Abx: Hodge-Podge

Front 1

DOC for syphilis
If allergic to DOC?
If preggo allergic to syphilis?

DOC for neurosyphilis?

Back 1

PCN G (benzanthine or procain), 1 dose IM
PCN allergy: Doxycyclin x 2wks or Tetracycline x 2 wks
preggo w PCN allergy: PCN desensitization w PCN V

(1 dose of azythro can also be used, but there is growing resistance against it)

Note: the DOC and 2nd line drugs are opposite to those for Lyme Dz.

Neurosyphilis: IV aqueous crystilline PCN or IM procaine PCN

Front 2

DOC for meningiococcal infxn phx
2nd line
who gets it?

Back 2

DOC: Rifampin
2nd line: minocycline po, cipro
who gets it? all close contacts, INCLUDING MEDICAL STAFF

Front 3

UTI's in non preggo
1st line
2nd line
DOC for pyelo in non preggo

Back 3

UTI
1st line: TMP/SMX or nitrofurantoin
2nd line: amoxicillin
pyelo: cipro

Front 4

DOC for PCP
phx:
rx:
sulfa allergy:

Back 4

phx: INHALED pentamidine
rx: Trim/Sulfa
sulfa allergy: pentamidine

Front 5

DOC for phx for endocarditis with dental procedure

Back 5

-cillins

Front 6

DOC for Pseudomonas

Back 6

Cipro

Front 7

Rx options for Pseudomonas

Back 7

1st: cipro
2nd: Ticaricillin, Carbicillin, Pipericillin (w clavulinic acid)
3rd: Cef-az (3rd gen ceph), Cefepime (4th gen ceph)
4th: Gentamycin (AG)
5th: Aztreonam

Front 8

DOC for Anaerobic infxn

Back 8

above diaphragm: clinda
below diaphragm: metro

Front 9

clues for anaerobic infxn

Back 9

mixed flora, abscess (> 7 days), aspiration infxn

Front 10

Rx options for Anaerobic infxn

Back 10

1) Clinda (above diaphragm)
2) Metro (below diaphragm)
3) Cefoxitin, Cefotetan (FOT FOX)
4) PCN + clavulinic acid/ tazo/ sul
5) Imepenem/ Cilistatin

Front 11

Causes of Atypical PNA; age ranges

Back 11

Chlamydia: < 2 mo
Mycoplasma: 10- 30 y/o
Legionella: > 40 y/o
PJP: AIDS, premies

Front 12

Rx hierarchy for atypical PNA:

Back 12

1) macrolide
2) tetracycline
3) quinolones

Front 13

DOC for Enterobacter

Back 13

Imepenem/ Cilistatin

Front 14

DOC for Bordetella Pertussis
2nd line:

Back 14

DOC: Erythromycin (or another macrolide) x 14 days (1st 3 days in isolation)
2nd line: Trim/sulfa

Front 15

DOC for
1) Pancreatitis
2) Necrotizing pancreatitis

Back 15

1) Imepenem/ Cilistatin
2) Amp/ Gent/ Metro

Front 16

DOC for Psoriasis

Back 16

topical Neomycin
(can supplement with vitamin A)

Front 17

Lyme Dz
DOC:
2nd line:
DOC in preggo:
DOC in kid < 9 y/o
systemic (heart block):

Back 17

DOC: Doxycyclin
2nd line: PCN G
DOC in preggo: Amoxicillin
DOC in kid < 9 y/o: amoxicillin
systemic (heart block): ceftriaxone x 7 days, or PCN G

Note: the DOC and 2nd line rxs are opposite to those for syphillis

Front 18

DOC for SIADH

Back 18

Demecocycline

Front 19

DOC for bowel surgery

Back 19

Neomycin

Front 20

DOC for Meningitis

Back 20

PCN

Front 21

DOC for meningitis in pt with PCN allergy

Back 21

Chloramphenicol

Front 22

DOC for Chlamydia (STD)
1 dose Rx for Chlamydia (STD)
When can you use 1 dose regimen

Back 22

DOC: Doxi
1 dose rx: Azithro
Can use 1 dose regimen if patient is asx'tic

Front 23

DOC for Gonnorrhea
1 dose rx for gonnorrhea

Back 23

DOC: Ceftriaxone
1 dose rx: ceftriaxone, cefixime, cefoxitin, (tri and fix the fox), cipro

Front 24

DOC for Rickettsia

Back 24

Doxi or cloramphenicol

Front 25

DOC for Toxo
rx
phx

Back 25

DOC
rx: Spiramycin
phx: Pytimethazine/Sulfa

Front 26

DOC for atypical PNA
2nd line?
3rd line?

