ID

Question 1

tx of chlamydia conjunctivitis in 10 day old

Answer 1

PO erythromycin

Question 2

positive tuberculin skin test in HIV pt

Answer 2

> 5mm

Question 3

tick disease - abrupt onset of HA, fevers, mylagias, and rigors

Answer 3

ehrlichiosis

Question 4

HIV coinfections with what

Answer 4

ulcer causing lesions - ie syphilis

Question 5

patient at highest risk for west nile CNS infection

Answer 5

advanced age

Question 6

what children do you give flu antivirals to?

Answer 6

anyone <6mo if sibling with positive test, pt with high risk factors (eg asthma)

Question 7

looks like allergic reaction after eating fish, but another person has similar symptoms - dx and tx

Answer 7

scromboid - benadryl

Question 8

lyme disease tx in children

Answer 8

still doxy

Question 9

what tick carries RMSF?

Answer 9

dermacentor spp

Question 10

person has fever after out of the country travel - what is the most severe disease needed to rule out?

Answer 10

malaria

Question 11

undercooked poultry, infection dx and tx

Answer 11

campylobacter, tx with cipro

Question 12

HIV pt, has fever, night sweats, weight loss, diarrhea - dx and tx

Answer 12

mycobacterium avium complex - clarithromycin, rifampin, ethambutol

Question 13

pregnant burn patient - tetanus?

Answer 13

tetanus toxid and IG

Question 14

OD of dextromethorphan can cause

Answer 14

serotonin syndrome

Question 15

transfer to burn city for

Answer 15

any full thickness burns

Question 16

two lab findings for hookworm infection

Answer 16

microcytic anemia and marked eosinophilia

Question 17

fulminant bacteremia after dog bite is caused by what bug

Answer 17

Capnocytophaga canimorsus, a gram-negative rod

Question 18

ocular manifestation of lyme

Answer 18

keratitis

Question 19

beefy red genital ulcer, painless

Answer 19

granuloma inguinale

Question 20

adenopathy and skin ulcers, rodents

Answer 20

tularemia

Question 21

malaria P falciparum is the ____ and risk having

Answer 21

deadliest and chloroquine resistance

Question 22

treatment of most complicated malaria

Answer 22

artesunate

Question 23

prevent recrudescent disease of malaria in ovale and vivax

Answer 23

primaquine

Question 24

acute uncomplicated malaria tx

Answer 24

chloroquine phosphate

Question 25

PO antibiotics with MRSA coverage

Answer 25

doxy, bactrim, clinda, linezolid

Question 26

which stage of HIV has highest infectivity

Answer 26

acute infection

Question 27

tx systemic toxoplasmosis in nonpregnant immunocompetent patient

Answer 27

pyrimethamine plus clinda and leucovorin for 2 weeks

Question 28

HIV patient with diarrhea illness, dx and tx

Answer 28

MAC tx with azithro, rifabutin and ethambutol

Question 29

infection associated with development of adult onset asthma

Answer 29

chlamydia pneumonia

Question 30

impetigo or pharyngitis, then several weeks later

Answer 30

PSGN

Question 31

test to confirm dx of secondary syphilis

Answer 31

fluorescent treponemal antibody absorption

Question 32

tx acute bacterial suppertive parotitis

Answer 32

ampicillin sulbactam

Question 33

zidovudine (AZT) side effect

Answer 33

bone marrow suppression, macrocytic anemia

Question 34

efaverinz side effect

Answer 34

psychosis

Question 35

nelfinavir side effect

Answer 35

diarrhea

Question 36

didanosine side effect

Answer 36

pancreatitis and lactic acidosis

Question 37

primary CNS lymphoma in HIV pt, associated with what infection

Answer 37

EBV

Question 38

HIV patient presents with a gradual onset of headache, fever, emesis, and confusion in the absence of frank meningismus and a normal non-contrast head CT.

Answer 38

cryptococcus

Question 39

cryptococcal meningitis LP

Answer 39

increased opening pressure

Question 40

fevers, arthralgias, cough, weight loss, and rash in the context of living in California, then develops erythema nodosum

Answer 40

Valley Fever - coccidomycosis

Question 41

descending weakness in an IV drug user

Answer 41

wound botulism

Question 42

painless rash, no other symptoms, bleeds when scrubbed

Answer 42

kaposi