COMLEX LEVEL 2 Complete (Original) – Questions
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Terms in this set (568)
First line treatment for Dicloxacillin
Impetigo
Followed by Vanc if Beta-lactamase resistant
Leukocytosis w/ left shift
indicates? - Excess neutrophils ... essential a bacterial infection
Treatment: Fluoroquinolon, Ciprofloxacin
Hot tub folliculitis Cephalexin
Impetigo by strep Topical steroid
Contact dermatitis TMP-SMX
impetigo, abscess and
folliculitis by staph
HIB
- Cause lower respiratory infection
- HIB vaccine reduce incidence since 1990s
Influenzae
Difference between HIB - high fever, runny nose, sore throat, muscle pains,
and Influenzae headache, coughing, and feeling tired.
- Yearly vaccine
What's the pnuemococcal - Treat w/ neuraminidase inhibitors (oseltamivir and
vaccine for? zanamivir) and M2 protein inhibitors (adamantane
derivatives).
Pneumoccocal vaccine
- Protects against S. Pneumoniae
,Media 1) H. Influenzae
2) N. Gonorrhea
1) Chocolate agar 3) Mycoplasma
2) Thayer-Martin 4) Legionella
3) Eaton agar
4) Charcoal yeast
Stains 1) Whipple diseae
2) C. neoformans
1) PAS 3) Fungi (e.g., Pneumocystis), Legionella,
2) India ink Helicobacter pylori
3) Silver Stain
___ antibiotics have better Beta-Lactam
coverage than any other
class Penicillin, Cephalosporins, carbapenems, aztreonam
List them
HELPS
H --> H. influenzae
Which bacteria are covered
E --> E. Coli
by Amoxicillin
L --> Listeria
P --> Proteus
S --> Salmonella
Gram (-)
Piperacillin, ticarcillin, • Cholecystitis and ascending cholangitis
azlocillin, mezlocillin • Pyelonephritis
• Bacteremia
Cover what kind of bacteria -All stuff that can climb up a tract
What are they useful for • Hospital-acquired and ventilator-associated
pneumonia
• Neutropenia and fever
, 3rd gen cephalosporin
Ceftriaxone, Cefotaxime,
Ceftazidime
- Meningitis
- What class are these?
- Community-acquired pneumonia (in combination with
macrolides)
What is ceftriaxonde first
- Gonorrhea
line for?
- Lyme involving the heart or brain
Avoid ceftriaxone in ____ pt.
Avoid ceftriaxone in neonates because of impaired
Why?
biliary metabolism.
Best therapy for Fluoroquinolones (Ciprofloxacin, Gemifloxacin,
community-acquired Levofloxacin, Moxifloxacin)
pneumonia, including * Macrolides and doxycycline also used
penicillinresistant
pneumococcus Ciprofloxacin
Use ___ for cystitis and Moxifloxacin
pyelonephritis.
____ can be used as a single
agent for diverticulitis and
does not need
metronidazole.
Bone growth abnormalities in children and pregnant
woman
Side effect of quinolones
Tendonitis and tendon rupture
Treatment for cystitis and Trimethoprim/Sulfamethoxazole
pneumocystis
treatment/prophylaxis Rash
hemolysis in G6PD
Side effects? Bone marrow suppression (folate antagonist)
, All gram (-) and can cause infections of the bowel
What do all these bugs (peritonitis, diverticulitis); urinary tract (pyelonephritis);
have in common together? and liver (cholecystitis, cholangitis).
(E. coli, Klebsiella, Proteus,
Pseudomonas, • Quinolones
Enterobacter, Citrobacter) • Aminoglycosides
• Carbapenems
Treat them w/ (memorize • Piperacillin, ticarcillin
this list) • Aztreonam
• Cephalosporins
Meningitis
Pt w/ fever, headache, neck S. Pneumonia (60%)
stiffness (nuchal rigidity),
and photophobia. LP
- Unless there's possibility of space occupying lesion
Most likely organism (Papilledema, Seizures, Focal neurological
abnormalities, Confusion interfering with the
Best initial test neurological examination)
-In the above case, treat w/ empiric antibiotics first than
Rash shaped like a target do a CT
- TB will have the highest protein concentration (FYI)
Rash moves from arms/legs
to trunk Lyme disease
Rocky mountain spotted fever (Rickettsia)
With Trusted Answers
Save
Terms in this set (568)
First line treatment for Dicloxacillin
Impetigo
Followed by Vanc if Beta-lactamase resistant
Leukocytosis w/ left shift
indicates? - Excess neutrophils ... essential a bacterial infection
Treatment: Fluoroquinolon, Ciprofloxacin
Hot tub folliculitis Cephalexin
Impetigo by strep Topical steroid
Contact dermatitis TMP-SMX
impetigo, abscess and
folliculitis by staph
HIB
- Cause lower respiratory infection
- HIB vaccine reduce incidence since 1990s
Influenzae
Difference between HIB - high fever, runny nose, sore throat, muscle pains,
and Influenzae headache, coughing, and feeling tired.
