Infection

Question 1

Pts highest risk for developing IE

Answer 1

prosthetic material for heart valve
h/o IE
unrepaired cyanotic heart disease

Question 2

highest risk procedures for cAUSING IE

Answer 2

dental
invasive resp tract procedures (EBUS, mediastinoscopy)
GI/GU procedures

Question 3

Antibitic regimen for IE ppx

Answer 3

1. Amoxicillin

2. Clinda if PCN allergy

Question 4

HIV + with bloody BM and abdo pain, CD4 35

Answer 4

CMV colitis

ganciclovir

Question 5

trough too high

Answer 5

decrease frequency

Question 6

trough tto low

Answer 6

increase frequency of dose

Question 7

RF for invasive fungal infections

Answer 7

solid organ transplant
PROLONGED ABX
TPN
GI perf (eso/stomach)
HD
ICU > 7 days

Question 8

GNR sepsos

Answer 8

lipid A endotoxin part of LPS complex in the third/outer layer of GNRs

Question 9

dog/human bites

organism and tx

Answer 9

dog - pastrurella
human - eikanella
tx: Amox-Clav

Question 10

s/p lap right hemi with persistent flank pain right with CT showing injury to ureter.
Mgmt>?

Answer 10

Uterouterostomy for upper ureteral injury

Question 11

Amingoglycosides Resistance due to?

Answer 11

DECREASE in active transport

Question 12

modifiable patient RF for SSI

Answer 12

1. glycemic control
2. smoking cessation 4-6 weeks
3. intraop warming
4. abx ppx

Question 13

mechanism of FQ like copra?

Answer 13

inhibition of DNA gyrase

Question 14

CLABI prevention and common organisms

Answer 14

chlorhexidine dressing

coag neg staph

Question 15

emphyesematous chole; findings and organism

Answer 15

usually air on XR around the gb

Clostridium (ANaraerobic, gram negative rod)

Question 16

pt needing left hemi , anaphylaxis to pcn

Answer 16

Metro and Gentamicin

Question 17

immunocompromised with SOB and bl infiltrates

Answer 17

Pneumocystis jiroveci