Infectious Disease

Question 1

Gram positive cocci in chains

Answer 1

Group B strep or enterococcus

Question 2

Gram negative rods

Answer 2

E. coli, klebsiella, proteus

Question 3

Gram positive rods

Answer 3

Listeria

Question 4

Dental extraction/trauma frequently leads to infection with what bacteria?

Answer 4

Actinomyces

Question 5

Actinomyces, a common dental bug, is usually treated with what antibiotic?

Answer 5

Penicillin

Question 6

Amphotericin B and fluconazole are what type of drug

Answer 6

Antifungal

Question 7

What type of infections is azithromycin commonly used for

Answer 7

Respiratory infections like pneumonia, bronchitis

Question 8

Drug regimen for TB

Answer 8

Isoniazid, rifampin, pyrazinamide, ethambutol

Question 9

Is TB acid fast?

Answer 9

Yes

Question 10

Is actinomyces acid fast?

Answer 10

No

Question 11

Symptoms of an actinomyces dental infection

Answer 11

Chronic, slow growing, non tender mass at or near the mandible

Question 12

Manifestations of disseminated gonococcal infection

Answer 12

Purulent monoarthritis or triad of tenosynovitis, dermatitis, migratory polyarthralgia

Question 13

Treating disseminated gonococcal infection

Answer 13

3rd gen cephalosporin via IV (for example, ceftriaxone)

Question 14

Rash associated with acute rheumatic fever is called

Answer 14

Erythema marginatum (raised, ring shaped lesions over the trunk and extremities)

Question 15

Lesion associated with primary syphilis is called

Answer 15

Chancre

Question 16

Chancre associated with primary syphilis looks like

Answer 16

A painless ulcerative lesion with heaped-up borders

Question 17

Rash associated with secondary syphilis affects which body parts

Answer 17

Palms and soles

Question 18

The most common risk factor for orbital cellulitis is

Answer 18

Sinusitis

Question 19

Symptoms of orbital cellulitis include

Answer 19

Proptosis, opthalmoplegia, and visual changes

Question 20

Most common predisposing factor for orbital cellulitis

Answer 20

Bacterial sinusitis

Question 21

Post herpetic neuralgia treatment

Answer 21

Gabapentin/pregabalin, tricyclics antidepressants

Question 22

What type of bug typically causes cellulitis

Answer 22

Gram positive skin flora like strep or staph

Question 23

Tinea pedis is a risk factor for

Answer 23

Cellulitis

Question 24

Adverse effects of doxycycline use

Answer 24

Skin photosensitivity and esophagitis

Question 25

Which antibiotic has negative effects on collagen

Answer 25

Fluoroquinolone

Question 26

Fluoroquinolones should be avoided in patients with what known cardiac condition

Answer 26

Aortic aneurism (due to collagen degradation)

Question 27

Are fluoroquinolones okay in pregnancy?

Answer 27

No

Question 28

Is trimethoprim-sulfamethozaxole okay in pregnancy?

Answer 28

Not in 1st and 3rd trimesters

Question 29

When would you treat asymptomatic bacteriuria

Answer 29

In a pregnant patient

Question 30

Nonexudative painless ulcer with a raised edge on genitals is called a

Answer 30

Chancre (syphilis)

Question 31

First line treatment for syphilis

Answer 31

Penicillin

Question 32

First line treatment for lymphogranuloma venereum (chlamydia)

Answer 32

Doxycycline

Question 33

First line treatment for herpes simplex virus infection

Answer 33

Valacyclovir

Question 34

Treatment for chlamydia

Answer 34

Doxycycline

Question 35

Treatment for gonorrhea

Answer 35

Ceftriaxone

Question 36

Complications of chlamydia and gonorrhea in women

Answer 36

Pelvic inflammatory disease, ectopic pregnancy, infertility, pharyngitis

Question 37

Screening test for chlamydia and gonorrhea

Answer 37

NAAT nucleic acid amplification test

Question 38

Viral arthritis is often due to what pathogen

Answer 38

Parvovirus B19

Question 39

Triad associated with disseminated gonococcal infection

Answer 39

Pustular rash, migrating arthralgia, and tenosynovitis

Question 40

Patients with suspected gonorrhea and joint effusion require

Answer 40

Synovial fluid sampling

Question 41

Transient synovitis typically follows

Answer 41

Upper respiratory infections

Question 42

Coxsackie virus causes

Answer 42

Hand foot and mouth disease

Question 43

Bacterial meningitis predominant white cell type

Answer 43

Neutrophils

Question 44

Viral Meningitis prominent white blood cell type

Answer 44

Lymphocyte

Question 45

Things to order on a lumbar puncture

Answer 45

Gram stain, culture and sensitivity, cell count and differential, glucose and protein

Question 46

CT before an LP if

Answer 46

Abnormal level of consciousness, immunocompromised, seizure in the last week, focal neurological deficits

Question 47

Treat bacterial meningitis empirically with

Answer 47

Ceftriaxone IV

Question 48

Treat viral meningitis with

Answer 48

IV acyclovir

Question 49

In bacterial meningitis protein will be _ and glucose will be _

Answer 49

Protein will be high because bacteria produce protein, and glucose will be low as bacteria will use it for an energy source

Question 50

Enviral meningitis protein will be and glucose will be

Answer 50

Environmen meningitis protein will be elevated and glucose should be normal

Question 51

Maximum points for eyes on GCS

Answer 51

Four if spontaneously opening

Question 52

Maximum points for movements on GCS

Answer 52

Six if moving to commands

Question 53

Maximum points for verbal on GCS

Answer 53

Five if alert and oriented times three

Question 54

Three common organisms that cause meningitis

Answer 54

1. Streptococcus pneumonia 2. Neisseria meningiditis 3. H. Flu

Question 55

Atypical cause of bacterial meningitis in elderly

Answer 55

Listeria

Question 56

Kernig sign is

Answer 56

Resistance to full extension of leg at the knee when the hip is flexed

Question 57

Brudzinski sign is

Answer 57

Flexion of both hips and knees when the neck is passively flexed

Question 58

Normal GCS

Answer 58

15

Question 59

How many points are awarded to each section of the GCS

Answer 59

Eyes are four points, verbal is five points, motor is six points

Question 60

Gram-positive cocci that causes meningitis

Answer 60

Streptococcus pneumonia

Question 61

Gram-negative cocci that causes meningitis

Answer 61

Neisseria meningitidis

Question 62

Gram-negative Cocco bacillus that causes meningitis

Answer 62

H flu

Question 63

Gram-positive cocco bacillus that causes meningitis

Answer 63

Listeria