Vignettes And Commonly Confused Topics Flashcards
(43 cards)
A patient comes into the clinic with mild and painful erythema on her leg. It is non-purulent. Given your suspected causative pathogen, what would treat it with?
Beta hemolytic group A strep
PO beta lactams: dicloxacillin
A patient comes into the clinic with a mild red, purulent abscess, what is your first treatment modality?
How would that change if it was moderate?
Mild: I&D only
Moderate:
I&D, culture then PO abx
Doxycycline (BID)
TMP/SMX
A young boy presents to the clinic with honey crusted lesions around his mouth, what is your first line treatment?
Impetigo
Topical mupirocin
A vet comes to the clinic, she has been bitten by a cat, she tells you that she washed it ASAP but is concerned because the bite penetrated quite deeply and the cat was a stray. What treatment would you prescribe and for how long?
amoxicillin-clavulanate
PO
5 days
OR
Ampicillin-sulbactam IV
During a clinic visit, you inspect your patient’s feet because she is diabetic. You notice a moderate ulcer on the sole of her right foot. Given what you know about the likely causative pathogen(s), you prescribe….
Most likely to be polymicrobial and include gram negatives as well as anaerobes
Moderate:
—amox-clav (Augmentin)
—or, amp-sulbactam
—or, ceftriaxone + metro
You HIV patient comes to the clinic complaining of fever, cough and chest pain, you suspect a fungal infection in his lungs. Knowing the causative pathogen, which anti-fungal is recommended for this patient?
Aspergillus
Voriconazole PO
if invasive, voriconazole + amphotericin B
A patient has been diagnosed with invasive aspergillosis and you are considering the best treatment options. His medical record shows a history of QTc prolongation, which medication would you avoid? Which would you select?
Avoid: voriconazole
Select: Isavuconazole
Which fibrate do you NOT give w/ statins d/t risk of myopathy
Gemfibrozil
Which non-statin lipid lowering medication do you have to discontinue w/ tendon rupture?
Bempedoic acid
(think about the acid tearing through the tendon)
Which non-statin lipid lowering medication CANNOT be taken with simvastatin >20mg or Pravastatin >40mg
Bempedoic acid
A patient has TGs >500, which non statin lipid lowering medication can you NOT give?
Bile acid sequestrant (meds beginning with Chole/cole)
All azoles prolong QTc except?
Isavuconazole
You can’t give a patient with gout………. ?!?! You idiot!!
Loop and thiazide diuretics
Which TB med should you supplement with B6
Isoniazid
Which HIV med has an ADR of a rash?
Abacavir
Which antifungal has a BBW to exercise extreme caution in pts w/ impaired renal function?
FluCYtosine (5-FU)
Think renal, close to bladder > CY part of Flucytosine
Which antifungal do you always use in combination with another antifungal?
Flucytosine (5-FU)
Don’t eat/drink grapefruit juice and red yeast rice with?
STATINS (esp. Simvastin)
ALL ~azoles have these 3 main ADRs
—QTc prolongation (except isavoruconazole)
—hepatotoxicity
—CYP INHIBITORS
For the treatment of CMV retinitis, which would be the better ORAL medication?
VALganciclovir
ganciclovir is available parenterally
Most common NNRTI is efavirenz but what do the others end in so you can recognise them?
~ine
I.e nevirapine, delaviridine, etraviridine etc
Patient with asthma, you’re going to put them on a BB, which do you NOT choose?
Propanalol (B1 & B2)
B2 vasoconstricts bronchioles
Which is the only DOAC you can give for DVT prophy in medical patients?
Rivaroxaban
Which DOAC must be given with food?
Rivaroxaban
