CDN Flashcards
1
Q
MENINGITIS sx and DOC
A
PICK
- Photo sensitivity
- ICP
- Cephalosporin/ Chloramphenicol
- Kernig brudzinki
2
Q
MENINGITIS compli
A
Waterhouse friderichsen (massive hypotension)
3
Q
MENINGITIS dx
A
Lumbar puncture/ spinal tap
4
Q
Lumbar puncture/ spinal tap
Bacteria:
Viral:
A
Cloudy
Viral
5
Q
bago lumbar ano muna dx to check ICP
A
MRI
6
Q
If positive ⬆️ICP ano adm
A
Diuretics
7
Q
MENINGITIS MOT
A
DROPLET (PIMP- pertussis. Influenza. Meningitis. Pneumonia)
8
Q
MENINGITIS WOF the 3 danger sx??
A
- Remittent fever
- Bradypneic
- seizure
9
Q
MENINGITIS med to decrease inflammation?
A
Dexamethasone
10
Q
MENINGITIS since may ICP consideration?
A
Low fowlers. Non stimulating env
11
Q
MENINGITIS IP?
A
2-10 (think 10 meninges hehe)
12
Q
4 rights of Food handling
A
ST PAUL COLLEGE SCHOOL
Source
Prep
Cooking
Storage
13
Q
How many degree C for right COOKING
A
60-100
14
Q
TETANUS hallmark
A
Risus sardonicus (ngiting aso)
15
Q
TETANUS earliest sx
A
Trismus (lockjaw)
16
Q
TETANUS BACTERIA OR VIRUS
A
ANAEROBIC Bacteria (clostridium tetani)
17
Q
TETANUS aka?
A
Lock jaw
18
Q
TETANUS MOT is entry to __ skin
A
INTACT!
19
Q
Basta TETANUS sx think?
A
SORT (spastic paralysis/spasms, Opisthotonos. Risus sardonicus. Trismus/lockjaw)
20
Q
Spastic paralysis
A
Gabi spasm
21
Q
TETANUS test na naga stimulate ng uvula
A
Spatula test
22
Q
Spatula test BITES the tongue depressor
Spatula test ✅gag reflex
A
POSITIVE
NEGATIVE
23
Q
TETANUS confirmatory
A
Wound culture
24
Q
TETANUS 3 vaxx
A
- DPT/penta
- Tetanus toxoid
- Tetanus anti toxin
25
Tetanus toxoid given if?
Tetanus anti toxin given if?
Wala pa sugat
May sugat na
26
Tetanus toxoid Ilang shots bibigay if preg
2
27
TETANUS chemical panglinis and type of dressing
Hydrogen Peroxide or Betadine + THIN dressing
28
TETANUS bat naga non stimulating env
Pede mag SEIZURE
29
Opisthotonos mngt
TETANUS diet dt hypermetabolism kaka spasm & seizure
S Lying or Supporting Pillow
⬆️calories
30
TETANUS DOC na antimicrobial antiseizure pa And avoid _
Metronidazole Alcohol
31
TETANUS if wala metronidazole pede tetracycline, ano avoid naman dito
Ca rich
32
TETANUS anti seizures and muscle relaxants
1. Dilantin (adult)
2. Phenobarbital (child)
3. Robaxin
4. Diazepam
33
Dilantin makes your urine
Pink to red (think kulay ng DILA)
34
RABIES virus
Rhabdovirus
35
RABIES aka
- Hydrophobia
- Lyssa
- La Rage
36
RABIES mot
DROPLET (kasi saliva ni dog)
37
RABIES 2 carriers
1. Canine- pets
2. Sylvatic- BATS
38
RABIES dx
FB10
1. Fluorescent Rabies Antibody
2. Brain biopsy (negri bodies)
3. 10 day observation sa aso
39
RABIES IP
R8bies (2-8 weeks)
40
RABIES 3 vax
1. ERig- quine HORSE to (prio)
2. HRig- human
3. PVRV
41
PVRV yrs of immunity?
