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Therapeutics Exam 2 > RTI 1 > Flashcards

RTI 1 Flashcards

0
Q

Fever suggests viral or bacterial pharyngitis?

A

Bacterial

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1
Q

Sore throat suggests viral or bacterial pharyngitis?

A

Bacterial

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2
Q

Headache suggests viral or bacterial pharyngitis?

A

Bacterial

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3
Q

N/V, abdominal pain suggests viral or bacterial pharyngitis?

A

Bacterial

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4
Q

Acute rhinosinusitis is caused by…

A

Allergens
Environmental irritants
Infxns - 90+% viruses, <10% bacteria

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5
Q

ABRS pathogens…

A

S. pneumoniae and H. influenzae

and M. Catarrhalis

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6
Q

Viral RS usually lasts for ___ days

A

5-7

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7
Q

ABRS usually lasts for ___ days.

A

> 10 without signs of improvement

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8
Q

Clinical presentation of ABRS (3 things)

A
  1. Similar to acute RS, but lasts >10 days
  2. Onset with severe symptoms, >102F and purulent nasal discharge or facial pain for at least a few days at beginning of illness
  3. Onset with worsening symptoms,mcharacterized by new-onset fever, HA, or increased nasal discharge following typical viral URI that lasted 5-6 days and were initially improving.
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9
Q

Drugs and doses used for tx of flu

A

Oseltamivir 75mg BID x 5 days

Zanamivir 2 inhalations (10mg) BID x 5 days

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10
Q

When should flu tx be started?

A

Within 48 hours of symptom onset

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11
Q

Vax and chemoprophylaxis for flu tx recommended in pregnancy…

A

Trivalent vax

Oseltamivir

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12
Q

What are the 2 flu Vax’s and what ages are they indicated for?

A

Trivalent >= 6 months

Live-Attenuated 2-49 years

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13
Q

Age recommendations for flu antivirals…

A

Oseltamivir tx - any, Px - 3+

Zanamivir tx - 7+, Px - 5+

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14
Q

Tx of GABHS…

A

Preferred tx - Pen V, Pen G, Amox

If PCN allergy- clarithromycin, Azithromycin, clindamycin, cefadroxil, cephalexin

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15
Q

Conjunctivitis suggests viral or bacterial pharyngitis?

16
Q

Cough suggests viral or bacterial pharyngitis?

17
Q

Diarrhea suggests viral or bacterial pharyngitis?

18
Q

Hoarseness suggests viral or bacterial pharyngitis?

19
Q

Coryza suggests viral or bacterial pharyngitis?

20
Q

1st line tx of ABRS…

A

Amox-Clavulanate 500/125 or 875/125

21
Q

2nd line tx of ABRS…

A

Amox-Clavulanate 2000/125 or

Doxy

22
Q

Tx of ABRS if PCN allergy…

A

Doxy
Levofloxacin
Moxifloxacin

23
Q

Tx of ABRS if risk of resistance or failed therapy…

A

Amox-Clavulanate
Levofloxacin
Moxifloxacin

24
Q

Tx of ABRS if severe Infxn requires hospitalization…

A

Levofloxacin
Moxifloxacin
Ceftriaxone - 3rd gen ceph
Cefotaxime - 3rd gen ceph

Therapeutics Exam 2 (15 decks)

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