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Infectious disease conditions flashcards

Study the cards, then practice on the patient.

Twenty flashcards on common infections: key symptoms, signs, tests and first treatment.

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20 cards
Sepsis: key first-hour actions?
Lactate, blood cultures, broad antibiotics, 30 mL/kg crystalloid if hypotensive or lactate 4 or higher.
Expanding red target rash after a tick bite?
Erythema migrans of Lyme disease.
Early Lyme disease treatment in adults?
Doxycycline.
Fever, headache and rash starting on wrists and ankles after a tick bite?
Rocky Mountain spotted fever; give doxycycline.
Painless genital ulcer with firm edges?
Chancre of primary syphilis.
Treatment of primary syphilis?
Benzathine penicillin G 2.4 million units IM once.
Current treatment for uncomplicated gonorrhea?
Ceftriaxone 500 mg IM once.
Treatment of choice for chlamydia?
Doxycycline 100 mg twice daily for 7 days.
Grouped painful vesicles on the genitals?
Genital herpes; treat with valacyclovir or acyclovir.
Recommended HIV screening test?
Fourth-generation HIV-1/2 antigen/antibody test.
CD4 level to start Pneumocystis prophylaxis?
Below 200 cells/microL; give TMP-SMX.
Diarrhea after recent antibiotics: test?
C. difficile toxin or PCR test.
First-line treatment of C. difficile infection?
Oral fidaxomicin or oral vancomycin.
Teen with fever, sore throat, posterior nodes and big spleen?
Infectious mononucleosis (EBV).
Mononucleosis: rash after which antibiotic?
Amoxicillin or ampicillin.
Cough, coryza, conjunctivitis, then rash and Koplik spots?
Measles.
Cyclic fever after travel to Africa: test?
Thick and thin blood smears for malaria.
Bite from a possibly rabid animal in an unvaccinated patient?
Wash the wound, give rabies immune globulin and the vaccine series.
Child with night-time anal itching and positive tape test?
Pinworms; treat with albendazole or pyrantel pamoate.
Descending flaccid paralysis after home-canned food?
Botulism; give antitoxin.