3
42
RABIES tatlong stage sa aso at tao
Aso- dumb, furious, paralytic
Tao- prodromal/invasive, excitement, paralytic
43
RABIES dumb furious paralytic stage
1. Dumb- withdrawn
2. Furious
3. Paralytic- resp & cardiac arrest/death
44
RABIES prodromal/invasive excitement paralytic stage
1. Prodromal- PFT (tingling/numb. Photosensitive/phobia. Fever)
2. Excitement- phobias, -phagias, spasms, hypersalivation, seizure & maniacal
3. Paralytic- same c aso
45
RABIES Kelan lang maga restrain
Maniacal behavior
46
RABIES paglinis sa sugat at home
Detergent wash for 10 mins. Running water. Paduguin. Pede bayabas
47
RABIES hosp mngt
1. bed malayo sa cr/sink
2. Cover IV and IV lines
3. Stay sa client (seizure)
48
RABIES hosp mngt
1. bed malayo sa cr/sink
2. Cover IV and IV lines
3. Stay sa client (seizure)
49
Polio aka
1. Heine Medin (sir andy jowa si heiden co)
2. Infantile paralysis
50
Polio DOC
1. prevents resp depression & urinary retention
2. prevents mapunta sa NV system
1. Bethanicol
2. Pleconaril
(Think BP ni si Andry, asawa nya si heiden co)
51
POLIO confirmatory test
Stool culture
52
POLIO 2 minor types and sx nila
1. Subclinical- asympto
2. Abortive- abot hanggang 3 days lang/72h. low fever + sore throat onleee
53
POLIO 2 minor types and sx nila
1. Subclinical- asympto
2. Abortive- abot hanggang 3 days lang/72h. low fever + sore throat onleee
54
POLIO major types and sx
1. Non paralytic- SHAT (spine stiffness. Hoyne/head lag. Asymmetrical paresis & paresthesia. Tripod position)
2. Paralytic- same ++ loss of tendon reflex ++ kernig brudzinki
55
Ano under ng paralytic polio and sx
1. Bulbar paralysis - CN 9 & 10 (swallowing & resp cardiac)
2. Spinal Paralysis
3. Bulbospinal- mixed
56
POLIO IP
7-21 days (21 days na pag-iba ni Sir andy)
57
POLIO
1. Bakit bawal imassage
2. __ compress
3. type of bed
4. nagfail lungs what machine
1. Kakalat
2. Warm kasi spasms
3. Firm non saggy (spine stiffness)
4. Iron lung machine
58
POLIO 2 vax
1. OPV- sa bibig (Sabin)
2. IPV- tusok (Salk)
59
POLIO hallmark
Spine stiffness
60
Influenza viral or bacteria? Etio?
Viral
RNA containing myxovirus
61
IINFLUENZA MOT
IINFLUENZA bagsak ang what lab?
airborne, droplet,
WBC
62
IINFLUENZA mc compli
Pneumonia
63
Influenza strain H5N1 (bird) spread in Egypt/ Asia
AVIAN influenza etio
AVIAN influenza
Orthomyxoviridae Type A
64
Coronavirus na discovered nung 2002 sa China
CORONA VIRUS meds
SARS COV 1
1. Remdesivir
2. Molnupiravir
3. Tocilizumab
4. Baricitinib
65
SARS COV 1 etio
MERS COV (middle east) vector
Novel coronavirus
Civet Cat
Guandong
Bats camel human
66
Covid san 1st case at kelan
Covid 1st case Phil
Covid confirmed
Covid outbreak
Covid san 1st case at kelan
Mexico Dec 31 2019
Covid 1st case Phil
Jan 30 2020
Covid confirmed
Feb 1 2020
Covid outbreak
Mar 7 2020
67
false/pseudo membrane (whitish-gray) + bull neck appearance ++ RESP PROBS (cutaneous/blisters na more contagious)
DIPTHERIA
68
DIPTHERIA di kilalang ETIO
DIPTHERIA MOT
DIPTHERIA determine susceptibility
DIPTHERIA di kilalang ETIO
Klebs Loeffler
DIPTHERIA MOT
droplet and gamit
DIPTHERIA determine susceptibility
Schick test
69
DIPTHERIA confirmatory
DIPTHERIA compli
DIPTHERIA DOC
DIPTHERIA confirmatory
Loeffler slant
DIPTHERIA compli
Airway obstruction and Myocarditis
DIPTHERIA DOC
pen and erythro
70
pseudo membrane consideration and mngt
❌remove, ✅ice pack on neck
71
PERTUSSIS
1. Basang stage and most communicable!
2. spasmosdic cough
1. Catarrhal
2. Paroxysmal
72
PERTUSSIS etio and confirmatory, compli
1. Bordetella pertussis
2. Bordet gengu agar test
3. Otitis media and pneumonia
73
PERTUSSIS mot, pag nagkaroon lifetime immunity?
