Infectious disease

Question 1

complicated

Answer 1

• penis
• plastic
• procedure
• pyelo

Question 2

time course of UTIs

Answer 2

uncomplicated 3d
complicated 7d
pyelo 10d
abscess 2w

Question 3

UTI treatment in pregnant women

Answer 3

amoxicillin

Question 4

pyelo vs cystitis

Answer 4

systemic symptoms, CVA tenderness

Question 5

perinephric abscess

Answer 5

pyelo that doesn’t improve

Question 6

gram positive clusters

Answer 6

staph

Question 7

ladder past vancomycin

Answer 7

linezolid

Question 8

ampicillin vs amoxicillin

Answer 8

amp is IV, amox is PO

Question 9

pip-tazo covers….

Answer 9

pseudomonas

Question 10

cipro

Answer 10

urinary, great for gram negative

Question 11

respiratory fluorquinolones

Answer 11

moxi

Question 12

anaerobic coverage

Answer 12

clinda and metronidazole

Question 13

treatment for CAP

Answer 13

moxifloxacin (Oral/IV)

• ceftriaxone + azithromycin
• azithro alone

Question 14

HCAP treatment

Answer 14

vanc and pip-tazo = bad bugs

Question 15

meningitis treatment

Answer 15

ceftriaxone, vanc, steroids and amp (in immunocompromised)

Question 16

UTI treatment

Answer 16

• amox if pregnant
• nitro for women
• bactrim w/o renal failure
• ceftriaxone (IV)
• cipro = ambulatory pyelo

Question 17

cellulitis

Answer 17

• vanco
• clinda
• bactrim
• 1/2 cephalosporins

Question 18

PrEP

Answer 18

emtricitabine and tenofovir (NRTIs)

Question 19

pregnancy with HIV

Answer 19

2+1 with AZT

Question 20

test for initial HIV

Answer 20

PCR - viral load

Question 21

treatment for PCP

Answer 21

bactrim, (dapsone if bad kidneys, atovaquone if G6PD)

Question 22

toxo treatment with sulfa allergy

Answer 22

pyrimethamine and leucovorin

Question 23

MAC treatment

Answer 23

azythromycin

Question 24

primary TB infection

Answer 24

lobar pneumonia with cavitary lesions (caseating granulomas)

Question 25

secondary TB

Answer 25

apical lesions, Gohn complex, hemopytsis, night sweats, weight loss

Question 26

work up of TB

Answer 26

PPD - CXR - AFB smear

Question 27

RIPE side effects

Answer 27

``` R = red I = B6 neuropathy P = gout E = eye - red/green color blind ```

Question 28

SIRS criteria

Answer 28

- temp - low 36 high 38 - WBC - low 4 high 12 - HR - above 90 - RR - high 20 - give consideration to infection if 2/4

Question 29

urgent SIRS

Answer 29

- hypotension - altered mental status - BUN/Cr - LFTs - CXR

Question 30

definition of sepsis

Answer 30

SIRS with source

Question 31

sever sepsis

Answer 31

organ dysfunction responsive to fuilds

Question 32

septic shock

Answer 32

organ dysfunction with no fluid response

Question 33

goal directed therapy

Answer 33

- CVP of 10-12 - urine output of 0.8cc/kg/hr - MAP greater than 65 - central venous O2 above 70%

Question 34

therapy for sepsis

Answer 34

abx, fluids and source control | - followed by vasopressors

Question 35

brain abscess sign

Answer 35

focal neurological deficits