ID

Question 1

Which vaccine is contraindicated in egg allergic patients?

Answer 1

Yellow fever

Rabies and tick borne encaphalitis with caution

Question 2

What is hepatitis A prophylaxis?

Answer 2

<2 weeks from exposure Hep A vaccine

Hep A Ig if <1yo or immunocompromised

Question 3

Which bacteria are shown to benefit from dexamethasone therapy in meningitis?

Answer 3

1. S pneumoniae

2. Hib

Question 4

What is the leading cause of HIV in women in Canada?

Answer 4

Heterosexual exposure

Question 5

What are the complications of neonatal gonococcal eye infection?

Answer 5

1. Corneal ulceration
2. Perforation of globe
3. Permanent visual impairment

Question 6

What is the most common cause of acute cervical LAD?

Answer 6

Staph aureus

Question 7

What is the most common cause of chronic cervical LAD?

Answer 7

1. Non-TB mycobacterium

2. B henselae

Question 8

What is the most common organism in febrile neutropenia?

Answer 8

Gram positive organisms

Question 9

What is the prophylaxis for pertussis?

Answer 9

Macrolide to all household and close contacts even if immunized

Question 10

Which neonates should receive VZIG?

Answer 10

1. Neonates whose mothers develop varicella 5d prior or 2d after delivery
2. Infants <28 wks with mother w/ active varicella @ delivery

Question 11

Which neonates require acyclovir therapy for chicken pox exposure?

Answer 11

Those with rash

Question 12

What percentage of children with active TB are PPD negative?

Answer 12

10%

Question 13

What is the prophylaxis for immunocompromised patients with chickenpox exposure?

Answer 13

VZIG w/in 96h

If no VZIG vaccine within 3d and acyclovir x 7d

Question 14

What is the classic triad of visceral larva migrans (toxocariasis)?

Answer 14

1. Eosinophilia
2. Fever
3. Hepatomegaly

Question 15

What is Caffey disease?

Answer 15

Hyperostosis w/ inflammation of contiguous fascia and muscle, 75% affecting mandible presenting in infancy

Question 16

What is the prophylaxis for neisseria meningitidis?

Answer 16

Rifampin

Question 17

What are the contraindications to breastfeeding?

Answer 17

1. Galactosemia
2. Maternal HIV
3. Maternal T cell lymphotrophic virus type I or II
4. Maternal brucellosis
   Relative
5. Maternal active TB (no BF x 2wks, can give EBM)
6. Mastitis (if obvious pus pump and discard)
7. Maternal high dose metronidazole x 12-24h
8. Maternal primaquine and quinine in G6PD def

Question 18

What are Pastia’s lines associated with?

Answer 18

Scarlet fever (strep)

Question 19

Why do you treat Salmonella bacteremia in children <3mo?

Answer 19

To prevent meningitis

Question 20

What is the distinctive laboratory finding in Chlamydia pneumonia of infancy?

Answer 20

Eosinophilia

Question 21

What is the only proven treatment for measles in immunocompromised patients?

Answer 21

Vitamin A

Question 22

What is the most likely cause of SBP in nephrotic syndrome?

Answer 22

Strep pneumo

Question 23

What is the highest infection risk for transfusion?

Answer 23

Parvovirus

Hep B is second 1 in 1.1-1.7 million

Question 24

What is the organism for Lyme disease?

Answer 24

Borrelia burgodorferi

Question 25

What is the treatment for pinworms?

Answer 25

Albendazole 400mg PO q2wks x 2 doses