ID

Question 1

Nec Fasc

Answer 1

sever pain out of proportion to exam

crepitus, gas in deep tissue

Question 2

Most common complication of mumps

Answer 2

aseptic meningitis

orchitis also common

Question 3

Alternative rx for syphilis

Answer 3

in severe pcn allergy, use doxycycline

in prego, always PCN

Question 4

When do you do desensitization for syphilis when patient has significant allergy

Answer 4

CNS involvement
Prego
Failed alternatives

Question 5

Empiric rx for strep without testing

Answer 5

Only applies to adults

kids need a proven case

rx: pcn or amoxicillin

Question 6

Time frame for Hep A recovery

Answer 6

most people get better in 3-6 weeks

Question 7

Rx after exposure to a bat

Answer 7

Rabies immune globulin

Rabies vaccine

Question 8

Proper name for bulls eye rash in lyme disease

Answer 8

Erythema Migrans

If you see it, you treat. Don’t need serology for lyme

Question 9

Rx for prego patient w/ syphilis

Answer 9

Penicillin

even if allergic

Question 10

Prophylaxis in HIV patients

Answer 10

200- TMP-SMX- PCP

100-TMP-SMX PCPa and toxo

50 - Azithromycin or clarithromycin MAC

Question 11

Malaria symptoms

Answer 11

chills, fever (>41), and diaphoresis
occurring over 4-6 hours, headache, anemia,
splenomegaly

Question 12

Prophylaxis in HIV patients

CD4 < 200 cells/mm3

Answer 12

TMP-SMX for

Pneumocystis pneumonia

Question 13

When do HIV pts get toxoplasmosis

Answer 13

• CD4 < 100
• prophylaxis should be TMP-SMX
• Rx is sulfadiazine and pyrimethamine

Question 14

Prophylaxis in HIV patients

CD4 < 100 cells/mm3

Answer 14

TMP-SMX for Pneumocystis pneumonia and toxoplasmosis

Question 15

Treatment for measles

Answer 15

Supportive

Vitamin A

Question 16

Prophylaxis in HIV patients

CD4 < 50 cells/mm3

Answer 16

Azithromycin or clarithromycin for Mycobacterium avium complex

Question 17

Malaria testing

Answer 17

Giemsa- or Wright-stained thick and thin blood films

Question 18

__________ is the first-line chemoprophylaxis against chloroquine-resistant
malaria.

Answer 18

Mefloquine

Question 19

Malaria Treatment

Answer 19

Chloroquine- standard

add primaquine- P vivax, P ovale, or an unknovvn

Severe infections- IV quinidine

Question 20

HIV esophagitis

round/ oval ulcer

Answer 20

HSV

Question 21

HIV esophagitis

deep linear ulcer

Answer 21

CMV

Question 22

Testing for histoplasmosis

Answer 22

urine or serum hist antigen testing
sensitive test

common in HIV with CD4< 100

Question 23

Histoplasmosis rx

Answer 23

IV amphotericin –> oral itraconazole

Question 24

Mefloquine

Answer 24

first-line chemoprophylaxis against chloroquine-resistant

malaria.

Question 25

Typical s/s of aspergillosis

Answer 25

fever
chest pain
hemoptysis

Question 26

HIV prophylaxis in ohio river valley CD4< 150

Answer 26

itraconazole- Histo

Question 27

Rocky mountain spotted fever

Answer 27

Rash from sole/palms–> trunk
High fever
Headache

*rickettsial illness

Question 28

Staph–> pneumonia

Answer 28

necrotizing 
high fever
cough 
multilobular cavities 
often fatal

Question 29

HACEK group

Answer 29

cause endocarditis

Haemophilus
Aggregatibacter 
Cardiobacterium
Eikenella
Kingella

Question 30

Most common cause of sepsis in sickle cell

Answer 30

pneumococcus