Kays Flashcards

(59 cards)

1
Q

outbreaks of previously unknown diseases or known diseases whose incidence in humans had significantly increased or threatens to increase in the future

A

emerging infectious disease

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2
Q

diseases that have reappeared after a significant decline in incidence

A

re-emerging infectious disease

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3
Q

since the 1970s ___ infectious diseases have been discovered or identified

A

greater than 40

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4
Q

SARS-COV2 stands for

A

severe acute respiratory syndrome coronavirus 2

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5
Q

first case of covid was identified in

A

wuhan china december 2019
indiana march 6th 2020

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6
Q

how long does it take for symptoms of covid to appear after exposure?

A

2-14 days

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7
Q

viral shedding is a problem with

A

PCR testing, can stay in system for awhile

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8
Q

mean incubation period

A

5-6 days

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9
Q

stage 1 is

A

viral response phase

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10
Q

stage 3 is

A

inflammatory phase

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11
Q

symptoms of viral phase

A

fever, dry cough, lymphopenia

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12
Q

symptoms pulmonary phase (stage 2)

A

SOB, abnormal chest imaging

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13
Q

symptoms inflammatory phase

A

ARDS, SIRS/shock, cardiac failure
elevated inflammatory markers

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14
Q

critical illness is defined as

A

patients on mechanical oxygen, ECMO, organ dysfunction in sepsis

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15
Q

severe illness is defined as

A

SpO2 less than 94% including patients with supplemental oxygen

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16
Q

mild to moderate illness is defined as

A

SpO2 greater than 94% not requiring supplemental oxygen

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17
Q

critically ill hospital patients with COVID 19 recommendation

A

dexamethasone 6 mg for 10 days

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18
Q

severely ill hospital patients with COVID 19 suggestion

A

dexamethasone

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19
Q

mild to moderately ill hospital patients with COVID 19 suggestion

A

no dexamethasone

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20
Q

mild to moderately ill hospital patients with COVID 19 suggests against use of

A

inhaled corticosteroids

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21
Q

hospitalized COVID 19 patients with markers of systemic inflammation, sugggests

A

tocilizumab

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22
Q

when tocilizumab is not available ___ can be used

A

sarilumab

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23
Q

what is tocilizimab

A

anti IL6

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24
Q

what is remdesivir

A

was emergency authorized, interferes with viral RNA dependent RNA polymerase, failed initial treatment of ebola virus

25
what can happen with remdesivir?
AST/ALT increase
26
mild to moderate COVID patients at high risk for progression to severe disease
remdesivir within 7 days of sx
27
COVID 19 patients on supplemental oxygen (not mechanical or ECHMO)
remdesivir for 5 days
28
COVID patients with severe suggest ___ over no antiviral treatment
remdesivr
29
COVID patients on ECMO or mechanical vent suggests against use of ___
remdesivir
30
mild to moderate COVID19 patients at risk for progression to severe disease suggests
nirmatrelvir/ritonavir within 5 days of onset
31
mid to moderate COVID19 patients at risk for progression to severe disease if no other suggestions
molnupiravir
32
signs and symptoms of monkey pox
rash, fever, malaise
33
monkey pox treatment
tecovirimat
34
#1 reported case
chylamidia
35
what disease is more common in women cause they get tested
chylamydia
36
chlamydia and gonorrhea most common in
age 20-24
37
what drug has highest percentage of resistance in gonorrea
ciprofloxacin
38
when did syphilis spike
nov 2021
39
treatment of chlamydia treatment
doxycycline 100 mg BID x 7 days
40
alternate regimens to chlamydia treatment
azithromycin 1 g or levofloxacin 500 mg
41
treatment of gonococcal infection cervix, urethra, rectum
ceftriaxone 500 mg single dose
42
primary and secondary syphilis among adults
benzathine penicillin G 2.4 million single dose or doxycycline 100 mg PO BID x 14 days
43
latent syphillus treatment
doxycycline 100 mg BID x 14 days
44
who warned us of antibiotic abuse?
Alexander Fleming 1945
45
organisms always resistant to given antibiotic ex b lactams, vanc, cephalosporins
intrinsic resistance
46
organisms initially susceptible to drug become resistant ex. fluoroquinolones
acquired resistance
47
conjugation is
direct contact or mating via sex (most common)
48
transduction is
genes are transferred between bacteria by bacteriophage (viruses)
49
transformation is
transfer or uptake of free floating DNA from the environment
50
example of ESBL
CTX-M-15
51
example of serine carbapenems
KPC
52
example of metallo b lactamases
VIM, IMP, NDM
53
example of cephalosporinases
AmpC
54
urgent threats in antibiotic resistance
carbapenem resistant
55
serious threats in antibiotic resistance
ESBL, multidrug resistant pseudomaonas
56
what is ceftazidime avibactam used for
intra abdominal infections, UTIs, VABP
57
what is meropenem-vaborbactam used for
complicated UTIs
58
what is imipenem cilastatin relebactam used for
complicated UTIs, intra abdombinal infections
59
which drug is the trojan horse
cefiderocol (fetroja)