ID

Question 1

which abx should not be given ideally until age 8

Answer 1

tetracylcine and doxycycline

Question 2

what to treat RMSF with even if under 8

Answer 2

doxy

Question 3

what medications shoudl ideally not be given before 18

Answer 3

floroquinolones ( cipro/levofloxacin)

Question 4

what is cipro used for

Answer 4

pyelo
complicated uti
shigella

Question 5

when to not give erythromycin

Answer 5

to chidlren uder 6 weeks epecially under 2 weeks

Question 6

qhat does clinda cover

Answer 6

gram positive including MRSA

Question 7

to cover enterococcus what drugs?

Answer 7

vanco
ampicillin
linezolid

Question 8

what does enterococcus cause

Answer 8

UTI
intrabdominal infections
endocarditis
bacteremia

Question 9

do cephalosporins cover enterococcus

Answer 9

no

Question 10

name two 1st gen cephalosporins

Answer 10

cefazolin ( IV) and cephalexin ( Keflex PO)

Question 11

1st gen cephalosporins cover what

Answer 11

gram T but not MRSA
(PEcK - Klebsiella, e coli and proteus)

Question 12

name some 2nd gen cephalosporins

Answer 12

cefaclor
cefuroxime
cefotetan
cefoxitin

Question 13

what do 2nd gen cephalosporins cover

Answer 13

gram negative (HENPEck - haemophillus, enterobacter, neisseria, proteus, e coli and klebsiella )

Question 14

name some 3rd gen cephalosporins

Answer 14

CTX, ceftazidime and cefotaxime and cefpodoxime

Question 15

what do 3rd gen cephalosporins cover

Answer 15

gram negative and CNS infections

Question 16

what 3rd gen cephalospirn can be used with amp and gent in a baby with concerns for meningitis

Answer 16

ceftazidime

Question 17

which 3rd gen cephalosporin has pseudomonas coverage

Answer 17

ceftazidime

Question 18

name the 4th gen cephalosporin

Answer 18

cefepime

Question 19

4th gen cephalosporin covers what

Answer 19

psudomonas and gram T/-

Question 20

name a carbapenem

Answer 20

imipenam

Question 21

name a medicine that treats enterobacter

Answer 21

imipenam

Question 22

name two medications used to treat worms

Answer 22

albendazole and pyrantel pamoate

Question 23

what is the bug that causes pinworms

Answer 23

enterobius

Question 24

how to treat pinworms

Answer 24

give first dose followed by another in 2 weeks

Question 25

name the bugs that metronidazole is used to treat

Answer 25

giardia entamoeba trich bacteroides clostridium gardnerella

Question 26

what kind of bug is enterococcus

Answer 26

gram positive that can cause sepsis and NEC

Question 27

gram positive dipthroid which can be associated with nodules on the placenta or mild maternal viral illness with fever

Answer 27

listeria

Question 28

tc for listeria

Answer 28

ampicillin

Question 29

what is the treatment for c. tetanus

Answer 29

debridement, tetanus IG+ metronidazole or PNC

Question 30

progressive decending weakness in a baby less than 6 months

Answer 30

botulism

Question 31

why does botulinum affect <6 months

Answer 31

because botulism can colonize in the gut

Question 32

botulinium is what kind of organism

Answer 32

gram+

Question 33

diptheria is what kind of organism

Answer 33

gram+rod

Question 34

how to treat diptheria

Answer 34

erythromycin or PCN

Question 35

gram + organism in Pairs and Chains that stains blue

Answer 35

streptococcus

Question 36

can GAS cause rheumatic fever and PSGN

Answer 36

yes

Question 37

strep skin infection cannot cause

Answer 37

rheumatic fever

Question 38

hematuria, protienuria, swelling and HTN after GAS skin or throat

Answer 38

PSGN

Question 39

how to treat PSGN

Answer 39

fluids, loop diuretics for HTN and maybe steroids if severe, follow C3 levels till they are normal

Question 40

if C3 doesnt normalize in six weeks after PSGN what should you consider

Answer 40

lupus nephritis, membranoproliferative GN, RPGN

Question 41

what will bopsy of PSGN show

Answer 41

lumpy bumpy IgG deposits and low C3

Question 42

peritonsillar abscess and RPA are due to

Answer 42

GAS

Question 43

IV treatment for GAS peritonsillar abscess or RPA

Answer 43

clinda or unasyn

Question 44

Xray of lateral neck that shows widening of the retropharyngeal space

Answer 44

RPA

Question 45

scarlet fever due to GAS will have rash were

Answer 45

in skinfolds and creases (sandpaper rash in groin or armpit)

Question 46

pink or red lines near creases seen in scarlet fever is called

Answer 46

Pastia's lines

Question 47

most common cause of occult bacteremia ( no source)

Answer 47

strep pneumo

Question 48

most common cause of PNA in kids

Answer 48

strep penumo

Question 49

most common cause of PNA in kid with CF

Answer 49

staph aureas or pseudomonas

Question 50

early onset GBS < 6 days causes

Answer 50

sepsis

Question 51

GBS late onset causes

Answer 51

meningitis, cellulitis, ostep ( >6 days)