Infectious Disease

Question 1

Histoplasma Capsulatum risk factor

Answer 1

HIV

Question 2

Diagnosis of Histo

Answer 2

dx with urine test that is sensitive

Question 3

which respiratory diseases require airborne and contact?

Answer 3

VZV, emergeing coronavirus like SARS or MERS, viral hemorrhagic infections like ebola, plague pneumonic

Question 4

type 1 allergy reaction

Answer 4

IgE mediated pruritis, flushing wheezing

Question 5

type 2 allergy reaction

Answer 5

IgG delayed immune mediated cell mediated, morbilliform rash or hemolysis

Question 6

VAP prevention

Answer 6

HOB elevation, daily SBT SAT, chlorhexidine rinse

Question 7

best way for beta lactams to be administered?

Answer 7

with a continuous infusion or prolonged infusion such as >3h.
- this allows for for target drug concentration to be maintained

Question 8

Fungemia initial tx in high risk patient

Answer 8

Micafungin or other echinocandin, can deescalate to fluc if sensitivity comes back

• always get optho consult
• therapy should be continued 14 days from first negative blood culture

Question 9

CMV CD4

Answer 9

HIV patients with CD4<50

Question 10

MAC CD4

Answer 10

• CD4<50

Question 11

Cdiff initial test

Answer 11

GDH and toxin

Question 12

Cdiff if toxin negative whats diagnosis?

Answer 12

cdiff indeterminate

Question 13

more specific test for cdiff?

Answer 13

NAAT

Question 14

pharmacoligc treatment for severe cdiff?

Answer 14

Vanc 500 PO QID, flagyl 500 q8

Question 15

tx for cdiff ileus?

Answer 15

Vanc enema 250 q6

Question 16

cdiff bacteria type?

Answer 16

gram positive spore forming toxin producing anaerobic bacilli

Question 17

Acalculous cholecystitis imaging diagnosis?

Answer 17

wall >3.5mm

Question 18

Neurocysterocosis cause?

Answer 18

helminth- tenia solium

Question 19

neurocysterocosis treatment?

Answer 19

albendazole, steroids, AED

Question 20

tx for disseminated histoplasma?

Answer 20

liposomal Ampho B for 2 weeks