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CFPC exam KM > Infectious Disease > Flashcards

Infectious Disease Flashcards

1
Q

Prophylaxis for bronchiolitis

A

Palivizumab

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2
Q

common cause of croup

A

Parainfluenza

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3
Q

Tx for suspected chlamydia/gonorrhoea in epididymitis

A

Doxycycline and ceftriaxone or ciprofloxacin

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4
Q

Tx for suspected enteric organism in epididymitis

A

Ofloxacin

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5
Q

Reportable

A

Hepatitis A
Hepatitis B
Diphtheria
Measles
Mumps
Pertussis
Rabies
Rubella
Tetanus

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6
Q

Hepatitis a transmission

A

Faecal oral
Rarely through blood products
Close contact
Contaminated food
Sexual contact with an infected person

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7
Q

Positive hepatitis A IgG with negative hepatitis A IgM

A

Immunity

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8
Q

Positive hepatitis A IgM, with or without hepatitis A IgG

A

Recent or acute infection

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9
Q

hepatitis B transmission

A

Blood and other bodily fluids
IVDU
Mother to neonate
Household contacts

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10
Q

Interpretation of hep b lab tests - positive HBsAg

A

Acute or chronic infection

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11
Q

Interpretation of hep b lab tests - anti-HBs

A

Immunity through any cause

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12
Q

Interpretation of hep b lab tests - anti-HBc IgM and IgG

A

IgM - infection previous 6 months
IgG - more distant infection

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13
Q

Interpretation of hep b lab tests - HBeAg

A

High level viral replication

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14
Q

Interpretation of hep b lab tests - anti-HBe

A

Low viral replication

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15
Q

Interpretation of hep b lab tests - HBV DNA

A

level of replication

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16
Q

Tx for chronic hepatitis B infection

A

Recombinant interferon alfa-2b
Entecavir

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17
Q

Hepatitis C transmission

A

IV drug use
Blood transfusion or transplant prior to 1992
Unhygienic, tattoo or piercing

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18
Q

Diagnostic testing for hepatitis C

A

Anti-HCV
if negative and high suspicion do HCV-RNA, if positive HCV positive and immunosuppression

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19
Q

What are the vaccinations to give in asplenia?

A

Pneumococcal
haemophilus influenza type B
Meningococcal
Influenza

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20
Q

Antibiotic for diphtheria

A

Erythromycin

21
Q

Symptoms of measles

A

Conjunctivitis, coryza, cough, fever, photophobia, rhinorrhoea, sore throat, Koplik spots, rash starting on head descending

22
Q

What to give if exposure to rabies

A

Rabies, IVG and HDCV

23
Q

Signs of rubella

A

Transient erythematous rash, lymphadenopathy, arthralgia, low grade fever, petechia on soft palate

24
Q

What is Kernig’s sign?

A

Pain with passive extension of a flex knee

25
Q

What is bruzinski’s sign?

A

Flexion of neck with involuntary flexion of the knee and hip

26
Q

Work up for possible meningitis

A

CT head. If normal can do LP.
Blood cultures
CBC electrolytes

27
Q

Most common pathogen for meningitis age 0 to 4 weeks and antimicrobial

A

E. coli, listeria, klebsiella

Ampicillin and cefotaxime

28
Q

Most common pathogen for meningitis age 1 to 23 months and antimicrobial

A

S. Pneumonia. H influenza. E. coli. N. meningitidis

Vancomycin and ceftriaxone or cefotaxime

29
Q

Most common pathogen for meningitis age 2 to 50 and antimicrobial

A

S. Pneumonia. N. meningitidis

Vancomycin and ceftriaxone or cefotaxime

30
Q

Most common pathogen for meningitis, 850 and older and antimicrobial

A

S. Pneumonia. N. meningitidis. aerobic gram-negative bacilli

Vancomycin and ampicillin and third-generation cephalosporin

31
Q

How many days to treat otitis media based on age?

A

If less than two years old treat for 10 days, if higher than two years old treat for five days

32
Q

Otitis media treatment

A

Amoxicillin 80 mg/kg/day divided BID

Penicillin allergic can use cefuroxime

33
Q

Went to refer to ENT for tympanostomy

A
  • Otitis media with a effusion for more than three months with bilateral hearing loss
  • more than three episodes in six months
  • more than four episodes in 12 months
  • retracted tympanic membrane
34
Q

Modified Centor score for pharyngitis

A

Absence of cough
Accident on tonsils
Fever higher than 38
Cervical lymphadenopathy

Age 5 to 14 is one point
Age 45 and older is -1 point

35
Q

Treatment for group a strep

A

Penicillin V 300 mg t.i.d. or 600 mg b.i.d.

Amoxicillin 500 mg b.i.d.

Cephalexin 500 mg QID

Treat for 10 days

36
Q

Pneumonia treatment if no co-morbidities

A

Amoxicillin
Doxycycline
Clarithromycin
Azithromycin

37
Q

Pneumonia treatment if co-morbidities or in long term care

A

Amoxicillin
Amoxiclav
Cefuroxime

PLUS

Doxycyline
Azithromycin
Clarithromycin

38
Q

Aspiration pneumonia treatment

A

Amoxiclav
Clindamycin

39
Q

Abx treatment for acute prostatitis

A

Fluoroquinolone
TMP-SMX

For 2-4 weeks

40
Q

Abx for chronic prostatitis

A

Levofloxacin

41
Q

Bacterial vaginosis treatment

A

Metronidazole

42
Q

Troichmoniasis treatment

A

Metronidazole

43
Q

Chlamydia treatment

A

Doxycycline for 7 days
Azithromycin single dose 1g if pregnant or using

44
Q

Gonorrhoea treatment

A

Azithromycin and ceftriaxone

45
Q

Chancroid treatment

A

Ciprofloxacin

46
Q

Tx for scabies

A

Ivermectin
Permethrin

47
Q

Tx for pubic lice

A

Permethrin

48
Q

Tx for syphilis

A

Penicillin G
IM x 3 if latent

CFPC exam KM (16 decks)

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