Disease & Defense

Question 1

What is the treatment of postpartum endometritis?

Answer 1

Clindamycin & gentamicin

Question 2

Presentation of trichinellosis

Answer 2

Periorbital edema, myositis, and eosinophilia

Question 3

Presentation of dengue fever

Answer 3

fever, headache, retro-orbital pain, rash, significant myalgia and arthralgia

Question 4

Presentation of typhoid fever

Answer 4

Fever in 1st week of illness, abdominal pain and salmon-colored rash in 2nd week, hepatosplenomegaly with abdominal complications during 3rd week

Question 5

Which antibiotics are associated with photosensitivity?

Answer 5

Tetracyclines

Question 6

Presentation of Chagas

Answer 6

Megacolon, megaesophagus, and cardiac disease (systolic and diastolic heart failure, arrhythmias, and mitral/tricuspid regurgitation)

Question 7

What is the presentation of strongyloides?

Answer 7

dd

Question 8

What are common organisms for pneumonia in HbSS patients?

Answer 8

S. pneumo

Question 9

What are common organisms for osteomyelitis/septic arthritis in HbSS patients?

Answer 9

S. aureus and salmonella

Question 10

What are common organisms for bacteremia/sepsis in HbSS patients?

Answer 10

S. pneumo & H. flu type B

Question 11

What are common organisms for meningitis in HbSS patients?

Answer 11

S. pneumo

Question 12

Presentation of whipple’s disease

Answer 12

Wide spectrum. Joint symptoms (first, by many years), diarrhea, malabsorption, weight loss.

Question 13

What is the management of akathisia?

Answer 13

Reduce dose and treat with beta blocker, benztropine, or benzo

Question 14

What is the ascites fluid cutoff for peritonitis vs no peritonitis?

Answer 14

250

Question 15

Low protein (<2.5g/dL) in ascites fluid indicates what?

Answer 15

Cirrhosis or nephrotic syndrome

Question 16

What is SAAG and how is it interpreted?

Answer 16

Serum-to-ascites albumin gradient. >1.1 indicates portal hypertension. <1.1 indicates no portal HTN.

Question 17

What are the lab findings of hyperemesis gravid arum?

Answer 17

Ketonuria, hypochloremic metabolic alkalosis, hypokalemia, hypoglycemia

Question 18

Presentation of tularemia

Answer 18

dd

Question 19

Presentation of sporotrichosis

Answer 19

dd

Question 20

Presentation of histoplasmosis

Answer 20

Similar to sarcoidosis (cough, hilar adenopathy, erythema nodosum, non-caseating granulomas). Lymphadenopathy, pancytopenia, hepatosplenomegaly.

Question 21

Presentation of blastomyces

Answer 21

Immunocompromised host with skin lesions, osteolytic bone lesions, or prostate involvement

Question 22

Congenital CMV

Answer 22

Chorioretinitis, periventricular calcifications

Question 23

Congenital rubella

Answer 23

Sensorineural hearing loss, cataracts, and PDA

Question 24

Congenital toxoplasmosis

Answer 24

Chorioretinitis, hydrocephalus, and diffuse intracranial calcifications

Question 25

What is the tx of CAP?

Answer 25

Moxifloxacin (po or IV), CTX + azithro, azithro

Question 26

What is the tx of HCAP?

Answer 26

Vanc + zosyn

Question 27

What is the tx of meningitis?

Answer 27

CTX, vanc, +/- steroids, +/- ampicillin if immunocompromised

Question 28

What is the tx of UTI?

Answer 28

Amoxicillin (if pregnant), nitrofurantoin (if female), bactrim (only if no renal failure), CTX (IV), cipro (ambulatory pyelonephritis)

Question 29

What is the tx of cellulitis?

Answer 29

Suspect MRSA. Use vancomycin. Other options include clinda, bactrim