Antibiotics Flashcards
1
Q
HIV prophylaxis should begin w/i ____ of the exposure
A
72 hours
2
Q
Toxoplasmososis is transmited by:
A
Cats
3
Q
serious side effect of Sulfa is:
A
Steven Jonhons Syndrome
4
Q
tx for Strep Throat in a pt with penicillin allergy is:
A
Clindamycin and clarithromycin
5
Q
alcohol is contraindicated when taking what abx?
A
Metronidazole
Tinidazole
6
Q
tx for Group B pneumonia is:
A
Penicillin
Ampicillin
7
Q
resistance to penicillins is through:
A
Beta lacatmase secreted by bacteria
destroy Beta lactam rings
8
Q
tx for C Diff:
A
oral metronidazole
9
Q
organism that causes Rocky Mountain Spotted Fever
A
Rickettsia rickettsii
10
Q
abx that inhibit topoisomerase is
A
Fluoroquinolone’s
FLORO=TOPO
11
Q
Psuedomonas aeruginosa
A
ciprofloxacin
levofloxacin
12
Q
important toxicities with Aminoglycosides:
A
Ototoxicity
and
Nephrotoxicity
13
Q
diagnostic / confirmatory syphilis test is
A
fluorescent treponemal antibody absorption
14
Q
acute fluctuating weakness along with onset of double vision and inability to focus on near objects
sx of:
A
Botulinum toxin
15
Q
CD4<200 requires prophylaxis of:
A
PCP
with TMP-SMX (bactrum)
16
Q
typical HIV tx protocol
A
2 NRTI + a choice of:
NNRI
PI
INSTI
17
Q
Borrelia burgdorferi is:
A
Lyme Disease
18
Q
tx for uncompleted cystitis is:
A
3 day flouroquinolone
or
5 day nitrofurantoin
19
Q
tx of otitis media in a pt with penicillin allergy is:
A
Erythromycin
20
Q
tx for Rabies:
A
immunoglobulins (5 day series)
21
Q
Vancomycin side effects:
A
Ototoxic
Nephrotoxic
Red man syndrome
22
Q
Tx for PUD is:
A
PPI + Clarithromycin + Amoxicilin
or
PPI + Metronidazole + Tetracycline
23
Q
tx for Rocky Mountain Spotted Fever in a pregnant pt is:
A
Chloramphenicol
Doxycyclin in a non pregnant
24
Q
Neurological Sx seen in Lyme Disease:
A
Bell’s palsy (CN VII)
25
ABX contraindicated in pregnancy:
FAST
**F**luorquinolones (joints, tendons)
**A**minoglycosides (audotory)
**S**ulfonamide (jaundice)
**T**etracyclines (teeth/bone problems)
26
most dangerous type of malaria is:
***P falciparum***
27
rash that began at the **wrist or ankle** is a sign of:
**Rocky Mountain Spotted Fever**
***climing the mountaing with wrist and ankle***
28
Primary agent to treat **MRSA** is:
**Vancomycin**
**Linezolid**
29
which group of pt ceftriaxone is contraindicated for:
**neonates**
causes: biliary sludging, displaces bilirubin\>**kernicterus**
30
**parasite in the RBC** are known as
Malaria
31
cicrular red papule
centrifugal spread
central clearing
bull's eye
all known as **Erythema migrans**
discriptive of:
**Lyme Diz - stage I**
**Erythema Limgrans**
32
MoA **Vancomycin**
Inhibit Cell Wall Production
33
Diangosing method for Lyme disease:
**IFA**
**ELISE**
34
India ink Stain is used to diagnose
***Cryptococcus***
Indian Cryptococcus
35
Typhoid Fever
Constipation or diarrhea
signs of:
***Salmonellosis***
36
**Lyme** disease is transmitted by:
Deer tick
## Footnote
**Dear Lyme**
37
most important toxicity associated with antifungals is:
**Hepatic toxicity**
38
STD tx:
Azithromycin
Ceftriaxone
Doxycycline
**STD=ACD**
39
Red Man Syndrome is caused by:
**Vancomycin**
40
Most common intestinal wam is:
**Ascariasis**
ASS
41
