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58 Cards in this Set
- Front
- Back
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treatment for PML in HIV pos patients?
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HAART
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what is the complication of diptheria antitoxin?
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anaphylaxis
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treatment for gonorrhea/chlamydia?
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1. ceftriaxone IM
2. doxycycline 7 days or azithromycin 1 dose |
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treatment of hemophilus ducreyi?
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ceftriaxone IM or azithromycin
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syphilis treatment?
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penicillin or doxycycline if allergic
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UTI uncomplicated?
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1. bactrim 3 days
2. cipro/levo 3 days 3. nitrofurantoin 5 days |
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UTI complicated?
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1. bactrim 7 days
2. cipro 7 days |
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when do you start HAART?
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1. asymptomatic cd4 <500
2. symptomatic HIV regardless of count 3. pregnant people; 2nd trimester 4. needlestick after Positive HIV |
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what combo is in HAART?
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1. tenofovir + emtricitabine +efavirenz
2. zidovuidine +lamivudine + efavirenz 3. zidovudine + lamivudine + ritonavir/lopinavir |
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Side effect of NRTI's like zido and lamivudine?
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1. lactic acidosis
2. steven johnson |
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side effect of zidovudine?
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anemia
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what do you do after needlestick?
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1 month of prophylaxis haart
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at what cd4 count do you suspect MAI?
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<50.. treat with clarithromycin; ppx with azithromycin
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what prophylaxis do you use for PCP and what levels?
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cd4<200; bactrim >> dapsone, atavaqone (check g6pd)
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treatment for toxoplasmosis?
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1. pyrimethamine
2. sulfadiazine 2 week treatment with repeat CT scan |
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CMV counts and treatment?
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1. gancyclovir
2. foscarnet <50 CD4 |
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cryptococcus?
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CD4 <50; treat with amphotercin IV, followed by flucanozole
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PML?
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treat with HAART
CD4 <50 |
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what are all the things you worry about for CD4 counts less than 50?
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1. MAI
2. CMV 3. PML 4. cryptococcus |
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MEN1
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parathyroid, pituitary, pancreas
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MEN 2
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medullary thryoid, pheo, parathyroid
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when is the serum a unit increased in thyroid stuff?
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TSH secreting pituitary adenoma
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indications for parathyroidectomy
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1. all symptomatic patients
2. serum calcium 1 above accepted normal 3. crcl <60 4. t score <2.5 5. age <50 |
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antidote to alcohol or ethelene glycol?
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fomepizil
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antidote to benzo?
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flumezanil
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abx that cover pseudomonas?
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1. ceftazadime
2. cefepime 3. gentamycin 4. tobramycin 5. amikacin 6. aztreonam 7. meropenem 8. imipenem 9. zosyn |
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abx that cover MRSA?
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1. vanco
2. linezolid 3. pristinamycin (quinopristin/dalfopristin) 4. tigecycline |
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abx contraindicated in pregnancy?
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1. quinolones
2. bactrim 3. tetracycline 4. aminoglycosides |
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what special things does doxy cover?
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1. lymphogranulo
2. granuloma inguinale 3. lyme if >8 4. RMSF regardless of age 5. q fever |
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what is the go to drug for Listeria?
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all aminoglycosides
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what are the aminoglycosides?
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1. gentamycin
2. amikacin 3. tobramycin 4. aztreonam |
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what are the macrolides?
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1. erythromcyin
2. azithromycin 3. clarithromycin 4. prisinomycin |
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what are you dmard choices?
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1. methrotrexate
2. bilogical agents (inflixamab, adalimumab, etanercept) 3. hydroxychloroquine 4. sulfasalazine |
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what is the marker for: anti CCP
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rheumatoid arthritis (95 specific)
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what is feltys?
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RA + neutropenia + splenomegaly
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what are the seronegative spondyloarthropathies?
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1. ankylosing spondylitis
2. reactive arthritis 3. psoriatic arthritis 4. juvenile rheumatoid arthritis (audlt onset stills ) |
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treatment for ankylosing spondylitis?
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1. nsaid
2. sulfasalazine 3. biologics |
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what are the 11 diagnostic things of lupus?
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1. malar rash
2. photosensitivity 3. oral ulcers 4. discoid 5. arthralgias 6. blood problem 7. renal 8. cerebral 9. serositis (pleuritis, pericarditisi) 10. ANA 11. antidsdna |
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dsDNA?
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lupus flair
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anti smith?
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lupus
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antihistone?
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drug induced lupus
(hydralazine, procainamide, isoniazid) |
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antiro/ssa?
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sjogrens
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anti-la/ssb?
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sjogrens
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anti SCL 70?
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scleroderma, generalized.. not present in crest
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anticentromere?
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crest
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anti JO1?
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polymyositis, dermatomyositis
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treatment for pagets disease?
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bisphosphonates and calcitonin
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what markers for pernicious anemia?
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anti-intrinsic
anti- parietal |
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philadelphia chromosome?
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CML
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staging of a lymphoma?
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1. singly lymph node
2. two lymph nodes on same side of diaphragm 3. lymph node involvement on both sides of the diaphragm 4. widespread |
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what are the different hemophilias?
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8,9,11,12
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what is terbanifine used for?
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onychomycosis
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what do you use capsofungin, mycofungin for?
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"medium infections"; candidemia, invasive candidiasis; esophagial candidiasis.. use this to avoid stepping up to ampho b
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what are the ampho B indications?
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1. cryptococcal meningitis
2. mucormycosis 3. fungal pna 4. immunosuppressed 5. disseminated infections |
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what are the topical fungals? systemic fungals? which does both?
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1. TOPICAL: clotrimazole, ketoconazole
2. SYSTEMIC: itraconozole, voriconozole 3. BOTH: fluconazole |
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what is the drug for aspergillosis?
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voriconazole
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what is the drug for cryptococcal ppx?
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fluconazole
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what is the drug for dermatophis. onychomycois
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itraconazole
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