PERTUSSIS doc
Droplet
Yes
Ampicillin/ erythro
74
Causative agent ng POLIO
LEPROSY aka
LeGIO Debilitans
Hansen
75
LEPROSY sx sa EARLY (AnSan), LATE, TERMINAL (BAL)
Early
1. Anesthesia
2. Skin discoloration
3. Anhydrosis
Late
1. Madarosis (eyebrows/ lashes)
2. Lagopthalmos (inability to close eyelids)
3. Leonine- skin kapal and nawawala buto
4. Contractures
5. Ulcerations
6. Gynecomastia
Terminal
1. Blindness
2. Amputation
3. LUCIO’s PHENOMENON- ketong
76
LEPROSY dx
1. confirmatory
2. If communicable
Lepromin reaction test lalabas results after __days
1. Slit skin smear
2. Lepromin reaction test
8 (L8prosy)
77
Lepromin reaction test shows rashes means?
LEPROSY ROM prophylaxis
Non communicable (no rashes—communicable)
Rifampicin. Ofloxacin. Minocycline
78
LEPROSY vax
LEPROSY types, their characteristics and meds
1. Dalawang communicable
2. Dalawang non
BCG
1. Lepromatous- 5 pataas na OPEN lesions
2. Borderline- combi
*RD LAclo (rifampicine. Dapsone. Lamprene. Clopazamine
1. Tuberculoid- 5 pababa na CLOSED
2. Indeterminate- single closed
*RD only!
79
LEPROSY mngt
1. Lagopthalmos
2. Anesthesia
3. Type of shoes
4. type of utensils
1. Artificial tears
2. ❌sharp/ rough objects
3. Closed w padded soles
4. Wooden or padded
80
DENGUE ca
DENGUE DLSU
FLAVIVIRUS
CHIKUNGUNYA (mukhang unggoy si oyong)
ONYONG NYONG (oyong nagkadengue)
day biting (coolest time of day 6-8 am and 4-6 pm)
Low flying
Stagnant
Urban
81
DENGUE vector indoor & outdoor
DENGUE dx test
Indoor- Aedes Aegypti
Outdoor- Aedes AlbOpictus
Dengue NS1
82
DENGUE CLEAN method
- Chemically tx mosquito nets: PERMETHRIN
- Larvae eating fish: 4 pcs/sq.m (tilapia)
- Env sanitation: 4 o clock habit
- Neem tree, oregano, eucalyptus, citronella
83
DENGUE seen in CBC ⬇️platelet anong herbal med pede bigay
DENGUE no.1 mngt
Ga tawa2x pa may dengue na nga
Hydration (noodles/oresol)
84
DENGUE mngt gagawin to control hemorrhage para di magsiputukan
DENGUE IP
CBR
isang linggo si oyong hahahaha
85
DENGUE’s NIMANITYA class (sx) G1-G4
Grade 1
1. >20 petechial rashes sa tourniquet test
2. Herman’s Sx (buong body mamink mink)
3. Flu like w myalgia and athralgia, fever
Grade 2 (GI sx + BLEEDING!)
Grade 3 (G1+G2+ CIRCULATORY failure)
Grade 4 ( hypovolemic shock)
86
SCHISTOSOMIASIS is caused by
SCHISTOSOMIASIS 2 causative sa GIT, 1 sa genito
Lung blood fluke
S. Japonicum, S. Mansoni
S. Hematobium (eto ung wala sa atin)
87
SCHISTOSOMIASIS aka
SCHISTOSOMIASIS case finding and tx sa anong region/lugar
Snail fever, bilharzIASIS
5 8 11 (SAMAR LEYTE)
88
Basta SCHISTOSOMIASIS affected ang??
