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COMLEX LEVEL 2 Complete (Original)
Exam Study Guide.
First line treatment for Impetigo
Leukocytosis w/ left shift indicates? - Answers✔Dicloxacillin
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 - Answers✔Fluoroquinolon, Ciprofloxacin
Cephalexin
Topical steroid
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TMP-SMX
Difference between HIB and Influenzae
What's the pnuemococcal vaccine for? - Answers✔HIB
- 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 - Answers✔1) H. Influenzae
2) N. Gonorrhea
3) Mycoplasma
4) Legionella
Stains
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1) PAS
2) India ink
3) Silver Stain - Answers✔1) Whipple diseae
2) C. neoformans
3) Fungi (e.g., Pneumocystis), Legionella,
Helicobacter pylori
___ antibiotics have better coverage than any other class
List them - Answers✔Beta-Lactam
Penicillin, Cephalosporins, carbapenems, aztreonam
Which bacteria are covered by Amoxicillin - Answers✔HELPS
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 - Answers✔Gram (-)
• Cholecystitis and ascending cholangitis
• Pyelonephritis
• Bacteremia
-All stuff that can climb up a tract
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• 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? - Answers✔3rd 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. - Answers✔Fluoroquinolones
(Ciprofloxacin, Gemifloxacin, Levofloxacin, Moxifloxacin)
* Macrolides and doxycycline also used
Ciprofloxacin
Moxifloxacin