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PodoPeds

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
What bacteria does Tetracycline Cover?   Rickettsia, M. Pneumonia, Chlamydia  
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What spectrum does Tetracycline Have?   Some Gram (+) and Gram (-)  
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What contraindications does Tetracycline Have?   1) Avoid milk products. 2) Under 8 years of age due to tooth discoloration.  
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What coverage does Ciprofloxacin have?   Good gram (+) including Staph and occasional MRSA. Very good gram (-), including Pseudomonas.  
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What contraindications does Ciprofloxacin have?   Tendon rupture and arthropathies in pediatric populations. Avoid Calcium products.  
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What forms does Ciprofloxacin come in?   Tablets, IV, Suspensions  
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What does Bacitracin cover?   Staph and Strep (NARROW spectrum)  
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What forms does Bacitracin come in?   Cream and Ointment  
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What is another name for Bactroban?   Mupirocin  
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What form does Bactroban come in?   Ointment 2%  
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What is the spectrum of Bactroban?   Staph and Strep  
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What is the specific indication for Bactroban?   Impetigo  
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What are the Broad spectrum topical antibiotics?   Neosporin, Silvadene cream 1% (Silver sulfadiazine), Betadine (Povidone iodine)  
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What drugs are contained in neosporin?   Polymyxin B and Neomycin (for cream). Polymyxin B, Neomycin and Bacitracin (for ointment)  
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Broad spectrum antibiotic used for burn victims?   Silvadene Cream 1% (Silver Sulfadiazene)  
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Silvadene Cream 1% (Silver sulfadiazene) coverage?   Broad spectrum  
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Betadine (Povidone iodine) coverage?   Broad spectrum  
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What forms does Betadine (Povidone Iodine) come in?   Solution, Cream, Ointment  
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What drug is specifically indicated for Impetigo?   Bactroban (Mupirocin)  
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What is the brand name of Acetaminophen for babies?   Tempra  
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What is the brand name of Acetaminophen outside the US?   Panadol  
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Is tylenol anti-inflammatory?   No  
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Is tylenol an analgesic and anti-pyretic?   Yes  
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What forms is Acetaminophen available in for children?   Chewable tablet and solution  
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Properties of NSAIDS?   Analgesic, Anti-pyretic, Anti-Inflammatory (non-steroidal)  
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What SE's do NSAIDS have?   GI upset, bleeding, peptic ulcer  
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Contraindications to NSAIDS?   If allergy to ANY anti-inflammatory is present  
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What is an NSAID specifically indicated for pediatrics?   Tolmetin Sodium  
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Is Tolmetin Sodium children-friendly?   No (even though indicated specifically for children)...only available in Tablet form  
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What are brand names for Ibuprofen?   Motrin and Advil  
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Is Ibuprofen (Motrin/Advil) an NSAID?   Yes  
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What forms does Ibuprofen come in for Children?   Syrup and Elixir  
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What is an NSAID indicated for Juvenile Rheumatoid Arthritis?   Naprosyn (Naproxen)  
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What is the brand name of Naprosyn?   Naproxen  
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What form does Naprosyn come in?   Orange-pineapple suspension  
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When do you give a child ASA?   As long as the child is not experiencing "flu-like" symptoms  
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What is the main concern with givin children ASA?   Reye's Syndrome  
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When to use Steroids?   Dermatological Inflammatory Conditions (Dermatitis, Eczema, Inflammatory Tinea Pedis)  
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When using TOPICAL steroids in ADULTS, what potency/duration is best?   High potency, Short Duration  
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When using TOPICAL steroids in CHILDREN, what potency is best?   Low to intermediate strength  
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Things to avoid with topicalsteroid use?   Occlusion, overuse/prolonged use and intertriginous areas (to decrease absorption)  
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SE's of topical steroids?   Steroid atrophy, Striations, Ulceration, Hypothalamic-Pituitary adrenal axis suppression, Cushing's Syndrome  
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What is the contraindication for topical steroids?   Varicella (chicken pox)  
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What are the ULTRA HIGH potency topical steroids?   Diprolene (augmented betamethasone), Ultravate, Temorate  
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What are the HIGH potency topical steroids?   Betamethasone Dipropionate, Betamethasone 0.05%, Fluocinonide  
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What are the INTERMEDIATE potency topical steroids?   Betamethasone Valerate, Betamethasone 0.025%, Elocon (mometasone furoate)  
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What are the LOW potency topical steroids?   Hydrocortison, Dexamethasone ....both are OTC  
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What ages is Elecon (mometason furoate) indicated for?   Cream and ointment (12 yrs and up)...Lotion (2 years and up)  
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Name a NON-steroidal topical Anti-Inflammatory?   Elidel (Pimecrolimus)  
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What is another name for Elidel?   Pimecrolimus  
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What is is Elidel's indication?   Atopic Dermatitis  
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What is Elidal MOA and use precautions?   It inhibits T cell activation. Do not use with occlusive dressings. And only use for children >2 years.  
