İnfectious Dx

Question 1

MRSA Tx?

Answer 1

Vanco
Linezolid
Telavancin
Daptomycin
Ceftaroline
Tigecycline

Question 2

Penicillin G -K ampicillin amoxicillin effective for?

Answer 2

Strep pyogenes
Viridans
Gram neg like Neisseria
NOT AGAINST STAPH!!

Question 3

Staph ı tedavi etmeyen?

Answer 3

Ampicillin amoxicillin penicillin g penicillin V

Question 4

Telavancin

Tigecycline??

Answer 4

Tx of MRSA

Question 5

Penicillanase resistant penicillin

Answer 5

Staph particularly

Streptococcus

Question 6

Ampicillin …

Answer 6

Some activity against E. Coli

Question 7

First generation cephalosporin

Answer 7

Cephazolin
Cephalexin
Cefhadroxil

Question 8

Second generation cephalosporin

Answer 8

Cefaxitin
Cefotetan
Cefuroxime
Cefprozil
Loracarbef

Question 9

Cefaxitin

Answer 9

2nd gen ceph

Question 10

Cefotetan

Answer 10

2nd gen cephalosporin

Question 11

Loracarbef

Answer 11

2nd gen cephalosporin

Question 12

Cefuroxime

Answer 12

2nd gen cephalosporin

Question 13

Cefprozil

Answer 13

2nd gen cephalosporin

Question 14

Cephadroxil

Answer 14

1 st gen cephalo

Question 15

Linezolid

Answer 15

Only oral form effect for MRSA

Question 16

VRE tx

Answer 16

Linezolid
Daptomycin
Quinupristin/ dalfopristine

Question 17

Ceftaroline important ??

Answer 17

Only cephalosporin to cover MRSA

Question 18

Only pseudomonas coverage cephalosporin??

Answer 18

Ceftazidime

Cefepime

Question 19

Anerob coverage?

Answer 19

Clindamycin mouth
Metronidazole gı
Carbapenem
Beta lactm/ lactamase inh
Pip tazo, ticarcillin/clavunate, amp sulbactam, amoxicillin clavulanate

Question 20

Cefotetan

Cefoxitin

Answer 20

Anaerobic coverage also but not effective that much

Question 21

Tx of campylobacter

Answer 21

Erythromycin

Question 22

Empiric gastroenteritis tx if necessary

Answer 22

Erythromycin

Question 23

Cryptosporidium Gastroenteritis tx

Answer 23

Antiretroviral for aids

Nitazoxanide

Question 24

Scromboid

Answer 24

When the time ingested
Flushing wheezing diarrhea hypotension
Burning sensation in mouth dizziness paresthesia

Question 25

Ciguatera toxin | Baracuda red snapper grouper

Answer 25

Causes symptoms for 2-6 hours Nausea vomit paresthesia numbness abdominal cramps Neurologic symp weakness reversal of cold hot sensation🙀 Cv: hypotension

Question 26

Nocardiosis

Answer 26

``` Most commonly presents as pneumonia (look like tb) CNS and skin also Branching beading partially acid fast Aerob Tx: TMP SMz ```

Question 27

Actinomyces

Answer 27

Anaerob Nonacid fast Beaded filamentous branching SULFUR GRANULES🎉

Question 28

Aspergillus

Answer 28

Branching septated hyphea | Not acid fast stain

Question 29

Mucormycosis

Answer 29

Ribbonlike, nonseptated hyphea

Question 30

Acute bacterial parotitis Risk Agent Tx??

Answer 30

Dehydrated post op patient Elderly patient Most common agent: staph aeurus Tx: hydration and oral hygiene pre-post op

Question 31

Coccidiomycosis??

Answer 31

Southwestern us Arizona😁California Primary pulm inf: fever fatigue dry cough weight loss pleuritic chest pain. Cutaneous: erythema multiforme and erythema nodosum Arthralgia also common

Question 32

Erythema nodosum+ joint pain+ pulm symptom?

Answer 32

Coccidiomycosis

Question 33

İnvasive aspergillosis?

Answer 33

Cavitary lesion on xray CT: pulmonary nodule with halo sign or air crescent Fever cough dispnea hemoptysis

Question 34

Mexico, argantina, china, thailand Undercooked raw pork Which disease??

Answer 34

Trichinellosis: First week: gatric acid releases encysted larvae Larvae invade small intestine Develop into worm(intest stage) Female worm can give new larvae After 4 weeks later. They migrate and encyst into striated muscle During intest phase: nausea vomit abd pain, during migration: fever subungual splinter hemorrhage, periorbital edema, conj retinal hemorrhage, chemosis. EUSINOPHILIA HALLMARK

Question 35

Trichinellosis triad?

Answer 35

Periorbital edema Myositis Eusinophilia

Question 36

Dengue fever??😇

Answer 36

Fever headache RETRORBITAL PAIN Rash myalgia arthralgia. Pts can develop hemorrhagic dengue fever with hemorrhage in skin or nose Not cause marked eusinophilia like trichinellosis

Question 37

Typhoid fever 3 week bölünmesi?😁😍

Answer 37

1 st week fever 2nd week abdominal pain+salmon colored rash 3rd week HSM with complications like perforation int bleeding

Question 38

Hıv needle stick injury??

Answer 38

Tenofovir emtricitabine and raltegravir( low side effect) for 4 weeks✌🏻️ Eline iğne batınca bi TER ledim😓

Question 39

Tick bite, no rash Lymphopenia thrombocytopenia Elevated transaminases, LDH???

Answer 39

Errlichiosis: RMSF without rash ``` Lone star thick is vector Flu like illness+neurologic symp İntracytoplasmic morula in monocytes PCR test Tx: empiric doxycyline while waiting tests ```

Question 40

Egg shelf calcification of hepatic cyst on CT??

Answer 40

Highly sugg of hydatid cyst

Question 41

Lyme: erythema migrans Vs Meningococcemia: purpura!!!

Answer 41

Lyme causes neurologic symptom much later in disease

Question 42

İf ppd test positive??

Answer 42

Chest xray unremarkable INH +pyridoxine for 9 months

Question 43

Acute epididymis in elderly? | Young secually active?

Answer 43

Elderly due to UTI: E coli | Young Chlamydia- gonorrhea

Question 44

Staph tx?

Answer 44

Penicillinase resist penicillin. (Methicillin, nafcillin, oxallicin, dicloxacillin) ! Effective for both staph and strep