Infectious Disease

Question 1

Cause of syphilis?
Who is at increased risk?
First signs?
First line treatment?

Answer 1

Chronic bacterial infection caused by Treponema pallidum.

• men account for 90% of cases
  Homosexual men account for 82% of those, closely associated with HIV, anyone in prison,
• painless chancre
• PCN

Question 2

What is monkeypox

Answer 2

Orthopoxviris, similar to smallpox

Question 3

Symptoms of monkeypox

Answer 3

5 days of fever, body aches, rash begins within 5 days. Papular, vesicular, pustular later

Question 4

Is there a vaccine for monkey pox, diagnosis

Answer 4

MVA vaccine

IgM for orthopox virus

Question 5

Testing in pts with systemic reactions to stings

Answer 5

Question 6

What is the modified Centor criteria?

Answer 6

Question 7

Indications for antibiotics for sinusitis?

Answer 7

Severe sxs- >10 days without improvement- secondary worsening

Question 8

What are the preferred agents to treat chlamydia?
who should be screened for GC/chlamydia?

Answer 8

-Doxycycline 100 mg twice daily x 14 days for chlamydia and 1 gram rocephin for gonorrhea.
-all sexually active females <25 yo. including pregnant women, any male having sex with males, correctional facility
-females >25 with risks

Question 9

What does a positive Step 2 mean on a 2 part TB test?

Answer 9

First test neg, Second Positive means long standing Latent TB.

Question 10

1st line abx for CAP in adult with no comorbidities? with comorbidities? (DM, Liver or renal, Heart dz, alcoholism, asplenia or malignancy

Answer 10

high dose amox, doxy, or macrolide if resistance <25%
augmentin, 3rd gen cephalosporin with doxy or a macrolide. respiratory quinolone