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Micro Exam #2 > Other > Flashcards

Flashcards in Other Deck (35)
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1
Q
Don't forget to look over viral diseases again.
A
Otherwise you'll look like a fucking dumbass
2
Q
How should pediatric patients be weighed?
A
naked.
3
Q
Biggest problem in medical incidents?
A
Follow-Up -- Reassessment
4
Q
Treatment for MRSA?
A
Bactrim DS twice a day
Bleach Baths (3-5mL bleech/gallon H2O) twice daily
5
Q
Risk factors for MRSA? (4)
A
Cystic Fibrosis
Trach. tube
Healthcare facility exposure (Long-term care, surgery, work)
Antibiotic Exposures
6
Q
Risk factors for CA MRSA?
A
Illegal Drugs
High Contact Activity (Sports, Sex, Lap Dancing)
Tattooing
Surgery
Breast milk
7
Q
If Bacitracin is more effective against MRSA, why would you prescribe Clindamycin instead?
A
Clindamycin is better if people tend to miss doses
8
Q
What physical activity will drastically improve MRSA recovery?
A
Drainage of Abscess
9
Q
What should you do whenever you come up against MRSA?
A
Send specimen for culture, ask for susceptibility testing
10
Q
What scan would you use to detect MRSA infections in a joint?
A
MRI
11
Q
Why do you give pertussis patients Antibiotics even through it is a toxin mediated disease?
A
It may decrease the infectivity

It also makes patients feel better
12
Q
If you diagnose a patient with pertussis, who do you immediately need to contact and test?
A
Everyone in your waiting room.
13
Q
What might diminish the efficacy of Pertussis PCR testing?
A
if Pertussis vaccination is given in office
14
Q
Why are pregnant women given pertussis vaccines?
A
So they can pass on immunity to infants for the time before they get their first vaccination
15
Q
What is commonly seen in the skin of N. meningitis patients?
A
Looks like blood is coming through skin on chest
16
Q
Heightened WBC, Neutrophils, and Band are consistent with...
A
Bacterial Infection
17
Q
Who is someone you should never give a meningococcal vaccine to?
A
Someone who has had Guillian-Barre syndrome
18
Q
If a person is symptom free, but has been exposed to meningococcus, what should you do?
A
Rifampin
Ceftriaxone (Usually just this)
Ciprofloxacin
19
Q
Why might people prever to avoid the Menveo vaccine?
A
It comes with 2 vials to mix and inject --> increased likelihood of human error
20
Q
What should you never give a rotavirus patient?
A
Phenergan -- Can cause cardiac arrythmia
21
Q
Does the Rotarix vaccine prevent illness?
A
No, is decreases severity and hospitalization
22
Q
#1 cause of diarrhea in America
A
Norovirus
23
Q
You should avoid treatment for RSV until the patient is....
A
sick enough to be hospitalized
24
Q
How do you treat Group B Strep?
A
Ampicilin and Gentamycin
25
Q
Currently recommended pneumococcal vaccine?
A
Prevnar 13
GaZing-GaZing-GaZing
26
Q
Problem with bronchoscopy cultures?
A
They can accidently get oral colonies on them
27
Q
What type of cultures are you most prone to use? Exception to this rule?
A
Blood Cultures
Sputum may be useful in especially bad cases or in cases with compicating factors (AIDS, breathing machine, etc.)
28
Q
Fungus that is especially common in Indiana.
How is it diagnosed?
A
Histoplasmosis
Serology
29
Q
Who is most prone to have a Histoplasmosis problem?
A
IC patients
30
Q
Short term concern about inappropriate antibiotic use?
A
May open the door for C. difficile
Can cause colon loss or death
31
Q
Should you treat asymptomatic bactouria? Exception to this rule.
A
No, it may just be normal and fine
Treat is and you may give someone CDiff for no reason
Exception -- IC Patients
32
Q
When looking for S. Aureus in the blood you should....
A
Check two different sites
Testing from the line may give contaminates
If its in both cultures, its probably not a contaminant
33
Q
"Biofilms can be a real....
A
bitch."
34
Q
What should you do first in a spinal infection without compression?
A
Take a sample to determine what you're treating before you blast the patient with antibiotics
35
Q
Who grows neurosyphilis like its their job?
A
HIV patients