ALL THE COMSAE Questions and Answers (Verified Answers)

ALL THE COMSAE Questions and Answers (Verified Answers) Neonatal conjunctivitis with onset within 1st day of life - ANSWER -nothing Neonatal conjunctivitis with onset within 2-4 days of life - ANSWER -IV ceftriaxone + PO erythromycin Neonatal conjunctivitis with onset within 3-10 days of life - ANSWER -PO erythromycin Neonatal conjunctivitis with onset within 2-16 days of life - ANSWER -topical antivirals + IV acyclovir Ophthalmia neonatorum prophylaxis - ANSWER -tetracycline ointment or erythromycin ointment Post-antibiotic diarrhea - ANSWER -Metronidazole Travel associated diarrhea - ANSWER -fluoroquinolone or rifaximin -if a child or pregnant: azithromycin Diarrhea prophylaxis during travel - ANSWER -fluoroquinolone + loperamide with first loose stool Mild-moderate diarrhea - ANSWER -fluids + lactose and caffeine free diet -may add anti-diarrheal agents if >4 loose stools/day Severe diarrhea - ANSWER -ciprofloxacin or levofloxacin + metronidazole + lactose and caffeine free diet -Children: trimethoprim-sulfamethoxazole Acute bronchitis - ANSWER -antitussives +/- inhaled beta-2 agonists Anthrax prophylaxis post-exposure - ANSWER -ciprofloxacin or doxycycline + biothrax vaccine Pneumonia <1 months old - ANSWER -ampicillin + gentamicin +/- cefotaxime (+ vancomycin if MRSA) Pneumonia 1-3 months old - ANSWER --erythromycin or azithromycin -febrile: cefotaxime or ceftriaxone Pneumonia >3 months old - 18 years old - ANSWER -ampicillin (if vacc. up to date) or cefotaxime (if vacc. not up to date) +/- azithromycin +/- vancomycin Pneumonia >18 years old - ANSWER -ceftriaxone or ceftaroline + azithromycin Prostatitis <35 years old - ANSWER -ceftriaxone then doxycycline Prostatitis >35 years old - ANSWER -fluoroquinolone or trimethoprim and sulfamethoxazole Sepsis in a neonate - ANSWER -ampcillin + cefotaxime +/- gentamicin Sepsis in a child - ANSWER -vancomycin + cefotaxime or ceftriaxone Sepsis in an adult - ANSWER -any carbapenem or piperacillin-tazobactam + vancomycin Septic shock - ANSWER -DOC for suspected organism + IV fluids + norepinephrine + blood glucose control with target of 140-180 +/- low dose steroids Outpatient UTI - ANSWER -trimethoprim-sulfamthoxazole -nitrofurantoin if allergic Inpatient UTI - ANSWER -ciprofloxacin or levofloxacin Pregnant patient with UTI - ANSWER -nitrofurantoin Human or animal bite - ANSWER -amoxicillin-clavulanic acid + tetanus prophylaxis +/- rabies prophylaxis - + acyclovir if from non-human primate Tetanus prophylaxis - ANSWER --Td + tetanus immune globulin if never vaccinated -Td if >5 years since vaccination -Nothing if <5 years since vaccination/booster Rabies prophylaxis - ANSWER -rabies immune globulin + rabies vaccine -contact with a bat, even without a bite, requires immunization Amantadine - ANSWER -Anti-Parkinsons: Weak NMDA Antagonist, Increases DA release, Blocks DA reuptake Flumazenil - ANSWER -Anti-Benzo Orotic aciduria: Tx - ANSWER -Uridine (UMP) (Pyrimidines) B12 will not help megaloblastic anemia Short Acting Benzos - ANSWER -ATOM Alprazolam, Triazolam, Oxazepam, Midazolam Acute Leukemia - ANSWER ->20% Blasts in Bone Marrow ALL - ANSWER ->20% blasts (+) for terminal deoxynucleotidyl transferase (TdT) (+)PAS AML - ANSWER ->20% Blasts stain (+) myeloperoxidase DIC is a big Risk Factor Tx: Vit A CML v Leukomoid - ANSWER -CML: Basophilia Leukemoid: Leukocyte Alk Phosphatase + Neuroblastoma Labs - ANSWER -Enolase; Bombesin Homovanillic Acid (DA Metabolite) Vanyllylmandelic Acid (NE Metabolite) GFAP v Vimentin - ANSWER -GFAP=Astrocytes Vimentin=Connective Tissue (Vimentin is connectin) Tocolyitcs - ANSWER -ß-Agonists, CCBs, NSAIDs