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How long should one use Anti-Fungals for?   4 weeks (i.e. skin turnover time)  
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What are the topical anti-fungal drugs?   Lotrimin, Loprox, Lamisil, Oxistat  
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What are 2 derivatives of Lotrimin and how are they different?   Lotrimin Ultra -> More powerful Lotrison -> Lotrimin + Betamethason Dipropionate. Therefore good for treating INFLAMMATORY TINEA  
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What drug is good for treating inflammatory tinea?   Lotrisone  
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What forms does Loprox come in?   Cream, lotion and gel. Gel -> 16 years old and up Cream/Lotion -> 10 years and up  
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Is Lotrimin OTC?   Yes  
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What forms does Oxistat come in?   Lotion and cream  
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What do Keratolytics do?   They degrade/slough the skin  
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What are Keratolytics used for?   Verruca, Psoriasis, Eczema  
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What are the 3 categories of Keratolytics?   Urea, Salycylic Acid and Ammonium Lactate  
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Name 3 Urea Keratolytics and what they're primarily used for.   Carmol 10, 20, 40. Carmol HC and Keralac. Used for Ingrown nail. Carmol HC used especially for Onychomycosis.  
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Name 3 Salycylic Acid Keratolytics.   Duoflim 16.7%, Mediplast 40%, Custom  
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Name the Ammonium Lactate Keratolytic and the forms it comes in.   Lac-Hydrin...Cream and Lotion  
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Dosage Conversions   1 Teaspoon = 5 mL (cc) 1 Tablespoon = 15 mL (cc) 1 Oz. = 30 mL (cc)  
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q.d.   Once a day  
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b.i.d.   twice a day  
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t.i.d.   three times a day  
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q.i.d.   four times a day  
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q   every  
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h   hours  
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h.s.   at night (before sleep)  
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p.c.   with food (after meals)  
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a.c.   without food (before meals)  
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prn   as needed  
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p.o.   by mouth  
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d.a.w.   dispense as written  
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What forms does Lotrimin come in?   Powder, solution, lotion cream  
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Mediplast comes in what form?   Patch  
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Fried's Rule   Based on age. Patients < 1 year old. (Age in months/150) * Adult Dose  
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Young's Rule   Based on age. Patients 2 or older. (Age in years/Age in years + 12) * Adult Dose  
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Clarke's Rule   Based on weight. Patients 2 or older. (Weight in lbs./150) * Adult Dose  
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Body Surface Area is calculated using what Chart?   West Monogram  
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PDR means what with respect to dosage?   Physician's Desk Reference  
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What types of ORAL medications are there?   Antibiotics Analgesics NSAIDS Steroids Antipyretics  
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Route of Topical Administration from most drying to least.   Powder, Solution, Gel, Lotion, Cream, Ointment (O come let's get some people)  
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Types of Topical Medications?   Antibiotis, Antifungals, Steroids, Keratolytics, Emollients  
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What is penicillin used to treat?   ONLY strep ...Gram (+)  
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What bacteriae does Amoxicillin/Ampicillin cover?   H. Influenzae, P. Mirabilis, Klebsiella, Enterococcus, E. coli  
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Is Amoxicillin/ Ampicillin Beta-lactamase resistant?   No  
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What is the drug of choice for animal bites?   Augmentin  
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What bacteriae does Aubmentin cover?   Same as ampicillin. But also better at Enterococcus. Also covers some anaerobes...especially Bacteroides Fragilis  
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What form does Augmentin come in?   Suspension (banana and orange) Chewable Tablet (lemon-lime and cherry-banana)  
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What's the main SE of Augmentin?   Diarrhea  
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What do Cephalosporins cover?   Good Gram (+). Adequate Gram (-). Variable beta-lactamase resistance.  
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What is the brand name for Cephalexin and what form does it come in?   Keflex. Cherry-flavored suspension.  
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What form does Cefadroxil come in?   Pineapple-Orange flavored suspension  
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What coverage does Erythromycin have?   Good Gram (+) including Staph. Also covers M. Pneumonia, Legionella, Chlamydia  
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What form does Erythromycin come in?   Cherry-flavored Suspension  
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What SE is common for Erythromycin?   GI upset  
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If a patient has a penicillin allergy what drug should you use?   Erythromycin  
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