Infectious Disease

Question 1

Tx Pneumocystis Jiroveci

Answer 1

Septra

Question 2

Major Jones criteria

Answer 2

Must have 2 major or 2 minor and 1 major to qualify as Rheumatic Fever
P ancarditis
A rthritis
N odules (SQ)
E rythema marginatum
S yndenham chorea

Question 3

Minor Jones criteria

Answer 3

Prolonged PRI
ESR or CRP
Fever
Arthralgia

Question 4

What does botulism bacteria look like?

Answer 4

Gram positive, Rod

Anaerobic

Question 5

Sx botulism

Answer 5

Descending bilateral weakness and cranial nerve involvement.
NO fever
NO sensory disturbance

Question 6

Tx wound botulism

Answer 6

PCN

PCN allergic: metronidazole

Question 7

What does Diphtheria bacteria look like?

Answer 7

Gram positive bacillus

Question 8

Tx Diptheria

Answer 8

Antitoxin + PCN or E-mycin

Question 9

Incubation period for malaria?

Answer 9

2-4 weeks

Question 10

Pt presents with large spleen and anemia suspect what?

Answer 10

Malaria

Question 11

What is the most common pathogen causing chorioretinitis? (Posterior uveitis)

Answer 11

Toxoplasmosis

Question 12

How to tx a pregnant woman with toxoplasmosis?

Answer 12

Spiramycin

Question 13

Borrelia Burdogeri causes what disease?

Answer 13

Lyme

Question 14

How soon does erythema migrans appear after tick bite?

Answer 14

2-4 weeks

Question 15

Most common neuro manifestation of Lyme?

Answer 15

Bells’ Palsy

Question 16

When is Lyme’s prophylaxis indicated?

Answer 16

Deer tick identified and present at least 36 hours. Can give doxy within 72 hours. Pt lives in endemic area.
Do not give doxy to pregnant women.

Question 17

What transmits Rocky Mountain Spotted Fever?

Answer 17

American dog tick: rickettsia rickettsi

Rash starts at ankles and wrists and moves centrally

Question 18

Tx Rocky Mountain spotted fever

Answer 18

Doxy

pregnant women= chloramphenicol

Question 19

Incubation period syphilis

Answer 19

3 weeks

Question 20

Sx primary syphilis

Answer 20

Painless genital ulcer, resolves in 3-6 weeks

Question 21

Sx secondary syphilis

Answer 21

Rash palms and soles
Condyloma lata
Fever
Malaise
LAD

Question 22

Sx tertiary syphilis

Answer 22

Neurosyphilis
Tabes Dorsalis
Aortitis

Question 23

Posterior vs anterior lymph nodes etio?

Answer 23

Posterior associated with mono

Anterior associated with strep

Question 24

Hutchinson’s sign

Answer 24

Grouped vesicles on the tip of the nose, is Zoster ophthalmicus until proven otherwise (emergency)

Question 25

Etio Rubeola

Answer 25

Paramyxovirus

Question 26

Sx Rubeola

Answer 26

Cough, coryza, conjunctivitis

Koplik spots

Question 27

Forscheimer spots

Answer 27

Rubella: reddish spots on soft palate

Question 28

Erythema infectiosum

Answer 28

Parvovirus B19
Slapped cheeks
Lacy reticulated rash

Question 29

Presentation Roseola

Answer 29

Very high fever x 3-5 days
Fever breaks, mac pap rash on trunk and spreading to extremities
Caused by HHSV 6 and 7

Question 30

Tx needlestick from known HIV source

Answer 30

Offer 3 drug regimen x 4 weeks

Question 31

Needlestick HIV testing intervals

Answer 31

6 weeks, 3 months, 6 months

Question 32

What should always be given with INH?

Answer 32

B6 to prevent peripheral neuropathy

Question 33

When is prophylaxis for pneumocystis jiroveci indicated?

Answer 33

When CD4 less than 200

Question 34

Multiple ring enhancing lesions on CT

Answer 34

Toxoplasmosis

Question 35

Rubeola

Answer 35

Cough Coryza Conjunctivitis Koplik Spots OOO