ID 4

Question 1

All immunocompromised pts w/ pulm crypto should have cultures and Ag testing of blood and _____.

Answer 1

CSF

Question 2

Tx for mild pulmonary cryptococcosis

Answer 2

fluconazole for 6 months

Question 3

Tx for severe or disseminated crytococcosis

Answer 3

amphotericin B + flucytosine, followed by fluconazole

Question 4

Difference in culturing Nocardia and Actinomyces

Answer 4

Nocardia is aerobic, Actinomyces is anaerobic

Question 5

Penicillin alternative for Actinomyces

Answer 5

ceftriaxone

Question 6

Tx for mild-moderate bronchiectatic, non-cavitary MAC

Answer 6

Azithro, Ethambutol, & Rifampin 3x/week

Question 7

Tx for severe bronchiectatic or cavitary MAC

Answer 7

Azithro, Ethambutol, & Rifampin daily

Question 8

Recommended pneumococcal vaccination for immunocompetent adults >65

Answer 8

just PPSV23

Question 9

add _____ to pan-susceptible MAC Tx if no conversion in 6 months

Answer 9

Amikacin Liposomal Inhalation Suspension (ALIS)

Question 10

Rx for Echinococcus

Answer 10

albendazole

Question 11

Rx for paragonimiasis

Answer 11

praziquantel

Question 12

Rx for strongyloides

Answer 12

ivermectin

Question 13

Rx for toxoplasmosis

Answer 13

Pyrimethamine & sulfadiazine

Question 14

What do you CALL the new cephalosporin to treat Gram-negative infections resistant to carbapenemase inhibitors?

Answer 14

cefideroCOL

Question 15

Most common extrapulmonary manifestation of Blastomyces

Answer 15

skin lesions