COMLEX LEVEL 2 Complete (Original) Exam Questions With Verified And Updated Answers.

COMLEX LEVEL 2 Complete (Original) Exam Questions With Verified And Updated Answers. First line treatment for Impetigo Leukocytosis w/ left shift indicates? - answerDicloxacillin Followed by Vanc if Beta-lactamase resistant - Excess neutrophils ... essential a bacterial infection Treatment: Hot tub folliculitis Impetigo by strep Contact dermatitis impetigo, abscess and folliculitis by staph - answerFluoroquinolon, Ciprofloxacin Cephalexin Topical steroid TMP-SMX Difference between HIB and Influenzae What's the pnuemococcal vaccine for? - answerHIB - Cause lower respiratory infection - HIB vaccine reduce incidence since 1990s Influenzae - high fever, runny nose, sore throat, muscle pains, headache, coughing, and feeling tired. - Yearly vaccine - Treat w/ neuraminidase inhibitors (oseltamivir and zanamivir) and M2 protein inhibitors (adamantane derivatives). Pneumoccocal vaccine - Protects against S. Pneumoniae Media 1) Chocolate agar 2) Thayer-Martin 3) Eaton agar 4) Charcoal yeast - answer1) H. Influenzae 2) N. Gonorrhea 3) Mycoplasma 4) Legionella Stains 1) PAS 2) India ink 3) Silver Stain - answer1) Whipple diseae 2) C. neoformans 3) Fungi (e.g., Pneumocystis), Legionella, Helicobacter pylori ___ antibiotics have better coverage than any other class List them - answerBeta-Lactam Penicillin, Cephalosporins, carbapenems, aztreonam Which bacteria are covered by Amoxicillin - answerHELPS H --> H. influenzae E --> E. Coli L --> Listeria P --> Proteus S --> Salmonella Piperacillin, ticarcillin, azlocillin, mezlocillin Cover what kind of bacteria What are they useful for - answerGram (-) • Cholecystitis and ascending cholangitis • Pyelonephritis • Bacteremia -All stuff that can climb up a tract • Hospital-acquired and ventilator-associated pneumonia • Neutropenia and fever Ceftriaxone, Cefotaxime, Ceftazidime - What class are these? What is ceftriaxonde first line for? Avoid ceftriaxone in ____ pt. Why? - answer3rd gen cephalosporin - Meningitis - Community-acquired pneumonia (in combination with macrolides) - Gonorrhea - Lyme involving the heart or brain Avoid ceftriaxone in neonates because of impaired biliary metabolism. Best therapy for community-acquired pneumonia, including penicillinresistant pneumococcus Use ___ for cystitis and pyelonephritis. ____ can be used as a single agent for diverticulitis and does not need metronidazole. - answerFluoroquinolones (Ciprofloxacin, Gemifloxacin, Levofloxacin, Moxifloxacin) * Macrolides and doxycycline also used Ciprofloxacin Moxifloxacin Side effect of quinolones - answerBone growth abnormalities in children and pregnant woman