Micro Flashcards

(50 cards)

1
Q

Congenital infections

A
TORCHS
Toxo
Other (HIV/Hep B)
Rubella
CMV
HSV (VZV)
Syphilis
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2
Q

Features of congenital infections

A
TORCH
Thrombocytopoenia
Other: Eyes/ears
Rash
Cerebral abnormalites (microcephaly, meningoencephalitis)
Hepatosplenomegaly (Hepatitis, Jaundice)
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3
Q

Live Vaccines

A
MMR
VZV
Yellow Fever
BCG
Oral Polio (Sabin)
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4
Q

Inactivated vaccines

A

Rabies
HAV
Polio (Salk)

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5
Q

Conjugate vaccines

A

MenC

Pneumococcus

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6
Q

Detoxified vaccine

A

Tetanus

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7
Q

Recombinant protein vaccine

A

HBV

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8
Q

Subunit vaccines

A

Typhoid

Influenza

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9
Q

2 month old vaccines

A
DTaP
IPV
HiB
PCV
Rotavirus
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10
Q

3 month old vaccines

A
DTaP
MenC
IPV
HiB
Rotavirus
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11
Q

4 month old vaccines

A

DTaP
PCV
IPV
HiB

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12
Q

12 month old vaccines

A

MMR
HiB/MenC
PCV

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13
Q

3 years and 4 months vaccines

A

MMR
IPV
DTaP

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14
Q

14 year old vaccines

A

Td
IPV
MenC

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15
Q

Bacteriostatic ABx

A

Tetracyclines (Doxycycline)
Sulphonamides
Trimethoprim

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16
Q

Vancomycin coverage

A

Gram +ve only

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17
Q

Gentamicin coverage

A

Gram -ve only

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18
Q

Vancomycin SEs

A

Red man syndrome

Nephrotoxic

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19
Q

Gentamicin SEs

A

Ototoxic (tinnitus, deafness, nystagmus)

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20
Q

Metronidazole coverage

A

Anaerobes

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21
Q

B lactam order of increasing spectrum

A
PBAFC To CCC ME
Penicillin
BenPen
Amoxicillin
Fluclox
Co-amox
Tazocin
Cefuroxime
Ceftriaxone
Cefalexin
Meropenem
Ertapenem
22
Q

Skin infection (S aureus) Abx

23
Q

Pharyngitis (GAS) Abx

24
Q

CAP mild + severe Abx

A
Mild= Amox
Severe= Cefuroxime + Clarithromycin
25
HAP Abx
Cefuroxime
26
Meningitis Abx
Ceftriaxone (BenPen in community) | Amox if Listeria likely
27
UTI Abx (community + hospital)
``` Community= Trimethoprim Nosocomial= Augmentin (Co-Amox) ```
28
Sepsis Abx (severe + neutropoenic)
``` Severe= Cefuroxime, Met + Gent Neutropoenic= Taz + Gent ```
29
C diff colitis Abx
Stop Ceph/Clinda/Cef | Metronidazole
30
TB meds SEs
``` R= Orange secretions, Hepatotox, cP45- inducer I= Peripheral neuropathy (B6 def), Hepatotox P= Hyperuricaemia, Hepatotox E= Optic neuritis, avoid in RF ```
31
CURB 65
``` Confusion (AMTS less than 8) Urea >7 RR >30 BP Less than 90/60 Age >65 3+ = hospital ```
32
Legionella pneumonia ABx
Macrolide + Rifampicin
33
S aureus pneumonia ABx
Fluclox
34
Pseudomonas pneumonia ABx
Taz
35
MRSA pneumonia ABx
Vanc
36
Aspiration pneumonia ABx
Cef + Met
37
Gonorrhoea Tx
IM Ceftriaxone 250mg or PO Cefotaxime 400mg
38
Chlamydia Tx
Azithromycin 1g PO or Doxycycline 100mg BD for 7/7
39
Syphilis Tx
IM BenPen
40
Trichomonas Tx
Met
41
Bacterial Meningitis CSF
Neuts, High Protein, Low Glucose
42
Viral Meningitis CSF
Lymphos, High Protein, Normal glucose
43
TB Meningitis CSF
Lymphos, V High Protein, Low Glucose
44
Diagnostic test for Leptospira
Microscopic Agglutination test
45
Prion disease feats
``` Demented LAMB LMN signs Akinetic mutism Myoclonus Blindness (Cortical) ```
46
(s)CJD CSF
Protein 14-3-3
47
EBV serology
+ve Paul Bunnell test Atypical Lymphocytes Heterophile Abs
48
CMV serology
Owl's eye inclusions on fibroblast culture
49
HBV Tx
PegIFNalpha2a, Lamivudine, Tenofivir
50
HCV Tx
PegIFNalpha2b, Ribavarin