Back 26

DOC= macrolide
2nd line= tetracycline
3rd line= quinilones

Front 27

empiric rx for PNA

Back 27

levofloxacin

Front 28

Most Abx work on cell WALL except

Back 28

1) Polymyxin
2) Daptomycin

(these guys work on cell MEM)

Front 29

Most antifungals work on cell MEM except

Back 29

1) Capsofungin

(this guy works on cell WALL)

Front 30

BacterioCIDAL drugs include

Back 30

AG, quinilone, vanc, PCN, Cephs

Front 31

BacterioSTATIC drugs include

Back 31

tetra, macrolide, Trimethoprim, clinda, chloramphenicol

Front 32

drugs that are on a class of there own

Back 32

vancomycin
clindamycin
daptomycin
cloramphenicol

Front 33

for vanc reisitant enterococci or staph, use

Back 33

Linezolid, Daptomycin

Front 34

Name the "Big Momma" anaerobes

Back 34

1) Strep Bovis
2) Bacteriodes fragilis
3) C melanogo- septicus
4) C difficile

Front 35

DOC for "Big Momma" anaerobes

Back 35

1) Metronidazole (below diaphragm)
2) Clindamycin (above diaphragm)
3) Cefoxitin
4) Cefotetan
(FOX FOT the anaerobes)

Front 36

Vaginosis
bug:
1 dose rx:

Back 36

bug: gardnerella
1 dose rx: metronidzole

Front 37

Vaginitis
bug:
1 dose rx:

Back 37

bug: trichomonas
1 dose rx: metronidzole

Front 38

causes of dysguzia (metallic taste)

Back 38

1) clarithromycin (macrolide)
2) metronidozole
3) zinc def
4) ACE-i
5) metformin

Front 39

DOC for MAI phx

MAI rx:

Back 39

phx: Azithro

rx: Azithro or Clarithro + rifabutin/ethambutol

Front 40

DOC for N meningiococcal phx (for contacts)

Back 40

Rifampin

Front 41

DOC for N. meningitis

Back 41

PCN

Front 42

DOC for pneumococcal meningitis
2nd line

Back 42

DOC: PCN
2nd line: ceftriax/vanc
PCN allergy: cloramphenicol

Front 43

DOC for GBS+ mom (so she wont pass it on to baby during birth)

Back 43

DOC: ampicillin/ sulbactum (try to get four hrs of IV rx before birth)

Front 44

DOC for Staph epididmis
2nd line:

Back 44

DOC: Vanc
2nd line: Rifampin

Front 45

DOC for Typhoid fever
(the only salmonella infection, we're supposed to treat)

Back 45

Cipro

Front 46

DOC for Pasturella Multocida (cat BITE)

Back 46

amox + clavulinic acid

Front 47

DOC for tularemia

Back 47

streptomycin (Aminoglycoside)

(should be a tetracycline bc of: vacum The br).... but iduno

Front 48

DOC for Bartonella Henslea (cat scratch fever)

Back 48

macrolide (azythromycin)

(ups lost my Brand new car)

Front 49

S/S campylobacter
DOC:

Back 49

S/S: salmonella with a curved rod
DOC: erythromycin

Front 50

DOC for UTI in preggo
DOC for pyelo in preggo

Back 50

UTI: Amoxacillin or Ampicillin
Pyelo: ceftriaxone

Front 51

If I give a -cillin (bc i think pt has strep throat) and pt gets little red dots all over body, what does that mean?

Back 51

Jarisch- Herexhierner rxn;
pt has EBV, CMV, or syphilis

Front 52

When you add a B-lactamase (clavlinic acid/ sulbactam/ tazobactum) can drugs get staph a. too?

