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step3_1

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