ID

Question 1

Chagas Presentation and Treatment

Answer 1

Central or S America

Kissing bug

Sx - edema, cardiomyopathy, hepatosplenomegaly

Treat with anti-trypanosomals (benznidazole or nifurtimox)

Question 2

HIV Med Side Effects

Didanosine
Indinavir
Efavirenz
Pentamide

Answer 2

Didanosine → pancreatitis

Indinavir → kidney stones

Efavirenz → psychosis

Pentamide → hypo/hyperglycemia

Question 3

Which CNS infection has high opening pressure?

Answer 3

Cryptococcus

Question 4

Q Sofa

Answer 4

 RR >22

 SBP <100

 GCS <15

Question 5

SIRS

Answer 5

2+

 Temp >38o (100.4o) or <36o (96.8o)

 RR >20 bpm (or PaCO2 <32)

 HR >90 bpm

 WBC >12,000 OR <4,000 OR >10% bands

Question 6

Kluver-Bucy syndrome

Answer 6

HSV encephalitis

apathy, visual agnosia, increased sexual activity, and increased oral behavior

Question 7

Which poisoning can mimic tetanus infection?

Answer 7

strychnine (pesticide)

Question 8

How do you treat toxoplasmosis?

Answer 8

Pyrimethamine + Sulfadiazine + Folinic Acid