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Step 3 > Inservice deck 11 - ID, procedures, meds > Flashcards

Inservice deck 11 - ID, procedures, meds Flashcards

1
Q

medication is first line for prophylaxis for family of child with meningococcal meningitis?

A

rifampin

cipro alternative

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2
Q

typical appearance of the rash of secondary syphilis?

A

maculopapular/papulosquamous

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3
Q

what is most common complication of varicella in adults

A

pneumonitis

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4
Q

duration of HIV prophylaxis after needlestick?

A

1 month

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5
Q

can one tell difference clinically between infection of chlamydia and gonorrhea?

A

No

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6
Q

tx and potential side effects of patient whose peripheral smear shows crossed markings in RBCs

A

malaria

tx = chloroquine

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7
Q

Hospital worker has PPD placed and read with 15 mm induration. CXR obtained is normal so what is the treatment?

A

isoniazid (INH)

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8
Q

main side effects of INH?

A

toxic hepatitis and peripheral neuritis

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9
Q

main side effects of rifampin?

A

orange-colored body fluids, P450 drug interactions, hepatitis and thrombo

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10
Q

main side effects of streptomycin

A

nephrotoxic and ototoxic

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11
Q

list main effects of ethambutol

A

optic neuritis/ red-green color blindness

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12
Q

main effects of pyrazinamide

A

hyperuricemia, hepatitis, arthralgies, rash

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13
Q

most common etiology causing meningitis in sickle cell patient?

A

s pneumo

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14
Q

AIDS patient with meningitis, what organism? What is best test to evaluate?

A

cryptococcal meningitis

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15
Q

Woman working in lab with rats now with neuro symptoms and pulmonary edema may have

A

hantavirus

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16
Q

patient form missouri presenst with pulm symptoms an patchy infiltrates on CXR?

A

histoplastmosis

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17
Q

transmission of plague?

A

flea or tick

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18
Q

patient from east coast presents with target rash. Dx and tx?

A

lyme disease

doxy

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19
Q

sx after chlorine gas exposure

A

eye burning, smell of bleach, pulm complaints

20
Q

patient with recent sore throat and now has mitral murmur, joint pain, rash, and fever; no history of IVDA; has most likely?

A

rheumatic fever

etiology: strep pyogenes

21
Q

IVDA with erythema, crepitant painful elbow requires what tx?

A

surgery

22
Q

what are first symptoms in patients with botulism poisoning?

A

CN deficits - ptosis, extra-ocular muscle deficits

23
Q

HIV patient has CD4 < 200 and oxygen < 90%. Requires what txs?

A

PCP PNA

tx = bactrim and steroids

24
Q

tx for HIV patient with dysphagia and esophageal white patches

A

oral fluconazole

25
Q

most likely infection in any patient with solid organ transplant

A

CMV

26
Q

organism and tx for patient?

A 
impetigo = strep or staph
tx = oral diclox, topical mupirocin
27
Q

patient with pustule on hand, ankle, and now wrist arthritis. tx?

A

gonococcus

tx = ceftriaxone

28
Q

common place for extrapulmonary TB

A

lymph nodes

29
Q

differentiates SIRS from sepsis?

A

source of infection. SIRS is non-specific and associated with other causes than infection

30
Q

gram stain of positive cocci

A

strep

31
Q

multinucleated giant cells

A

herpes

32
Q

infection after punctured shoe?

A

pseudo

33
Q

strawberry tongue and sandpaper rash

A

scarlet fever

34
Q

most likely injury due to saphenous vein cutdown

A

loss of medial sensation

35
Q

subclavian line pulled out and patient hemodynamically compromised. Next tx?

A

air embolus, place patient in left lateral trendelenburg position

36
Q

technique of choice for pericardiocentesis?

A

subxyphoid approach

37
Q

anesthetic effect of a mental nerve block

A

lower lip anesthesia

38
Q

lower teeth are anesthetized in addition to lower lip with what nerve block

A

inferior alveolar

39
Q

main complication of missing inferior alveolar nerve too posteriorly

A

facial nerve paralysis

40
Q

tx for suture abscess

A

warm compresses

41
Q

patient receiving blood transfusion gets hives. what should be done?

A

give benadryl

continue transfusion

42
Q

correct direction of force to reduce mandibular dislocation

A

downward an posterior

43
Q

preferred site of intraosseous access in peds patients

A

tibia - 1 cm distal and medial to tuberosity

44
Q

safest IV access if unable to cannulate peripheral veins in extremities

A

EJ

45
Q

patient taking metoprolol presents with hives, swelling of tongue, and difficulty breathing. med indicated?

A

glucagon

anaphylaxis cocktail

Step 3 (30 decks)

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