Power-horse Library

most common notifiable STI - ANSWER Chlamydia Untreated chlamydia can lead to - ANSWER PID and infertility incubation period for chlamydia - ANSWER 7-21 days Most common site of infection for chlamydia - ANSWER Cervix 75-80% Women with chlamydia may develop - ANSWER Urethritis cervicitis PID infertility ectopic pregnancy chronic pelvic pain Preferred testing for chlamydia - ANSWER Nucleic acid amplification tests (NAATs) Chlamydia treatment - ANSWER doxycycline 100 ...

Raloxifene (Evista) and bisphosphonates (alendronate, calcitonin) - ANSWER alternatives for hormone replacement therapy Selective Estrogen Receptor Modulators (SERMs) - ANSWER Tamoxifen, toremifene, raloxifene -- provide estrogen benefits while avoiding its drawbacks Dysfunctional uterine bleeding - ANSWER 10-14 day course of progestin Amenorrhea treatment - ANSWER progestin helps induce menstrual flow Amenorrhea estrogen levels are low - ANSWER give progestin for 5-10 days L...

Indication for Azithromycin - ANSWER antibiotic for bacterial infections Use for Azithromycin - ANSWER Macrolide Antibiotic used for uncomplicated urethral, cervical, or rectal infections in adults or adolescents such as: Chlamydia, Gonorrhea, Urethritis, Canchroid Indication for Erythromycin - ANSWER Broad spectrum macrolide antibiotic Common adult doses of Erythromycin for Chancroid - ANSWER Erythromycin base, 500 mg PO 3 times/day × 7 days Mycoplasma genitalium Common doses...

Indication for Azithromycin - ANSWER antibiotic for bacterial infections Use for Azithromycin - ANSWER Macrolide Antibiotic used for uncomplicated urethral, cervical, or rectal infections in adults or adolescents such as: Chlamydia, Gonorrhea, Urethritis, Canchroid Uses for Erythromycin - ANSWER bacterial infections such as chlamydial infections (urethritis, cervicitis) and for pneumonia caused by Mycobacterium pneumoniae. prevent conjunctivitis in newborns

Anti-Androgens - ANSWER Finasteride (Propecia) Leuprolide (Eligard, Lupron, Lupron Depot) Spironolactone (Aldactone) Finasteride (Propecia, Proscar) - ANSWER blocks conversion of testosterone to dihydrotesterone Used to tx: -BPH -male pattern baldness 3 months of therapy need to see benefits Stopping, reverses effect w/in 12 months Adverse side effects: - Decreased libido -Impotence dutasteride (Avodart) - ANSWER 5-alpha reductase inhibitor used to tx: BPH Can s...

Doxazosin side effects - ANSWER orthostatic hypotension, falls, reflex tachycardia, headache, and nasal congestion Dutasteride patient teaching and response to delayed onset of therapeutic effect - ANSWER o benefits take months to develop o decreased ejaculate volume and libido. o FDA Pregnancy Risk Category X. It can be absorbed through the skin, so pregnant women should not handle the drug. o men should not donate blood while using it or for at least 6 months after stopping it to avoid...

Antibiotic Classes and examples of infectious disease drugs - ANSWER ß-Lactams : penicillins -Penicillin G, V -Nafcillin, oxacillin, dicloxacillin -ampicillin, amoxicillin -piperacillin -combo-amp/sulbactam(unasyn), amox/clav (augmentin), pip/taco (zosyn) B-lactation: cephalosporin -cephalexin (keflex) -cefoxitin (mefoxin) -cefotaxime (claforan) -cefepime (maxipime) -ceftaroline (teflaro) Fluoroquinolones -ciprofloxacin (cipro) -ofloxacin (floxin) -levofloxacin (levaquin) -moxi...

Chlamydia treatment first line drug, dose, route and frequency - ANSWER Doxycycline 100 mg PO BID x 7 days or Azithromycin 1000 mg po once Uncomplicated gonorrhea urethritis treatment - ANSWER ceftriaxone 500 mg IM single dose with or without doxycycline 100 mg 2x days for days Bacterial Vagionosis 1st line Treatment - ANSWER Non pregnant metronidazole 500 mg 2xdays for 7 days pregnant - vaginal metronidazole 2% for 7 days clindamycin 1% for 7 days HSV (herpes simplex virus) 12s...

CAP causative agents - ANSWER strep pneumo, atypical bacteria (mycoplasma pneumo) and viruses (influenza, RSV) most likely pathogen causing CAP in cystic fibrosis - ANSWER psuedomonas aeruginosa Chlamydial pneumo treatment - ANSWER macrolides (azithromycin) then tetracycline and fluoroquinolones when to use narrow spectrum - ANSWER when causative agent is known Renal dose adjustment for sulfonamides crcl <15 - ANSWER stop drug immediately SEVERE penicillin allergy what do you ...

Common CAP pathogens - ANSWER S. Pneumoniae (most common) H. Influenzae (smokers/COPD) P. Aeruginosa (CF) CAP first line treatment - ANSWER Macrolides, Doxycyline, Amoxicillin what to give if 1st CAP treatment doesn't work? - ANSWER Respiratory Fluoroquinolone if not received abx in the past 3 months Mycoplasma pneumoniae - ANSWER atypical pneumonia; commonly seen in children pediatric atypical pneumonia treatment - ANSWER Macrolides (Erythromycin), if failed then Respiratory...