment

A
amoxicillin iv
and 
temocillin 
and 
metronidazole oral
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9
Q

sbp treatment with penicillin allergy

A
ciprofloxacin oral 
and 
vancomycin 
and 
metronidazole oral
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10
Q

h.pylori treatment

A
amoxicillin oral 
and 
clarithromycin oral or metronidaolze oral
and 
omeprazole oral
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11
Q

h.pylori treatment if penicillin allergy

A
omeprazole
and
clarithromycin oral
and 
metronidazole oral
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12
Q

CAP severity scoring

A
confusion >8  altered mental state
urea >7
rr>30
bp <90 or <60
>65
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13
Q

pathogens that cause cap

A

typicals: s.pneum and h.influezae and s.aureus and m.catarhalis
atypicals: m.pneumonia, legionella, chlamydia, coxiella

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14
Q

cap 0-1 treatment

A

amoxicillin oral

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15
Q

cap 0-1 treatment with pen allergy

A

doxycycline oral

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16
Q

cap 2 treatment

A

amoxicillin and clarithromycin oral

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17
Q

cap 2 with pen allergy

A

doxycylin or clarithromycin

18
Q

cap 3-5 treatment

A

co-amoxiclav iv
and
clarithromycin iv

19
Q

treatment cap 3-5 with pen allergy

A

ciprofloxacin oral
and
vancomycin

20
Q

HAP severity scoring

A
sepsis
temp <36 or >38
wcc <4 or >12 
hr >90
rr>20
organ dysfunction
21
Q

early onset hap <5 days

A

treat as CAP

22
Q

hap >5 day onset with 1 severity marker

A

doxycycline oral

23
Q

hap >5 days with 2 severity markers

A

amoxicillin and gentamicin iv

24
Q

pathogens of hap

A

gram positive: s.aureus , s.pneumoniae

gram negatives: h.influenzae

25
treatment of hap >5 days 2 severity markers with a pen allergy
gentamicin and vancomycin iv
26
treatment of aspiration pneumonia
-metronidazole and amoxicillin oral
27
pen allergy for aspiration pneumonia
doxycycline or co-trimoxazole and metronidazole
28
pneumocystis jiroveci treatment
co-trimoxaozole
29
bacterial meningitis treatment
ceftriaxone iv and dexamethasone iv and if >50 immunocomp or pregnant or on steroids then give amoxi iv
30
bacterial meningitis pathogens
strep pneum and Neisseria meningitidis
31
cerebral abscess treatment
ceftriaxone iv and metronidazole oral
32
viral encephalitis treatment
aciclovir iv
33
cellulitis treatment
flucoxacillin oral/ iv if severe | vanc if mrsa severe
34
pen allergy treatment of cellulitis or mild mrsa
doxycycline or clarithromycin
35
treatment of human and animal bites
co-amoxiclav oral
36
treatment of human and animal bites in elderly and pen allergy
doxycycline oral and metronidazole oral
37
necrotising fasciitis
``` ben pen flucox clinda metro genta all iv ```
38
necrotising fasciitis pen allergy not severe
``` ceftriaxone clinda genta metro all iv ```
39
necrotising fasciitis pen allergy severe
van clinda ciprofloxacin metro
40
septic arthritis treatment
flucox iv
41
septic arthritis and risk of gram negative treatment
flucox iv and ciprofloxacin oral
42
osteomyelitis treament
fluxoc iv or vanc if mrsa