Chap 6 - Infectious Disease

Question 1

Serotonin syndrome presentation?

Answer 1

High fever
Muscle rigidity
Shivering
Myoclonus
Hyperreflexia
Ataxia
Cognitive changes

Question 2

Neuroleptic malignant syndrome presentation?

Answer 2

High fever
Muscle rigidity
Autonomic instability
Diaphoresis
Sialorrhea
Seizures
Cardiac arrhythmias
Rhabdomyolysis (high CK)

Question 3

Characteristics of drug fever?

Answer 3

Patient recently started antibiotic and is now asymptomatic except continues to have fever with unknown cause

Question 4

Associated symptoms with drug fever?

Answer 4

Rash and eosinophilia

Question 5

When to initiate antibiotics for sinusitis?

Answer 5

3 of 4 days with severe symptoms:
Temp >= 39
Purulent drainage
Facial pain

Question 6

What are the Centor criteria?

Answer 6

Temp > 38.1
Tonsillar exudates
Tender cervical lymphadenopathy
Absence of cough

All current guidelines: If >= 2 criteria, do rapid antigen test or throat culture

Question 7

Characteristics of otitis externa?

Answer 7

Tenderness when pulling on tragus or pinna
Pain manifested by jaw motion
Clear tympanic membrane
Exudate in canal

Question 8

Management of otitis media in adults?

Answer 8

Reassurance and observation…NO abx