Infectious Disease

Question 1

Ertapenem does not cover?

Answer 1

P. Aeroginusa

Question 2

Carbepenems have good

Answer 2

Gram Negative, Gram Positive, and anerobes (do not cover atypicals)

Question 3

Cephalosporins do not have what coverage?

Answer 3

Anaerobic Coverage

Question 4

Complicated UTI requires how many days of abxs?

Answer 4

7 days

Question 5

Uncomplicated UTI requires how many days of abxs?

Answer 5

3 days

Question 6

Ciprofloxacin, does this have Pseudomonas coverage? What does CIprofloxacin normally not treat?

Answer 6

Yes

Strept PNA infection, cannot treat

Question 7

Levofloxacin is usually used to treat what?

Answer 7

Can treat gram positive infections, usually can treat respiratory pathogens

Question 8

Moxifloxacin is usually used for what?

Answer 8

Can treat respiratory pathogens, poor pseudomonas coverage, only quinolone that has good anerobic coverage

Question 9

Delafloxacin has what unusal characteristics?

Answer 9

Only MRSA coverage from -quinolone family, anaerobic activity

Question 10

Imipenem, can have CNS toxicity, why is this drug good?

Answer 10

Broad range activity

Question 11

Can Imipenem be given for meningitis?

Answer 11

No, but Meropenem can be used for meningitis

Question 12

Ertapenem cannot cover what?

Big advantage is what?

Answer 12

Gram +, Acinterobacteria, and P. Aergonosa

One injection a day and long half life

Question 13

Diplopia, dysarthria, dysphonia, and dysphagia with descending motor weakness is what, usually?

Answer 13

Botulism

Question 14

Blood Sputum, sick contact with pneumonia 3-4 days ago, sometimes this is seen with a rat exposure?

Answer 14

Yersinia pestis

Question 15

Smallpox treatment for a patient with a fever, 2 weeks ago?

Answer 15

Tecovirimat, monitor for additional signs of rash, and provide supportive treatment

Question 16

Pulmonary anthrax, what is the treatment?

Answer 16

Ciprofloxacin and clindamycin

Question 17

Y. Pestis exposure, what should be given? Does anthrax exposure require medication treatment?

Answer 17

Administer doxycycline for prophylaxis against plague for 7 days

Question 18

Anthrax infection, unlikely if the patient has rhinorrhea or sneezing, true or false?

Answer 18

True

Question 19

Ebola infection risk is minimal after how many days?

Answer 19

21 days

Question 20

Smallpox has what signs?

Answer 20

Small dots on the face, oropharynx on the face

Question 21

Hilar fullness on chest Xray, mediastinal fullness/widening, what is this most likely?

Answer 21

Anthranx

Question 22

Pneumonic Plague may result from exposure to aerosols from an infected person, as well as what?

Answer 22

Bubonic Plague

Question 23

Pulmonary Anthrax is what treatment?

Answer 23

Ciprofloxacin and Clindamycin

Question 24

Pneumonic Plague is what treatment?

Answer 24

Streptomycin or gentamicin

Question 25

Ebola prophylactic treatment is what?

Answer 25

Single room, private bathroom, healthcare workers

Question 26

When is smallpox most contagious?

Answer 26

At the time the rash develops, following 7-10 days

Question 27

Patient has dysphagia and odynophagia. Patient has HIV, what should be done?

Answer 27

Start Fluconzole, if patient is unresponsive to antifungals, patient will need an endoscopy and biopsy for anti-virals.

Question 28

Patient has a Herpes Zoster vaccine desire, what is the proper vaccine schedule?

Answer 28

After age 50, the patient should have a recombinant vaccine once, and repeat vaccine 2-6 months after the first dose.

Question 29

What complement molecule is deficient with N. Gonorrhea?

Answer 29

5b