ANP Certification Antibiotics Flash Cards.txt

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ANP Certification Antibiotics Flash Cards.txt
2010-10-26 09:15:35
ANP Certification Antibiotics Flash Cards

ANP Certification Antibiotics Flash Cards
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  1. What Antibiotics are safe in pregnancy?
    Category B: PCN, most Macrolides, Cephalosporins, Sulfas (1st & 2nd Term)
  2. What Macrolide(s) is/are contraindicated in Pregnancy?
    Category C: Clarithromycin (Biaxin) and Erythromycin
  3. When is Sulfa antibiotic safe in pregnancy?
    Only in first and second trimester
  4. What antibiotic classes are Category D?
    Fluoroquinolones, Tetracyclines
  5. What causes otitis externa, what does it involve?
    Pseudomonas bacteria (green pus) external ear
  6. What is Meniere's disease triad?
    Acute vertigo, tinnitus, hearing loss
  7. What causes Rocky Mountain Spotted Fever?
    Tick bite causes pass of spirochete Rickettsia Rickettsii
  8. What is typical skin manifestation of Rocky Mountain Spotted Fever?
    Dark Red/Purple tender Rash that starts at wrist and ankles, soles and palms- spreads centrally to trunk and face
  9. What is the systemic symptoms of Rocky Mountain Spotted Fever?
    Day 1: Myalgia, severe headache, fatigue, n/v and rash then by day 2-3, rash spreads characteristically
  10. What is the treatment for Rocky Mountain Spotted Fever?
  11. What is Early Lyme's disease called?
    Erythema Migrans rash stage
  12. What causes Lyme?
    Deer tick- Ixodes tick- spirochete Borrelia Burgoloferi
  13. What is the treatment for Lyme?
    Doxycycline BID x 2 weeks or Tetracycline x 2 weeks
  14. What test is more accurate in AIDS for measurement of progression?
    Viral Load Test is more accurate than CD4
  15. What is Cd4 count a marker for?
    Provides indirect measurement of state of HIV disease and immunosuppression
  16. PCP prophylaxis?
    Bactrim DS once daily x 10 days
  17. Three most common signs of HIV?
    Fever, fatigue, pharyngitis
  18. What tick infection is noted in Lyme disease?
    Borrelia Burgdorferi a spirochete
  19. How many stages to Lyme disease and what are they?
    Three stages. Stage 1 early localized. Stage 2 early disseminated. Stage 3 late persistent infection.
  20. What is characteristic to Stage 1 Lyme?
    Erythema migrans. Single annular lesion with central clearing. Bullseye rash. Mild-flu like. Resolves 3-4 wks
  21. What is characteristic to Stage 2 lyme?
    Rash with multiple lesions because bacteria spreads systemically causing lesions elsewhere.
  22. What is characteristic to Stage 3 Lyme?
    Neuropsyche, joint pain,
  23. How is Lyme tested for?
    Check IgM and IgG antibodies, ELISA and Western Blot
  24. What do MRSA and DRSP have in common?
    Alternate binding sites in cell make them resistant to abx.
  25. Common organisms associated with cellulitis?
    Gram positive organisms. Staph Aureus and Group A beta-hemolytic strep
  26. Treatment for cellulitis?
    Dicloxacillin TID x 10 days, or a macrolide (azithromycin, clarithromycin)
  27. What antibiotics are stable in the presence of beta lactamase?
    Macrolides, certain cephalosporins (cephalexin, cefadroxil) and synthetic penicillins (dicloxacillin, methicillin, oxicillin, nafcillin)or ADD a beta-lactam to the antibiotic
  28. Lesion appearance in MRSA wound?
    Dark center to lesion
  29. What is the 'Panton- Valentine Leukocidin Toxin' PVL?
    Present in 80% of CAMRSA but rare in HAMRSA.
  30. What is worrisome about the Panton-Valentine Leukocidin Toxin?
    Promotes lysis of human leukocytes and associated severe necrotizing skin infections and hemorrhagic pneumonia