Infectious Diseases

Question 1

main features of immune sensence

Answer 1

depressed T cell/macrophage interactions

Question 2

even in absense of disease, aging is associated with ______

Answer 2

reduction in renal function

Question 3

what is often the first sign of pneumonia in older adults

Answer 3

increased RR

Question 4

what is the strongest indepenedent predictor of mortality

Answer 4

cormorbidity

Question 5

what is the most common agent of pneumonia in older adults

Answer 5

strep pneumo

Question 6

_____ are more common pneumonia agents than in younger adults

Answer 6

gram negative bacilli

Question 7

what agent often causes community acquried pneumonia in nursing home residents

Answer 7

staph. aureus

Question 8

how do you treat community acquired pneumonia in elderly

Answer 8

beta lactame/beta lactamase combo or advanced generation cephalosporin

Question 9

what is different about treating hospital-acquired pneumonia

Answer 9

intial regimens should be broadly inclusive.

Question 10

how can you reudce the risk of pneumonia

Answer 10

immunization
stop smoking
treat comorbidities

Question 11

how can you treat flu

Answer 11

tamiflu or zanamirivir

Question 12

what is differetn about older adults and UTIs

Answer 12

more likely to have resistant isolates like pseudomoas and gram pos organisms

Question 13

what organisms colonize catheters

Answer 13

enterococci, staph aureus, fungi

Question 14

do you treat asymptomatic bacteruria

Answer 14

no

Question 15

how do you treat cyrtisits in older women

Answer 15

fluorquinolones

Question 16

symptoms of peylonephritis in older women

Answer 16

fever, chills, nausae, flank plan

Question 17

how do you treat pyelonephritis in older women

Answer 17

IV bx

get culture

Question 18

what are UTIs in older men often caused by

Answer 18

obstructive prostatic disease or functional disability

Question 19

how do older adults present with TB

Answer 19

fatique, anorexia, decreased functional status, low grade fever

Question 20

induration > 15

Answer 20

always positive

Question 21

inductation > 10 mm

Answer 21

postiive for nursing home residents, immigrants

Question 22

inductation 5 mm

Answer 22

postive in HIV pt

Question 23

how do you treat TB

Answer 23

isoiazid for 9 mons

Question 24

how do you treat infective endocarditis

Answer 24

IV abx for 4-6 weeks

Question 25

most likely pathogen for septic arthritis`

Answer 25

staph aureus

Question 26

how do you treat septic arthritis

Answer 26

aggressive abx

Question 27

where is septic arthritis most often found

Answer 27

joints with underlying path

Question 28

what is the predominant organism of osetomyeltis

Answer 28

s aureus

Question 29

how do you treat bacterial menigitis

Answer 29

certriaxone plus vanco

Question 30

major risk factor for herpes zoster

Answer 30

old age

Question 31

who is zonster vaccine recommended for

Answer 31

immunocompetent adults >60

Question 32

3 infectious causes of bell’s palsy

Answer 32

herpes simplex
varicella zoster
borrelia burgdorgergi (lyme)

Question 33

how do you treat mild to moderate c. diff

Answer 33

metronidazole

Question 34

how do you treat severe c. diff

Answer 34

vanco