Infectious Disease

Question 1

Occupations at risk for leptospirosis

Answer 1

field workers, slaughter house, farmers, sewer, veterinary, fishermen

Question 2

Occupations at risk for brucellosis

Answer 2

slaughter house, farmers, dairy workers, veterinary

Question 3

Undulant fever is characteristic of

Answer 3

brucellosis

Question 4

Brucellosis symptoms include

Answer 4

fever, HA, myalgias, LAd, arthralgias, UTI, hepatitis

Question 5

What is response rate for Hep B vaccine?

Answer 5

90-95% in health adults

Question 6

What are risk factors for non-response to Hep B vaccine?

Answer 6

obesity, age, DM, renal disease, immunosuppression

Question 7

What is current protocol for initial Hep B non-responders?

Answer 7

additional 3 doses (total of 6 doses)

Question 8

T or F: CDC recommends booster doses of Hep B vaccine.

Answer 8

False.

Question 9

T or F: CDC recommends periodic serologic testing of Hep B vaccine status.

Answer 9

False.

Question 10

T or F: CDC recommends post-vaccination testing for anti-HBs response.

Answer 10

Only for HCW with continued risk for patient contact and needlestick injuries.

Question 11

What is “golden period” for PEP in a HIV post-exposure case?

Answer 11

Prophylaxis started within 2 hours. NLT 72 hours.

Question 12

What accounts for 40% of chronic liver disease?

Answer 12

Hep C.

Question 13

What is current PEP for HCV?

Answer 13

None.

Question 14

Weil disease is associated with?

Answer 14

leptospirosis

Question 15

Clinical finding of psittacosis?

Answer 15

Atypical pneumonitis (CXR worse than symptoms)

Question 16

Leptospirosis affects which organs systems?

Answer 16

brain, liver, kidney

Question 17

classic physical finding of leptospirosis

Answer 17

conjunctival suffusion

Question 18

“Undulant fever” is associated with?

Answer 18

Brucellosis