Back 52

yes

Front 53

-cillins with a high Na load

Back 53

Ticacilin, Carbicillin, Pipercillin

Front 54

Transduction

Back 54

in the wild

"transDuce in the wilD"

Front 55

Transformation

Back 55

in the hospital

(transForm in Formal Facilities)

Front 56

Conjugation

Back 56

dont pick if you dont see the word "pilli"

Front 57

DOC for propionobacterium acne (gm positive anaerobe)

Back 57

Oxy-5, Oxy-10 (O2 is anaerobes worst nightmare)
abx: minocycline (vAcum), clindamycin (anaerobes above the diaphragm), erythromycin,
retinoic acid

Front 58

DOC for staph saprophyticus

Back 58

PCN

Front 59

Which Abx must be taken on an empty stomach?

Back 59

Quinolones, Tetracyclines

Front 60

Abx that turn skin red

Back 60

Neomycin, Vancomycin

Front 61

Drugs that can erode esophagus, so sit up for 30 minutes after taking, and drink water

Back 61

tetracyclines, bisphsophonates, KCl, Fe (iron)

Front 62

Phx for blindness by Chlamydia Trachomatis in neonates

Back 62

erythromycin

Front 63

DOC for leprosy

Back 63

dapsone/ clofazimine/ rifampin x6-24 mo's

Front 64

Dermatitis herpitiformis
assoc w/
DOC

Back 64

assoc w/ celiac spru
DOC dapsone

Front 65

DOC for Nocardia
phx

Back 65

DOC: Trim/Sulfa
Phx: Trim/Sulfa

Front 66

necrotic pancreatitis

Back 66

ampicillin, gentamycin, metronidaozole

Front 67

DOC for Cdiff

Back 67

1st line: po metronidazole
2nd line: po vanc
34d line: IV metro

Front 68

DOC for entameoba histolytica

Back 68

metronidazole

Front 69

DOC for EHEC

Back 69

NONE! Avoid abx and antidiarrheal (BOLD) therapy!

Front 70

2 indications to treat salmonella

Back 70

1) typhoid fever
2) infection in Sickle Cell pt

Front 71

DOC for Salmonella in
1) typhoid fever
2) Sickle Cell pt

Back 71

1) cipro
2) po quinolone OR TMP-SMX

Front 72

DOC for Shigella

Back 72

TMP-SMX

Front 73

empiric rx for Giardia

Back 73

metronidazole

Front 74

Diverticulitis

Back 74

broad spec w
metro/floroquinolone OR
metro/ 2nd or 3rd gen ceph

Front 75

DOC for actinomyces

Back 75

high dose PCN for 6-12 wks

Front 76

rx for mucormycosis (Rhizopus)

Back 76

Amphotericin B (bc its a fungus in blood system)

Front 77

DOC for strep pharyngitis

Back 77

Erythromycin is amongst first line

Front 78

DOC for acute pyelo

Back 78

fluoroquinolone or ceftriaxone

Front 79

DOC for human bite

Back 79

amox- clav (same as cat bite!)

Front 80

regimen for Diptheria

Back 80

give in this order
1st: antitoxin
2nd: PCN or erythromycin
3rd: DPT vaccine

Front 81

DOC for erlichosis

Back 81

Doxy

Front 82

DOC for Rocky MSF
DOC in preggo

Back 82

DOC: Doxy
Preggo: chloramphenicol

Front 83

Rx for Spontaneous Bacterial Perotinitis

Back 83

IV 3rd gen ceph

Front 84

things in GI that need broad spec abx

Back 84

1) diverticuLITIS (after NPO, and NGT)
2) mesenteric ischemia
3) ischemic colitis

Front 85

rx for tropical sprue

Back 85

erythromycin

Front 86

what are broad spec abx

Back 86

metro/ fluro
metro/ 2nd or 3rd gen ceph

Front 87

Dx for phx in Cheidak Higashi

Back 87

Trim Sulfa and vitamin C

Front 88

rx for nail puncture wound osteomyelitis (pseudomonas)

Back 88

quinolone (cipro)

Front 89

which anti-psuedo drug is CI in kids?
why?

Back 89

Cipro
-causes cartilage damage and growth retardation

Front 90

phx for kids with CGDz

Back 90

daily TMP/SMX and gamma interferon

Front 91

DOC for epicglotitis?

Back 91

intubate and cefotax or cetriax