SCHISTOSOMIASIS dx
GI. Hepatosplenomegaly
Circumova precipitin test
89
SCHISTOSOMIASIS infects oncomelania snal
SCHISTOSOMIASIS harmful na and invades human
Miracidia
Circaria
90
SCHISTOSOMIASIS mngt
- ❌_ in infected water
- Wash c _ , _, or_
- how many days pabayaan water before us
- Waddling
- Betadine, chlorine, alcohol
- 3 days/72 hours
91
SCHISTOSOMIASIS DOC
SCHISTOSOMIASIS DOC naman if Mansoni? Hematobium?
praZIquantel (bilharZIasis)
Mansoni- OxAMiNiquine
Hematobium- Metriponate
92
SCHISTOSOMIASIS IP
EBOLA virus type na meron sa phil
2 mos think 2chistosomiasis
RESTON
93
EBOLA mngt and y
EBOLA dx
EBOLA MOT
HYDRATION, BT (bleeding of all orifice)
PCR
Human-human secretions except SWEAT
94
EBOLA vector ( CGF-MAP)
- chimpanzee
- Gorilla
- Fruit bat
- Moneky
- Antelope
- Porquipine
95
EBOLA IP
think 3bola (2-21 days or 3 wks)
96
ZIKA virus sx
ZIKA mngt
- Fever
- Rashes
- Conjunctivitis
paraZItamol
97
ZIKA MOT na nasa dengue din
ZIKA compli sa
1. preg
2. Geria
AEDES AEGYPTI & ALBOPICTUS
1. Microcephaly
2. GBS
98
Since ZIKA same MOT sa dengue, prevention & control?
ZIKA dx
ZIKA IP
CLEAN method
PCR
3-14 days
99
aka Koch’s Phenomenon and phThis
confirmatory
TB
DIRECT SPUTUM SMEAR MICROSCOPY (DSSM) aka ACID FAST BACILLI STAINING
100
TB MOT
TB TRIAD
Airborne
1. Hemoptysis
2. Night sweats
3. Night fever
+ >2 wks coughing, chest pain, anorexia
101
TB 3 CA (TAB)
TB screening tests
Mycobacterium TB
Mycobacterium Africanum
Mycobacterium Bovis
Mantoux/tuberculin test/ PPD testing 48-72h)
102
Mantoux mm.
1. positive for HIGH RISK
2. positive for NORMAL HEALTHY
TB vax
1. 5-10 mm
2. 10-15 mm
BCG
103
TB test na high sensitivity (2h)
Since airborne gagawin for prevention/control
GENE XPERT/ MTB-RIF resistance
Expose articles sa sunglight
104
TB prevention/control: use __utensils
RIPES is taken
REUSABLE
Before meals
105
TB MTB and RIF resistance
1. Alin ang MTB not detected
2. Invalid
3. Sya lang DETECTED BOTH
4. Indeterminate
5. Detected sa MTB, sa RIF hindi
1. N
2. I
3. RR
4. TI
5. T
106
TB SE of RIPES
1. RIFAMPICIN: red orange secretions (❌contact lens)
2. Isoniazid: peripheral neurItIs (Vit B6/Pyridoxine)
3. PyraZinamide (hyperuricemia) (OFI)
4. Ethambutol: eyes/ optic neuritis (temporary color blind, ❌<6 yo
5. Streptomycin: ototoxicity
107
TB classification, intensive gamutan, continuation
1. Extensive pulmonary sx
2. Di gumaling sa 1
3. Minimal
1. CLASS 1 RIPE..RI
2. CLASS 2 RIPES➡️RIPE.. RIE
3. CLASS 3 RIPE..RI
108
TB nagpadx may blood sputum instruction
TB massive hemoptysis
TB bat ❌COT
rest. NPO 1h. Balik tomorrow
REFER
breaks the capsule➡️reactive
109
TB taking RIPES check the
DOTS meaning
TB IP
Liver fx
Direct Observation Tx Short course chemo
T for Ten wks (2-10 weeks)
110
Immunity
1. Natural passive
2. Artificial passive
3. Natural active
4. Artificial active
1. Natural passive- mother child
2. Artificial passive-IgG
3. Natural active- na expose
4. Artificial active- aray2x (vax)
111
Mumps CA and MOT
Mumps hallmark
Mumps period of communicability
ParaMYxovirus
DROPLET
Mastoiditis
Until swelling DISAPPEARS
112
Herpes Simplex
2 strains:
Herpes Simplex- S for STD
2 strains:
HSV1 (all infx above chest) and HSV2 (below or ari)
113
- kati pwet, scotch tape test
Kuto—in eng, pediculosis capitis
Pinworms cooties
114
Syphilis
- Bacterial—
- doc
- Primary:
- Secondary:
- Tertiary:
-__ (cervical ca)
-__ (anogenital)
Treponema pallidum
Penicillin and ceftri
Primary: chancre na painless ulcer
- Secondary: condylomata lata (wart like)
- Tertiary: gumma (sac like lesions)
16 18
6 11
