ID

Question 1

impetigo –> tx?

Answer 1

dicloxacillin or cephelexin

Question 2

HIV pt –> multiple well circumscribed lesions with “volcano-like” appearance in oral mucosa –> what condition?

Answer 2

HSV esophagitis

Question 3

HSV esophagitis –> tx

Answer 3

oral acyclovir

Question 4

CMV esophagitis –> presentation (triad)

Answer 4

• focal substernal burning w odynophagia
• large shallow ulcers
• intracellular inclusions

Question 5

jogging –> stepped on nail –> plantar puncture wound –> what organism?

Answer 5

Pseudomonas

Question 6

plantar puncture wound –> tx

Answer 6

cipro

Question 7

candidal esophagitis –> AIDS-defining illness –> seen at what CD4 level?

Answer 7

<100

Question 8

HIV/AIDS –> shingles vaccine –> can administer at what CD4 count?

Answer 8

> 200

Question 9

molluscum contagiosum –> histology

Answer 9

Henderson-Paterson inclusion bodies

Question 10

1 cause of pneumonia: 1-30days old

Answer 10

GBS

Question 11

1 cause of pneumonia: 1-3 mo old

Answer 11

S pneumoniae

Question 12

1 cause of pneumonia: 3mo-5yr old

Answer 12

S pneumoniae

Question 13

1 cause of pneumonia: 5yr old - young adulthood

Answer 13

mycoplasma pneumoniae

Question 14

1 cause of pneumonia: old adulthood

Answer 14

S pneumoniae

Question 15

4wk old baby –> pneumonia.
H/o conjunctivitis at 2wk old

what organism?

Answer 15

chlamydia trachomatis

Question 16

4wk old baby –> chlamydia trachomatis PNA –> tx

Answer 16

oral erythromycin

Question 17

18M air force recruit –> ear pain and cough –> CXR shows streaky infiltrates

what organism? dx?

Answer 17

mycoplasma pneumoniae

• pneumonia
• bullous myringitis

Question 18

<5yo –> PNA after flu –> what organism?

Answer 18

S aureus

Question 19

meningitis –> empiric tx

Answer 19

rocephin + vanc

Question 20

64M –> h/o DM2 –> rash on R cheek –> well-demarcated, orange-peel texture –> had mild fever & chills before rash

dx?

Answer 20

erysipelas

Question 21

differentiate: cellulitis vs erysipelas

Answer 21

cellulitis:
- ill-defined borders
- less systemic signs

erysipelas:
- sharp well-demarcated borders
- more systemic signs

Question 22

HIV –> screen? confirmatory test?

Answer 22

• screen w ELISA

- confirm w Western blot

Question 23

blood transfusion –> MC transmitted infectious disease

Answer 23

HBV

Question 24

who gets tetanus immunoglobulin?

Answer 24

• > 60yo

- did not get 3 tetanus shots in lifetime

Question 25

• submandibular & preauricular LAD
• conjunctivitis
• kitten contact

what condition?

Answer 25

Bartonella henselae –> Parinaud oculoglandular synd

Question 26

adult –> epiglottitis –> what org?

Answer 26

Strep pneumoniae