ID 2

Question 1

MCCs of mycotic (infected) AAA

Answer 1

staph

salmonella

Question 2

tx CMV retinitis

Answer 2

gancyclovir

foscarnet

Question 3

trypanosoma cruzi

• sxs
• tx

Answer 3

cardiomegaly
RBBB
megaesophagus
megacolon

benznidazole

Question 4

preferred tx for histo, and when to use another med first

Answer 4

itraconazole
first use IV ampho B if 
- fever greater than 39.5
- lab abnormalities
- fungemia

Question 5

indications for varicella IG

Answer 5

if immunocompromised and within 10 days of exposure

Question 6

HIV vaccinations

Answer 6

Tdap

if MSM, Hep A

Question 7

features of neurosyphilis

Answer 7

forgetful
personality change
dysarthria
intention tremor

Question 8

Whipple’s disease symptoms

Answer 8

hyperpigmentation
valve disease
steatorrhea
myoclonus
supranuclear ophthalmoplegia
arthralgias

Question 9

chloroquine resistant areas (subsaharan Africa, south and southeast Asia).. tx with

Answer 9

doxycycline
mefloquine
atovaquone proguanil

Question 10

tx of P ovale and P vivax (Korean peninsula)

Answer 10

primaquine

Question 11

Reye syndrome is ASA with infection with…

Answer 11

Influenza B
Influenza A
varicella zoster (chicken pox)

Question 12

immunized Hep B, and exposed

Answer 12

reassurance

Question 13

nonimmunized Hep B, and exposed

Answer 13

HBIG + HB vaccine

Question 14

non pregnant with PCN allergy and syphilis

Answer 14

doxycycline

if pregnant, desensitize then PCN

Question 15

most common bad causes of brain abscesses

Answer 15

strep viridans and anaerobes

Question 16

indications for corticosteroid use in PCP

Answer 16

PaO2 less than or equal to 70 mmHg

A-a gradient greater than or equal to 35 mmHg

Question 17

skin rash of mycoplasma pneumoniae

Answer 17

erythema multiform

Question 18

tx of bac meningitis in immunocompromised (including transplants)

Answer 18

vanc
cefepime
ampicillin
dexamethasone

Question 19

prophylaxis for chronic granulomatous disease patients

Answer 19

TMP-SMX and itraconazole

Question 20

required vaccination if going to mecca

Answer 20

meningococcal

Question 21

pos PPD but neg cxr - tx in HIV pt

Answer 21

INH and pyridoxine 9 months

Question 22

extrahepatic manifestations of Hep C

Answer 22

essential mixed cryoglobulinemia
porphyria cutanea tarda
MPGN

Question 23

C diff management

Answer 23

if WBC less than 15,000 - oral metronidazole
if WBC 15-20,000 - oral vanc
if WBC greater than 20,000 - surgery

Question 24

pt has PID. should also test for

Answer 24

HIV
RPR
Hep B
pap smear

Question 25

HIV screening test

Answer 25

HIV p24 Ag AND HIV Ab

Question 26

Ramsay Hunt syndrome

Answer 26

herpes zoster affecting auditory canal and auricle, and has facial nerve palsy

Question 27

recurrent infxns with catalase pos organisms

• dx
• how to dx

Answer 27

chronic granulomatous disease

nitroblue tetrazolium
dihydrorhodamine 123

Question 28

tx of scabies

Answer 28

permethrin or ivermectin