Infections

Question 1

How do you diag Pertussis?

Answer 1

Post emesis, PCR, Hx

Question 2

How do you treat Acute bronchitis?

Answer 2

only supportive - rarely have fever (chest cold)

Question 3

Diag Acute Bronchitis?

Answer 3

All Hx

Question 4

When do you get RSV?

Answer 4

Winter

Question 5

How do you diagnose RSV?

Answer 5

Naso swab - Ribavirin/Pali

Question 6

Wheezing in <2 yo + couch?

Answer 6

Bronchiolitis (also in winter)

Question 7

Supraglottitis?

Answer 7

Hib, Thumb sign, ABC, Ceftriaxone

Question 8

Parainfluenza (6m-3y) is?

Answer 8

Croup, Steeple sign, dexa/epi

Question 9

What does croup sounds like

Answer 9

inspiratory stridor, bark cough.

Question 10

What happens post flu?

Answer 10

2nd bacterial Pna (S.aureus)

Question 11

Abrupt onset of fever, myalsia, headache?

Answer 11

Flu - rapid/PCR

Question 12

How do you tx flu?

Answer 12

Zanamivir/oseltrivir

Question 13

Paraxysmal cough?

Answer 13

pertussis - post-tussive, whoop.

Question 14

How do you treat pertussis?

Answer 14

azithr/erythromycin+ bactrum

Question 15

How do you diag pertussis

Answer 15

Viral cult/PCR

Question 16

What vax is for pertussis?

Answer 16

tdap

Question 17

night sweat /FEVER /dyspnea / (late) hemoptysis?

Answer 17

TB

Question 18

Caseating cavity, Ghon

Answer 18

TB

Question 19

ppd + IGRA false +?

Answer 19

TB, false + due to BCG

Question 20

15mm in?

Answer 20

low likelihood

Question 21

10 mm?

Answer 21

healthcare

Question 22

5mm ?

Answer 22

HIV, immunisuppresed, homeless

Question 23

3x sputum for AFB smears and NAAT is culture for what disease?

Answer 23

TB - cultures = Gold

Question 24

Tx TB?

Answer 24

RIPE; hepatotoxic/neuropathy= INH

Question 25

Isolated Pleural effusion is associate with

Answer 25

PE>CHF

Question 26

chest x-ray study may show patchy peribronchial and perivascular interstitial infiltrates

Answer 26

mycoplamsa

Question 27

Polycythemia is assocaited

Answer 27

COPD

Question 28

Diffuse rhonchi and low pitched rales

is what?

Answer 28

Silicosis

Question 29

Strep - PCN allergy gets what med?

Answer 29

Ceftrixone

Question 30

How do you diag Bronchiectasis?

Answer 30

High Res CT

Question 31

What medication can reactivae dormant tuberculosis

Answer 31

etanercept

Question 32

Scattaco cough is?

Answer 32

Chamydia

Question 33

Pna outpatient Tx? inpatient tx?

Answer 33

Macrolides, doxy ->Ceftiaxone

Question 34

MC atypical pna ?

Answer 34

mycoplasma - myalgias (interstitial infiltrate)

Question 35

Atypical Pna tx?

Answer 35

Erythromycin (macrolides) or Doxy

Question 36

MC nosocomial PNA bacteria? and Tx?

Answer 36

Psuedomonas, Cefepin, Piper taco.

Question 37

Bird dropping?

Answer 37

Histoplasmosis

Question 38

What phase of pertussis is most infective?

Answer 38

Catarrhal (PCR = diag)

Question 39

bullous myringitis?

Answer 39

Strep pn.

Question 40

antibiotic regimen to treat Klebsiella pneumonia?

Answer 40

cephalosporin and aminoglycoside

Question 41

is Tamiflu safe in preg

Answer 41

Yes

Question 42

How do you treat Strep, MC PNA?

Answer 42

Amoxicillin

Question 43

Miliary TB is spread via?

Answer 43

Hematogenous