because **Sulfa** drugs inhibit **folate synthesis**, they are contraindicated in:
**Pregnancy**
42
Prophilaxis of Cryptococcal meningitis when CD4\<200 is:
Flucanazole
cryptococcus is a fungi
43
**Photocensitivity** is produced by:
Flouroqinalones
## Footnote
**Cyclins**
44
Cryptococcal meningitis is seen in pt's with:
HIV
45
**Fluoroquinolone**s are contraindicated in:
**Long QT syndrome**
46
tx for CMV is:
**Ganciclovir**
47
**bats**, raccoons bite may transmit
**Rabies**
48
**Disulfiram** reaction is:
occurs if **alcohol** is taken concurrent with **metronidazole**
49
**Sulfa** drugs lead to the increase in:
**K**
therefore can not be combined with ACE-I
50
**Sulfa** drugs MoA
inhibit **Folic Acid**
## Footnote
**Folic Sulfa**
51
**screening** syphilis test is:
PRP
52
**2nd line** of treatment of **otitis media** is:
**Augmentin**
Cephalosporin
53
Tx for Lyme and Rocky Mount Spotted Fever
both transmitted by ticks:
**DOXYCYCLINE**
54
**Pinicilins** MoA
**bind to penicillin binding protein to _inhibit cell wall synthesis_**
55
diagnose/confirm HIV with
**Western Blot**
56
CD4\<100 requires prophylaxis of:
***Toxoplasmosis*** with
**TMP-SMX** (bacturm)
**CTO=TOXO**
57
**Penicillin** may cross react with
**Cephalosporins**
58
important side effect of **Macrolides**:
Long QT
**warfarin interaction\>bleeing**
Ototoxic
59
**metalic taste** is produced by what medication:
Clarithromycin
## Footnote
**clear metal**
60
Tabes Dorsalis refers to:
Neuro Syphilis
61
tx for toxoplasmosis encephalitis is:
**Pyrimethamine**
62
CD4\<50 requires prophylaxis of:
***Mycobacterium*** with
## Footnote
**Azithromycin**
63
**Photosensitivity** is caused by:
Doxycycline
TMP/SMX (bactrum)
Ciproflaxin
Photo=BCD
64
Penicillin coverage include:
good for Strep
poor for Staph (resistent)
poor coverage of - organisms
good anaerobe coverage
65
Penicillin **hypersensitivity** refers to:
Hive: **maculopapular rash**
66
organism that cause travel diarrhea:
***E. Coli***
***Shigella***
***Campylobacter jeujuni***
67
**thick gray pseudomembane** in the throat is a signs of:
**Diphtheria**
68
dangerous **Penicillin** adverse reaction:
**_anaphylactic reaction_** mediated through **IgE** antibodies
69
most common side effeect of **Augmentin** is:
**Diarrhea**
**Bite augmenting\>Diarrhea**
70
**Augment** is:
**Amoxicillin + Clavulanate**
71
MoA of Tetra**cycline**
**inhibit protein synthesis**
**cyclines inhibit protein synthesis**
72
abx most known to cause *_C Diff:_*
**Clindamycin**
73
abx of choice for **Human/Animal bites** is:
**Augmentin**
**Augmentin=Bugmentin**
74
tx for ***Clostridium Botulinum*** is:
botulinum antitoxins
75
what is Amino Penicillins coverage
| (ampicillin, amoxicillin)
good + coverage
## Footnote
**_some negative coverage (unlike penicillin)_**
76
tx for **Step pneumo**, pneumonia in kids is:
**Amoxicillin**
**Penicillin**
**Cephalosporin**
77
important consideration for pt with mononucleosis (EBV) is:
abstain from contact sports due to high risk of spleen rapture
78
tx for **bacterial sinusitis** in a pt who is allergic to penicillin:
**Doxycycline 1 st line**
**Moxifloxacin 2 nd line**
79
Pneumonia in pregnancy should be treated with?
