Infectious Disease

Question 1

Empiric abx treatment for adult with osteomyelitis?

Answer 1

vanc
fluoro
ceftazidime
cefepime

Question 2

Treatment options important in osteomyelitis besides antibiotics?

Answer 2

surgical debridement
hyperbaric oxygen
negative pressure wound therapy

Question 3

Woman with IVDA and sexually active has left knee pain and fever. Temp 102.5, pulse 100, BP 140/90. Labs show WBC and elevated ESR. Dx?

Answer 3

septic arthritis

Question 4

Woman with IVDA and sexually active has left knee pain and fever. Temp 102.5, pulse 100, BP 140/90. Labs show WBC and elevated ESR. management?

Answer 4

arthrocentesis

• WBC
• gram stain
• cx
• histo

Question 5

Physical findings of endocarditis?

Answer 5

osler's nodes
janeway lesions
fever
new murmur
splinter hemorrhages
roth spots

Question 6

treatment of endocarditis?

Answer 6

vanc
4-6 weeks

valve replacement

Question 7

tx of prophylactic abs prior to dental procedures?

Answer 7

2 g amox 30-60 minutes prior to procedure

Question 8

Laboratory studies used in the screening of syphilis?

Answer 8

RPR, VDRL

Question 9

laboratory studies used in confirmation of syphilis?

Answer 9

FTA-ABS, MHA-TP

Question 10

Laboratory studies to identify spirochetes in syphilis?

Answer 10

darkfield micro chancre

fluorescent

Question 11

What patient should primaquine be avoided for malaria prophylaxis?

Answer 11

G6PD deficiency patients

Question 12

Classic presenting symptom in patient with lyme disease?

Answer 12

target lesion (migrants)

Question 13

Abx used in treatment of lyme disease?

Answer 13

doxy, amox, ceftriaxone

Question 14

abx for RMSF?

Answer 14

doxy

Question 15

abx for RMSF in pregnancy?

Answer 15

chloramphenicol

Question 16

HIV patient Criteria for prophylaxis and agent for prophylaxis for cryptococcus neoformans meningitis

Answer 16

no prophylaxis

tx with IV amp and flucytosine

Question 17

HIV patient Criteria for prophylaxis and agent for prophylaxis for histoplasma capsulatum

Answer 17

<150, itraconazole

Question 18

HIV patient Criteria for prophylaxis and agent for prophylaxis for mycobacterium avium?

Answer 18

< 50, azithro

Question 19

HIV patient Criteria for prophylaxis and agent for prophylaxis for pneumocystis jirovecii?

Answer 19

< 200, TMP-SMX

Question 20

HIV patient Criteria for prophylaxis and agent for prophylaxis for too gondii

Answer 20

< 100, TMP - SMX

Question 21

HIV patient Criteria for prophylaxis and agent for prophylaxis for candida albicans

Answer 21

no proph, tx with fluconazole, nystatin