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step3_1
| Question | Answer |
|---|---|
| abx for neonatal sepsis | cefotax and amp |
| what 2 dz downs at risk for | acute leuk and Alz |
| croup caused by? Tx? | parinflu, no tx |
| fungal infxn toenails called? Tx? | onychomycosis, tx w terbinafine or itraconazole |
| 2 types of ringworm of scalp, tx | microsporum w green fluorescence on Woods, and trichophyton (MC) no green fluoresc, tx=oral griseo |
| tx nec fasc | clinda |
| tx gono | ceftriax 1 dose IM + 7d doxy or 1 dose azithro to cover coexistent Chlamydia |
| tx chlamydia | 7d doxy or 1 dose azithro |
| tx trichomonas | flagyl and need to treat sex partner |
| tx for bac vaginosis | flagy |
| uti in preg | nitrofurantoin and need f/u Ucx |
| tx yeast vaginal infxn | clotrimazole |
| tx endometritis | clinda, gent |
| nml tx uti in women | bactrim 3 d, cipro if allergy |
| tx PID | IV cefox and doxy, if PO oral doxy (or azithro + IM ceftriax) |
| tx lyme, in preg? | doxy, but amox (or ancef) in preg |
| tx SBP | ceftriax |
| tx hep B | supportive |
| tx hepB exposure | IgG and vaccine |
| tx hep C | interferon and use ribavirin if chronic hep C who failed interferon |
| tx salmonella | only tx if high risk pts (cipro, bactrim or ceftriax) |
| tx pseudo | zosyn + tobra/amikacin/cefepime |
| tx CAP | ceftriax + azithro if inpt; outpt levaquin |
| rubeola | measles w 3 C's: cough, conjunctivitis, coryza and Koplick spots that come before maculopap rash |
| rubella | german measles w low grade fever, posterior and occipital LAD, maculopap from head to feet |
| tx for + PPD | insoniazid + pyridoxine (b6) x9mos |
| tx for active TB | RIPE (rifampin, INH, pyrazinamide, ethambutol) 2 mos, then rifampin, INH 4 mos |
| cut offs PPD test | 5 mm for HIV and close contacts, 10mm for health care, prisones, NH |
| tx diverticulitis | in pt zosyn IV, outpt cipro+ flagyl |
| tx septic joint | ceftriax + vanc |
| tx meningitis | ceftraix + vanc |
| tx salmonella osteo | ancef |
| DM w DKA at risk for what infxn sinuses | mucormysosis, tx w IV amph |
| nuchal rigidity w visual hallucinations, think | HSV encephalitis |
| ppx for meningococcal meningitis | rifampin 4 doses or cipro 1 dose |
| cd4<50, what abx give for what ppx? | azithro for MAC ppx |
| what tx cocaine CP with? | phentolamine (alpha agonist) and avoid BB |
| tx Alz dz | acetylcholinesterase inhib, ie tacrine, donepezil |
| tx parkinsons | dopa agonist, pramipexole and levo-dopa |
| what watch for w clozapine | agranulocytosis, need wkly cbc |
| before giving oral retinoids check | UPT, lipid profile, LFTs |
| what is phenelzine? Other ex? | MAOI, also tranylcypromine |
| tx psoriasis | mtx |
| what is leuprolide | gnrh analog for endometriosis |
| what is danazol | androgen, ie endometriosis |
| ex of a topicla steroid | triambinolone |
| se didanosine | pancreatitis |
| SE abacavir | hypersensitivity syndrome |
| SE nevirapine | liver failure |
| SE indinavir | crystal induced nephropathy |
| ex initial HAART regimen | efavirenz, tenofovir, emtricitabine |
| HIV ppx | tenofovir and lamivudine 4wks |
| tx RA | NSAIDs, then MTX and low dose steroids |
| if MTX not working for RA, what Rx next? | etanercept or infliximab, screen TB first |
| PUD w Hpylori tx | PPI, amoxicillin, clarithro (flagyl if PCN allergy) |
| antidote for glyburide | octreotide |
| antidote for salicylate OD | alkalonize urine |
| how ASA OD present | AMS, AG acidosis w respir metabolic alk and ARF |
Created by:
ehstephns
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