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MCCEE > Infectious Disease > Flashcards

Infectious Disease Flashcards

1
Q

At what CD4 count do you get PJP?

A

< 200

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2
Q

What infection do you get at CD4 < 50

A

MAC
PCNSL
Bacillary angiomatosis

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3
Q

What infection do you get at CD4 < 100?

A

PML - JC virus

CNS toxoplasmosis

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4
Q

After how long can HIV ab be detected?

A

3 weeks some

3 mo definitely

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5
Q

What screening test do you do for HIV ?

A

ELISA

p24 antigen / HIV Ab test

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6
Q

How to confirm HIV?

A

Western Blot

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7
Q

When to prophylaxis against PJP?

A

CD < 200 or

Oral candida

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8
Q

When to prophylaxis against toxoplasmosis ?

A

IgG +ve toxoplasmosis PLUS CD < 100

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9
Q

When to prophylaxis against TB ?

A

PPD > 5mm

Contact with person with active TB

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10
Q

When to prophylaxis against MAC ?

A

CD4 < 50

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11
Q

CURB 65 RULE?

A 
Confusion 1 
Urea > 7 or BUN > 20 
RR > 30 
BP < 90 
65 > 65 yo
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12
Q

Mortality risk based on CURB 65?

A

Points:
0 - 1 –> 5%
2 - 3 –> 5 - 15%
> 3 –> 15 - 30 %

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13
Q

Treatment of CAP pneumonia in :

  1. Outpatient
  2. No abx in last 3 mo
A

Ceftriaxone OR Azythromycin OR Doxycycline

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14
Q

Treatment of CAP pneumonia in :

  1. Outpatient
  2. Comorbidities/recent abx use
A

Ceftraxiaone +/- azythro
OR
fluoroquinolone (xacin)

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15
Q

Treatment of CAP pneumonia in the ward

A

Ceftraxiaone +/- azythro
OR
fluoroquinolone (xacin)

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16
Q

Treatment of CAP pneumonia in ICU?

A

Ceftriaxone
PLUS
Azythro or fluoroquinolone

17
Q

Aspiration pneumonia treatment?

A

Clindamycin

18
Q

Treatment of HAP with no MRSA/no high risk?

A 
Pip-Taz 
OR 
Cefepime 
OR 
Levofloxacin 
OR 
Meropenem
19
Q

Treatment of HAP with MRSA but no high risk?

A

Pip-Taz OR Cefepime OR Levofloxacin OR Meropenem
PLUS
VANC/Linezolid

20
Q

Indications for pneumovax (plysaccharide)?

A

> 65 yo

> 24 mo with immunodeficiency, congenital/anatomical abnormality

21
Q

Indications for prevnar-13 ( conjugated )?

A

< 5 yo

Age 5-17 yo at high risk of pneumonical disease

22
Q

Diarrhoea after having egg salad?

23
Q

Diarrhoea after camping?

24
Q

Diarrhoea after a BBQ that is bloody?

25
Q

Diarrhoea after a egg salad / potatoes salad /eating chicken that is bloody?

A

Salmonella

26
Q

Diarrhoea after chicken / meat ?

27
Q

Prophylaxis in someone who has had IE now having dental procedure?

A

Amoxicillin single dose before (30mn before )

28
Q

Prophylaxis in someone who has had IE now having skin procedure?

A

Cephalexin single dose before

29
Q

Organism related to cat bite?

A

Pasteurella
S. Aureus
S. Viridans

30
Q

Treatment of cat bite?

A

Amoxi-clav

31
Q

Organism related to cat scratch?

A

Bartonella Hensellae

32
Q

Treatment of catch scratch?

A

Azythromycin

33
Q

Human bite organism?

A

Staph Aureus
Group B strep
Eikenella

34
Q

Treatment of human bite?

A

Surgery
Irrigation
Amoxi clav OR clindamycin

35
Q

Organism related to dog bite?

A

Pasteurella
S. Aureus
S. Viridans

MCCEE (16 decks)

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