Minor Ailments Flashcards

1
Q

what is the most common type of onychomycosis

A

distal lateral subungual onychomycosis

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2
Q

proximal subungual onychomycosis is common _________ pts

A

immunocomp

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3
Q

superficial white onychomycosis is common in

A

children

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4
Q

if there is =>60% nail involvement, what is the preferred tx

A

PO terbinafine for 6-12wks for fingers, 12-24wks for toes

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5
Q

what is the pref tx if there is <60% nail involvement

A

topical efinaconazole
+ PO terbinafine if >3 nails involved

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6
Q

how many weeks do ciclopirox of efinaconazole need to be applied for onychomycosis

A

48wks

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7
Q

what labs need to be done before doing PO terbinafine

A

LFTs baseline and halfway through tx

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8
Q

what is teh gold standard for measuring body temp in <5yrs, what is >5?

A

<5 = erctal, >5 = oral

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9
Q

when do teething sx appear? when do they peak?

A

4 days before eruption, peaks 1-2 days before

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10
Q

can oral AH be used as monotx for nasal congestion

A

no- should add INCS

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11
Q

2nd gen AH for allergies are most effective when taken

A

prophylactically 1-2hrs before exposure (onset takes 1 hr)

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12
Q

caution in ________ patients for 1nd gen AHs

A

renal impaired

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13
Q

decongestants should be avoided with ________ (class of drug) within_ ______(time)

A

MAOis within 2 wks

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14
Q

when do INCS peak effect

A

1-2wks

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15
Q

montelukast is better when added with _________

A

2nd gen AH

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16
Q

what is the drug (s) of choice for allergies in pregnancy

A

chlorpheniramine (or diphenhydramine)
INCS

17
Q

do topical AMGs have ototoxicity properties

A

yes

18
Q

should acetic acid be used with topical FQ for otitis externa

A

No- acetic acid is a drying agent that should not be uased during active tx

19
Q

for kids <3yrs, how should you counsel to admin ear drops

A

pull ear down and back
use enough drops to fill external auditory canal ~3-4ggt
remain on side for 3-5min

20
Q

how long should you remain on ur side after ear drops? how long before you switch sides?

A

3-5min
5-10min

21
Q

what should be the NRT patch dose for someone who smokes 15 cigs/d and fisrt smokes as soon as he gets up

A

14mg but +7mg because within 30 min = 21mg patch

22
Q

what is the max # of NRT gum per day

A

20

23
Q

when should varenicline and bupropion be started before the quit date

A

1-2wks

24
Q

which of the following is NOT better than monotx
1. NRT patch + gum
2. NRT patch + bupropion
3. NRT patch + varenicline
4. NRT patch + inhler

A

2

25
Q

which smoking cessation drug should be avoided in pregnancy

A

varenicline

26
Q

patients drinking ___ cups of coffee a day should half their intake when stopping smoking

A

4

27
Q

which malaria drugs are safe in pregnancy

A

chloroquine/ hydroxychloroquine
mefloquine

28
Q

which antimalarials are started 1-2d ebfore and continued for 1wk after

A

atovaquone/proguanil
primaquine

29
Q

which antimalarial is started 1-2d before and continued for 1 mth after

A

doxycycline

30
Q

which antimalarials are started 1 wk before and continued for 1 mth after

A

chloroquine/ hydroxychloroquine
mefloquine

31
Q

what is the max duration for primaquine use

A

14d

32
Q

chloroquine/ hydroxychloroquine are CI in pts with

A

psoriasis or seizures

33
Q

what drugs are used for prophylaxis or tx of high altitude illness

A

acetazolamide
dexamethasone (double dose/ freq for tx)

34
Q

what mosquito borne illness can be passed from pregnant women to fetus

A

zikaa
avoid conception for 2mths (W), 3 mths (M)

35
Q

when should mefloquine be started in first time users

A

2-3 wks before leaving if time allows to be able to assess for AEs (psych disorders, etc)

36
Q

when should you see travel specialist for vaccines/ prophylaxis before ur trip

A

6wks before leaving

37
Q

-floxacin (cipro/levo/norfloxacin) are which class

A

fluoroquinolones

38
Q

only those ____ yrs and healthy should get live attenuated vaccines

A

<60

39
Q

what kind of vaccines always require >1 dose

A

inactivated