Infectious Disease

Question 1

lymphadenopathy after fish tank exposure?

Answer 1

mycobacterium marinum

Question 2

stepped on nail through tennis shoe?

Answer 2

psuedomonas

Question 3

diarrhea after eating shellfish?

Answer 3

vibrio

Question 4

what is associated with proteus UTI?

Answer 4

kidney stones

Question 5

what do you treat pneumococcal meningitis with?

Answer 5

ceftriaxone (and/or vancomycin)

Question 6

what do you treat meningococcal meningitis with?

Answer 6

penicillin or ceftriaxone

Question 7

what prophylaxis do you use for meningococcal meningitis?

Answer 7

rifampin

Question 8

what do you treat gram negative meningitis with?

Answer 8

ceftriaxone or cefotaxime

Question 9

what meningitis is associated with 6th nerve palsy?

Answer 9

TB

Question 10

what meningitis is associated with 7th nerve palsy?

Answer 10

lyme

Question 11

how do you test for cryptococcal meningitis?

Answer 11

india ink or antigen testing

Question 12

who should you think about cryptococcal meningitis in?

Answer 12

immunocompromised (aids, cancer)

Question 13

why do you not treat e.coli H0157 diarrhea?

Answer 13

increases HUS risk

Question 14

multiple brain abscesses?

Answer 14

think toxoplasmosis

Question 15

brain lesion and pork exposure?

Answer 15

cysticercosis

Question 16

other than skin flora, what other bacteria should you think about with IV drug use and osteomyelitis?

Answer 16

pseudomonas

Question 17

antibiotic for bite wound?

Answer 17

augmentin (cephalosporin or bactrim+clinda if allergic)

Question 18

which antibiotics are bacteriostatic?

Answer 18

clindamycin, tetracycline, and erythromycin

Question 19

which antibiotic is drug of choice for periodontal infection?

Answer 19

penicillins

Question 20

if MSSA, which penicillins should you use?

Answer 20

naficillin or oxacillin

Question 21

which drugs are anti-pseudomonal penicillins?

Answer 21

pip-tazo (zosyn) or tic-clav (timentin)

Question 22

quinolones (-floxacins) and erythromycin can increase what other drug levels?

Answer 22

theophylline, cyclosporine, and warfarin

Question 23

can you use rifampin alone to treat an infection?

Answer 23

no (builds resistance)

Question 24

what CMV infections in AIDS patients is ganciclovir used for?

Answer 24

chorioretinitis and colitis (only a suppressive effect - does not cure)

Question 25

side effect of ganciclovir?

Answer 25

leukopenia

Question 26

side effects of amphotericin B?

Answer 26

hypokalemia, hypomagnesemia, renal tubular acidosis

Question 27

side effects of ketoconazole?

Answer 27

gynecomastia, hepatitis, decrease in adrogen production

Question 28

what do you treat schistosomiasis with?

Answer 28

praziquantel (also good for tapeworms)

Question 29

what antibiotics are absolutely contraindicated in pregnant women?

Answer 29

tetracycline, quinolones