- Yearly vaccine
What's the pnuemococcal - Treat w/ neuraminidase inhibitors (oseltamivir and
vaccine for? zanamivir) and M2 protein inhibitors (adamantane
derivatives).
Pneumoccocal vaccine
- Protects against S. Pneumoniae
,Media 1) H. Influenzae
2) N. Gonorrhea
1) Chocolate agar 3) Mycoplasma
2) Thayer-Martin 4) Legionella
3) Eaton agar
4) Charcoal yeast
Stains 1) Whipple diseae
2) C. neoformans
1) PAS 3) Fungi (e.g., Pneumocystis), Legionella,
2) India ink Helicobacter pylori
3) Silver Stain
___ antibiotics have better Beta-Lactam
coverage than any other
class Penicillin, Cephalosporins, carbapenems, aztreonam
List them
HELPS
H --> H. influenzae
Which bacteria are covered
E --> E. Coli
by Amoxicillin
L --> Listeria
P --> Proteus
S --> Salmonella
Gram (-)
Piperacillin, ticarcillin, • Cholecystitis and ascending cholangitis
azlocillin, mezlocillin • Pyelonephritis
• Bacteremia
Cover what kind of bacteria -All stuff that can climb up a tract
What are they useful for • Hospital-acquired and ventilator-associated
pneumonia
• Neutropenia and fever
, 3rd gen cephalosporin
Ceftriaxone, Cefotaxime,
Ceftazidime
- Meningitis
- What class are these?
- Community-acquired pneumonia (in combination with
macrolides)
What is ceftriaxonde first
- Gonorrhea
line for?
- Lyme involving the heart or brain
Avoid ceftriaxone in ____ pt.
Avoid ceftriaxone in neonates because of impaired
Why?
biliary metabolism.
Best therapy for Fluoroquinolones (Ciprofloxacin, Gemifloxacin,
community-acquired Levofloxacin, Moxifloxacin)
pneumonia, including * Macrolides and doxycycline also used
penicillinresistant
pneumococcus Ciprofloxacin
Use ___ for cystitis and Moxifloxacin
pyelonephritis.
____ can be used as a single
agent for diverticulitis and
does not need
metronidazole.
Bone growth abnormalities in children and pregnant
woman
Side effect of quinolones
Tendonitis and tendon rupture
Treatment for cystitis and Trimethoprim/Sulfamethoxazole
pneumocystis
treatment/prophylaxis Rash
hemolysis in G6PD
Side effects? Bone marrow suppression (folate antagonist)
, All gram (-) and can cause infections of the bowel
What do all these bugs (peritonitis, diverticulitis); urinary tract (pyelonephritis);
have in common together? and liver (cholecystitis, cholangitis).
(E. coli, Klebsiella, Proteus,
Pseudomonas, • Quinolones
Enterobacter, Citrobacter) • Aminoglycosides
• Carbapenems
Treat them w/ (memorize • Piperacillin, ticarcillin
this list) • Aztreonam
• Cephalosporins
Meningitis
Pt w/ fever, headache, neck S. Pneumonia (60%)
stiffness (nuchal rigidity),
and photophobia. LP
- Unless there's possibility of space occupying lesion
Most likely organism (Papilledema, Seizures, Focal neurological
abnormalities, Confusion interfering with the
Best initial test neurological examination)
-In the above case, treat w/ empiric antibiotics first than
Rash shaped like a target do a CT
- TB will have the highest protein concentration (FYI)
Rash moves from arms/legs
to trunk Lyme disease
Rocky mountain spotted fever (Rickettsia)
