ID - Random Flashcards Preview

Medicine > ID - Random > Flashcards

Flashcards in ID - Random Deck (28)
Loading flashcards...
0
Q

Best diagnostic test for otitis media ? When to order?

A

Tympanocentisis; multiple recurrences

1
Q

Most sensitive sign for otitis media? Treatment?

A

Immobile tympanic membrane; axoxicillian

2
Q

Sinusitis – most accurate test? When to do it?

Never do?

A

Sinus biopsy or aspirate; recurrent sinusitis or no response from empiric therapies

(never do culture of nasal discharge)

3
Q

First-line options for otitis or sinusitis?

A
#Augmentin
#Doxycycline
#Bactrim

PLUS decongestant

4
Q

Signs of strep pharyngitis?

Treatment?

A
#tender lymphadenopathy
#fever
#tonsilar exudate
#no cough

Amoxicillin

5
Q

If membranous oropharyngeal exudates, think?

A
#diphtheria 
#EBV
#vincent angina
6
Q

Influenza treatment?

A

Under 48 hours: oseltamivir, zanamivir (neuroaminidase to shorten duration)

If over 48 hours: symptomatic treatment

7
Q

Infectious diarrhea – next step?

A

Look for blood or Stool lactoferrin

8
Q

Bloody diarrhea:

  1. Most common? (Complication?)
  2. Associated with HUS?
  3. Associated with cruise ships
  4. Associated with history of liver disease and rash
  5. Associated with hemochromatosis or blood transfusions
A
  1. Campylobacter (GBS)
  2. E. coli and shigella
  3. Vibrio parahaemolyticus
  4. Vibrio vulnificus
  5. Yersinia
9
Q

Nonbloody diarrhea and vomiting?

A

Staph or bacillus cereus

10
Q

Patient presents with diarrhea, wheezing, Flushing, and skin rash soon after eating fish dinner - diagnosis? Treatment?

A

Scombroid

Antihistamines

11
Q

Treatment for cryptosporidium?

A

Nitazoxanide

12
Q

Elevated lab test in viral hepatitis that is associated with higher mortality?

A

Elevated PT/INR

13
Q

Assess disease course of Hep C with?

A

PCR RNA level (use to assess response to treatment, etc)

14
Q

In hep B, finding that suggests that patient is no longer at any risk for transmission?

Which finding indicates need for antivirals in chronic disease?

A

No surface antigen

E-antigen

15
Q

Best indicator that pregnant woman with hep B will transmit infection to child?

A

E-antigen or DNA polymerase

16
Q

Only acute hepatitis that gets meds? Treat with?

A
Acute hep C
#interferon
#ribavirin
#boceprevir OR telaprevir
17
Q

Urethritis - most likely diagnosis if? Best initial test? Most accurate test? Treatment?

A

Urethral discharge

Urethral swab (for Gram stain)

Urethra culture, DNA probe, amplification for gonorrhea/chlamydia

Ceftriaxone and doxycycline/azithromycin

18
Q

Urethritis – if not chlamydia or gonorrhea?

A

Mycoplasma genitalium or ureaplasma

19
Q

Female with abdominal tenderness, fever, cervical motion tenderness and leukocytosis – likely diagnosis? First test? Most accurate test? (Do when?)

A

PID; cervical swab;

laparoscopy (if unclear diagnosis, systems persist despite therapy, recurrent episodes)

20
Q

STD with tender, suppurative lymph nodes? Best test? Treatment?

A

Lymphogranuloma venereum

Complement fixational titers for amplification

Doxycycline

21
Q

HSV - Best initial test? Most accurate test?

A

Tzack prep ; Viral culture

22
Q

Treatment for chancroid?

A

Doxycycline

23
Q

Tx for condylomata acuminata?

Crabs?

Scabies?

A

Cryotherapy; podophyllin; trichloroacetic acid;

Permethrin (lindane)

Permethrin

24
Q

Treatment for UTI?

A

Three days nitrofurantoin (seven days if anatomic abnormality)

25
Q

Empiric treatment for Pyelonephritis?

A
#Ampicillin + gentamicin
#Ceftriaxone
26
Q

Long-term therapy for chronic prostatitis?

A

6 to 8 weeks of Bactrim

27
Q

Patient with pyelonephritis that does not resolve with appropriate therapy – next step?

A

Imaging for perinephric abscess or anatomic defect

Decks in Medicine Class (106):