Most Common Bugs And Treatments

Front 1

young patient
pneumonia

Back 1

chlamydia, mycoplasma

Hint 1

erythromycin, clarithromycin

Front 2

atypical, diarrhea, low Na
pneumonia

Back 2

legionella

Hint 2

erythromycin, clarithromycin

Front 3

typical
pneumonia

Back 3

S. pneumoniae, HIB

Hint 3

cephalosporin (2nd or 3rd gen)

Front 4

CF pt, very sick, MICU
pneumonia

Back 4

pseudomonas

Hint 4

pippercillin+cipro or imipenem

Front 5

alcoholic
pneumonia

Back 5

klebsiella

Hint 5

cephalosporin (2nd or 3rd gen)

Front 6

aspiration hospital pt
pneumonia

Back 6

anaerobes

Hint 6

clindamycin +/- cephalosporins

Front 7

runny nose, myalgias
pneumonia

Back 7

viral

Hint 7

chicken soup

Front 8

bloody, low platelet, kidney
diarrhea

Back 8

E. coli

Hint 8

hydration, monitor HCT/platelets (can cause HUS)

Front 9

bloody
diarrhea

Back 9

Shigella

Hint 9

cephalosporin (2nd or 3rd gen)

Front 10

excess abx, pseudomembranous, non-bloody diarrhea

Back 10

C. difficile

Hint 10

metronidazole/vancomycin

Front 11

toxin, non-bloody, quick on/off

Back 11

food poisoning

Hint 11

hydration

Front 12

non-bloody, travel

Back 12

amoeba, giardia

Hint 12

hydration (metronidazole?)

Front 13

most common UTI

Back 13

E. coli

Hint 13

TMP-SMX

Front 14

alkaline urine
UTI

Back 14

proteus

Hint 14

TMP-SMX or cipro

Front 15

asx, VRE
UTI

Back 15

enterococccus

Hint 15

ampicillin

Front 16

young sex active female
2nd most common UTI

Back 16

staph saprophyticus

Hint 16

ampicillin

Front 17

pus, diplococci inside PMNs
STD

Back 17

N. gonorrhoea

Hint 17

ceftriaxone

Front 18

watery d/c, requires gene probe
STD

Back 18

chlamydia

Hint 18

erythromycin or doxycycline (not to preg)

Front 19

whiff test, clue cells
STD

Back 19

Gardnerella

Hint 19

metronidazole (also tx partner)

Front 20

painless ulcers, treponema pallidum
STD

Back 20

syphilis

Hint 20

penicillin

Front 21

flagellated movement, copious d/c
STD

Back 21

trichomonas

Hint 21

metronidazole (protozoa, GET on the METRO)

Front 22

tropical vacation, painful ulcers

Back 22

H. ducreyi

Hint 22

ceftriaxone

Front 23

warts
STD

Back 23

HPV

Hint 23

excision

Front 24

dental work

Back 24

S. viridans

Hint 24

penicillin

Front 25

IVDA
endocarditis

Back 25

S. aureus

Hint 25

oxacillin/nafcillin, vancomycin if MRSA

Front 26

very sick diabetes, IVDU

Back 26

pseudomonas

Hint 26

pippercillin/tazobactam, Cipro

Front 27

UTI, subacute endocarditis

Back 27

enterococcus

Hint 27

ampicillin

Front 28

IVDU, diabetic foot infection
osteomyelitis

Back 28

S. aureus

Hint 28

oxacillin/nafcillin, vancomycin if MRSA

Front 29

sickle cell patients
osteomyelitis

Back 29

salmonella

Hint 29

cephalosporins

Front 30

IVDU, cancer pt, diabetes
osteomyelitis

Back 30

pseudomonas

Hint 30

pippercillin/tazobactam, cipro

Front 31

patient with TB
osteomyelitis

Back 31

TB

Hint 31

RIPES

Front 32

cat/dog bite
osteomyelitis

Back 32

pasteurella

Hint 32

cephalosporins

Front 33

pharyngitis--kids

Back 33

S. pyogenes
HIB
S. pneumoniae

Hint 33

amoxicillin

Front 34

pharyngitis--kissing, teenagers, big spleen

Back 34

mono (EBV)

Hint 34

supportive

Front 35

Lyme's disease

Back 35

borrelia burgdorferi

Hint 35

amoxicillin, doxycycline, or ceftriaxone

Front 36

meningitis--neonates

Back 36

group B strep
E. coli
Listeria

Hint 36

ceftriaxone + ampicillin (for listeria)

Front 37

meningitis--kids

Back 37

HIB (rare)
S. pneumoniae
N. meningitides

Hint 37

ceftriaxone

Front 38

meningitis--adults

Back 38

N. meningitides
S. pneumoniae

Hint 38

ceftriaxone

Front 39

meningitis--elderly

Back 39

N. meningitides
S. pneumoniae
Listeria

Hint 39

ceftriaxone + ampicillin (for listeria)

Front 40

encephalitis
temporal lobe bleed, seizure

Back 40

HSV

Hint 40

acyclovir

Front 41

encephalitis
AIDS, cancer pt, focal lesion

Back 41

toxo

Hint 41

pyrimethamine

Front 42

encephalitis
diffuse atrophy
dementia

Back 42

HIV
arboviruses

Hint 42

HAART
no good Rx (arboviruses)

Front 43

HIV pt--S. pneumoniae infection

Back 43

ampicillin

Front 44

HIV pt--Pseudomonas

Back 44

pippercillin/tazobactam

Front 45

HIV pt--TB (pneumo, osteo, mening)

Back 45

RIPES

Front 46

HIV pt--viral
encephalopathy
multi organ failure

Back 46

HIV

Hint 46

HAART (2NRT+1 PI)

Front 47

HIV pt--viral
warts

Back 47

HPV

Hint 47

excision

Front 48

HIV pt--viral
genital ulcers, temporal lobe bleeding

Back 48

HSV

Hint 48

acyclovir

Front 49

HIV pt--viral
retinitis (predominantly)
pneumonia

Back 49

CMV

Hint 49

gancyclovir/focarset

Front 50

HIV pt--viral
lymphoma

Back 50

EBV

Hint 50

supportive + XRT

Front 51

HIV pt--fungal
meninigitis

Back 51

cryptococcus

Hint 51

amphotericin B

Front 52

HIV pt--fungal
thrush, esophagitis

Back 52

candida

Hint 52

nystatin ("swish and swallow")
fluconazole

Front 53

HIV pt--fungal
pneumonia

Back 53

histo
PCP

Hint 53

fluconazole (histo)
TMP-SMX (PCP)

Front 54

HIV pt--parasites
diarrhea

Back 54

cryptosporidium

Front 55

HIV pt--parasites
brain abscess

Back 55

toxo

Hint 55

pyramethamine

Front 56

HIV pt--parasites
diarrhea

Back 56

giardia/amoeba

Hint 56

metronidazole