**Erythromycin**
80
tx for bacterial sinusitis is:
**Augmentin (Amoxicillin-clavulanate)**
81
mainstay tx for ***Cholera*** is:
water replacement
82
tx for MSSA
**nafcicillin**
**dicloxacillin**
**m**_SS_**a=ci**_LL_**in**
83
84
Shigellosis will produce what kind of diarrhea
Bloody
## Footnote
**Bloody shigellosis**
85
**Rice water** stool is associated with:
**Vibrio Cholera**
86
**Treponema pallidum** is:
corkscrew-shaped spirochete
Syphilis
87
Diarrhea due to drinking of **mountain water** is usually caused by what organism:
***Giardia lamblia***
88
1st line of treatment of **otitis media** is:
**Amoxicillin**
89
pt becomes infected with Lyme Dz only if the tick remains on the skin for more than
**24 hours**
90
**Disulfiram reaction** includes:
skin flashing
accelerated heart rate
SOB
N/V
Headaches
91
the only cephalosporin that is eliminated through HepatoBilliary system is:
**Ceftriaxone**
92
Cardiac Symptoms of Lyme Dz is:
**AV blocks**
93
tx for **Pinwarms**
**albendazole**
**mebendazole**
94
**Painless ulcer / chancer** on the genitals is a sign of:
**Primary syphilis**
95
Tx for Diverticulitis is:
Ciproflaxcin + metronidazole
96
#1 cause of AIDS-associated blindness is caused by:
Cytomegalovirus
**CMV=retinitis**
97
tx for Rocky Mountain Spotted Fever is:
**Doxycycline**
98
first manifistation of Lyme Dz is:
**Erythema Migrans**
99
Wood or dog ticks transmitt?
**Rocky Mountain Spotted Fever**
100
wart-like lesions on the genitals seen in syphilis are known as:
**Condylamata lata**
101
most common organism producing bacterial prostatitis:
E.Coli
Proteus
102
103
tx for **Syphilis:**
**Pencilllin**
**_syPhilis=Pencillin_**
104
**orange-red body fluids** caused by:
**Rifampin**
105
**+ Heterophile agglutination** test is known as:
Mono test
indicative of EBV
106
diagnosing method for Malaria is:
**peripheral smear**
107
MoA of **Macrolides**
**inhibit protein synthesis**
108
primary syphilis sx:
painless chancre
## Footnote
**primary=painless**
109
**Periodical** chills/fever/sweats is typical for
**Marlaria** presentation
110
Tx for bacterial prostatitis:
Cipro (for gram -)
Ampicillin (for gam +)
111
most Peniceillins are eliminated through
**Renal System**
**P**enicillin=**P**enal elimination
112
screening HIV is with:
ELISA
_HIV scr**EE**n with **E** lisa_
113
tx of **Strep Throut in conjunction with Mono** is:
**Penicillin or erythromycin**
114
what effect **Rifampin** has on INR
**decreases**
115
tx for **Bacterial Candidosis** is:
**Micnonazole**
116
Cephalosporins MoA is:
**Beta lactam inhibitors**
117
**condylomata lata** corresponds to:
**secondary syphilis**
118
Pinworms dx is:
scotch tape
119
**bilateral cranial nerve palsies**
descending symmetrical weakness
respiratory paralysis
signs of:
**Botulism**
120
**multiple ring lesion** on brain CT of an HIV pt are indicative of
**Toxoplasma Encephalitis**
121
1st line tx for Strep Throat:
**Penicillin V**
**Amoxicillin**
122
tx for intestinal worms is:
**albendazole**
123
**Cryptosporidium** is usually found in:
**swimming pools**
124
Chlamydia:
**Azithromycin + doxycycline**
**+ ceftriaxone (for Gonorrhea)**
125
side effects of HIV drugs:
NRTI
NNRTI
Fussion inhibitors
Protiease inhibitors
INSTI
NRTI - **anemia**
NNRTI - **rash, neuro**
Fussion inhibitors - i**njection site pain**
Protiease inhibitors - **lipid abn**
INSTI - **headache**
126
important side effect of **Fluorquinolones**:
**Tendon Rapture**
**Photosinsitivity=Fluoro**
**Long QT**
**Contraindicated in children and pregnancy**
127
most **wide spectrum of antifungal coverage** is:
**amphoterocin**
128
Teeth discoloration is produced by:
Tetracyclines
## Footnote
**Teeth discoloratio = TEETHRACycline**
**contraindicated in children \>8 y.o**
129
Late Lyme Dz is manifested by:
**Chronic Arthritis**
130
what can **reduce the efficacy of Flouroquinolones**
**Chelattion by Mg, Ca, Al, Multivitamins, Zn**
131
most common **Cephalosporins** adverse reaction is:
**GI: N/V**
132
Amoxicillin given to a pt with Mono may result in:
**Maculapapular Rash**
133
