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55 Cards in this Set

  • Front
  • Back
What is the most common cause of community acquired pneumonia?
Strep. pneumoniae
What organism commonly causes CAP in elderly pts with existing COPD or lung disease?
Haemophilus influenzae
What organism causes CAP in IV drug abusers or elderly in care facilities?
Staph aureus
What is the most common atypical organism that causes CAP?
Mycoplasma pneumonia
What is the first line treatment for CAP
Azithromycin or Doxycycline
Which macrolide is ineffective against H. influenzae?
erythromycin
What abx are given to a patient with CAP who received abx within the last 3 months?
Levofloxacin
or
Moxifloxacin
Which quinolone is effective against P. aeruginosa?
Ciprofloxacin
Which abx are contraindicated in children < 18 y.o. or pregnant females?
quinolones
Which abx for CAP cause prolongation of the Qt interval?
macrolides
quinolones
What is the most likely causative organism in a UTI?
E. coli
What is the first line treatment for a UTI?
Ciprofloxacin
or
Bactrim
What gram negatives organisms cause UTIs?
E. coli
proteus
Klebsiella
Enterobacter
What gram positive organisms cause UTIs?
Staph. saprophyticus
Enterococcus
What is the treatment for bacterial vaginosis?
Metronidazole
What is a major limiting factor of quinolone use?
resistance
What is a serious side effect associated with sulfa drugs like bactrim?
stevens-johnson syndrome
What dose of azithromycin is used to treat CAP?
500 mg on day one, then 250 mg on days 2-5
What dose of Doxycycline is used to treat CAP?
100 mg q 12 hrs
What dose of levofloxacin is used to treat CAP?
750 mg q 24 hrs
What dose of Moxifloxacin is used to treat CAP?
400 mg q 24 hrs
What dose of ciprofloxacin is used to treat a UTI?
500 mg BID X 3 days
What dose of metronidazole is used to treat bacterial vaginosis?
500 mg BID X 7 days
What is the most common bacteria that causes otitis media?
Moraxella catarrahalis
What is the first line therapy for a case of otitis media?
amoxicillin
What is an alternative treatment for otitis media in pt with penicillin allergy?
azithromycin
biaxin
bactrim
What dose of amoxicillin is given for otitis media?
80-90 mg/kg per day
What is first line therapy for a high risk case of OM?
( age <2yrs, fever >39, recurrent)
Augmentin
What is a first generation cephalosporin?
cephalexin (keflex)
What are the 2nd gen. cephalosporins?
cefaclor (ceclor)
cefuroxime axetil (ceftin)
What is a third generation cephalosporin?
ceftriaxone
What is a 4th generation cephalosporin?
cefepime (maxipime)
What is the first line treatment for gonorrhea or chlamydia?
Doxycycline 100 mg BID X 7 d

Azithromycin 1 g single dose
What tetracycline is preferred for mrsa infections?
minocycline
What are the two antiviral drugs used to treat H1N1 flu?
oseltamavir
zanamivir
What antivirals are used to treat herpes simplex and herpes zoster?
acyclovir
valacyclovir (converted to acyclovir)
Famciclovir (converted to penciclovir)
Penciclovir
What dose of acyclovir is used to treat the first episode of genital herpes?
400 mg tid X 7-10 d
or
200 mg 5 times a day X 7-10 d
What antivirals are used to treat primary ocular herpes?
Trifluridine drops
Vidarabine ointment
Acyclovir PO
What are the antivirals used most often to treat HepB?
Interferon alfa
Lamivudine
Tenofovir
What antivirals are used to treat Hep C?
Pegylated interferon alfa
Ribavirin
What immune response modifiers are used to treat HPV?
imiquimod
interferon alfa
What antiproliferative drugs are used to treat HPV?
podofilox
podophyllin
5FU
What chemodestructive or keratolytic drugs are used to treat HPV?
salicylic acid
trichloroacetic acid
bichloroacetic acid
What are the three main medical regiments used to treat HIV?
1 NNRT + 2 NRTIs
or
1 PI + 2 NRTIs
or
3 NRTIs
What NNRTI causes birth defects?
Efavirenz (EFV)
What screening detects a hypersensitivity to abacavir?
HLA-B 5701
What drugs are classified as antifungal polyenes?
natamycin
nystatin
amphotericin B
What topical antifungals are used for candidal onychomycosis?
Ciclopirox olamine (Penlac)
Sodium pyrithione
Propylene glycol-urea-lactic acid
What systemic antifungals are used to treat candidal onychomycosis?
Fluconazole
Terbinafine
What drug treat vulvovaginal candidiasis?
fluconazole
What drug treats mucotaneous candidiasis?
fluconazole or itraconazole solution
What drug treats histoplasmosis?
Itraconazole
What drug treats coccidioidomycosis?
amphotericin B
What drugs treat cryptococcosis?
Amphotericin B
followed by
Fluconazole
What drugs are used to treat blastomycosis?
itraconazole

amphotericin B in refractory or CNS cases