MID II Drugs

Question 1

Chagas Disease

Answer 1

Nifurtimox/Benznidazole (US) - CDC

Question 2

Kala-Azar Disease

Answer 2

Liposomal Amphotericin B

Question 3

New World Cutaneous Leishmania

Answer 3

Sodium stibogluconate (IV) or Lipo Amph B

Question 4

Old World Cutaneous Leishmania

Answer 4

Topical paromomycin

Question 5

Otitis Media

Answer 5

Amoxacillin

Question 6

Sinusitis

Answer 6

Amoxacillin

Question 7

Tracheobronchitis (Croup)

Answer 7

Steroids & humid air

Question 8

Measles

Answer 8

Ribavirin

Question 9

Listeria

Answer 9

Ampicillin –> Amoxicillin (mom), ampicillin + aminoglycoside (neonate)

Question 10

Congenital CMV

Answer 10

CMV hyperimmune globulin (prenatal), valganciclovir (neonatal)

Question 11

Congenital Toxoplasmosis

Answer 11

= 18 weeks: pyramethamine + sulfadiazine (or clindamycin) + leukovorin

Question 12

Perinatal Group B Strep

Answer 12

Penicillin (or ampicillin)

Question 13

Severe malaria

Answer 13

CDC: IV Quinidine gluconate + doxycycline (or clindamycin/tetracycline if kid/pregnant); WHO: IV/IM artesunate

Question 14

Malaria prophylaxis

Answer 14

Atovaquone-proguanil > mefloquine > doxycycline

Question 15

Uncomplicated falciparum malaria

Answer 15

WHO: artemether + lumefantrine > atovaquone-proguanil; CDC: reverse

Question 16

Non-falciparum malaria

Answer 16

Primaquine

Question 17

Mild B. microtii

Answer 17

Atovaquone + azithromycin

Question 18

Severe babesia

Answer 18

Clindamycin + quinine

Question 19

B. divergens

Answer 19

Complete RBC exchange transfusion + clindamycin + quinine

Question 20

HSV

Answer 20

Acyclovir

Question 21

Rabies

Answer 21

Rabies vaccine + rabies IG + IV & intraventr ribavirin + IV ketamine

Question 22

PCP

Answer 22

Bactrim

Question 23

Cryptococcal disease in AIDS

Answer 23

Amphotericin induction + fluconazole suppression

Question 24

CMV

Answer 24

Ganciclovir (IV) or Valganciclovir (PO)

Question 25

Disseminated Mycobacterium-avium complex (MAC)

Answer 25

Azithromycin + ethambutol

Question 26

VZV

Answer 26

Acyclovir

Question 27

Influenza

Answer 27

Amantidine, rimantidine (A only); zanamivir, oseltamivir (NA inhibitors); ribavirin

Question 28

Impetigo

Answer 28

Mupirocin (limited), cephalexin (complicated)

Question 29

Folliculitis

Answer 29

Chlorhexidine or bacitracin

Question 30

Cellulitis

Answer 30

Penicillin or vancomycin

Question 31

Dermatophyte

Answer 31

Imidazole, allylamine or ciclopirox

Question 32

Molluscum

Answer 32

Cantharidin

Question 33

Genital Warts (HPV)

Answer 33

Imiquimod, podophyllin or tretinoin