Inservice deck 11 - ID, procedures, meds

Question 1

medication is first line for prophylaxis for family of child with meningococcal meningitis?

Answer 1

rifampin

cipro alternative

Question 2

typical appearance of the rash of secondary syphilis?

Answer 2

maculopapular/papulosquamous

Question 3

what is most common complication of varicella in adults

Answer 3

pneumonitis

Question 4

duration of HIV prophylaxis after needlestick?

Answer 4

1 month

Question 5

can one tell difference clinically between infection of chlamydia and gonorrhea?

Answer 5

No

Question 6

tx and potential side effects of patient whose peripheral smear shows crossed markings in RBCs

Answer 6

malaria

tx = chloroquine

Question 7

Hospital worker has PPD placed and read with 15 mm induration. CXR obtained is normal so what is the treatment?

Answer 7

isoniazid (INH)

Question 8

main side effects of INH?

Answer 8

toxic hepatitis and peripheral neuritis

Question 9

main side effects of rifampin?

Answer 9

orange-colored body fluids, P450 drug interactions, hepatitis and thrombo

Question 10

main side effects of streptomycin

Answer 10

nephrotoxic and ototoxic

Question 11

list main effects of ethambutol

Answer 11

optic neuritis/ red-green color blindness

Question 12

main effects of pyrazinamide

Answer 12

hyperuricemia, hepatitis, arthralgies, rash

Question 13

most common etiology causing meningitis in sickle cell patient?

Answer 13

s pneumo

Question 14

AIDS patient with meningitis, what organism? What is best test to evaluate?

Answer 14

cryptococcal meningitis

Question 15

Woman working in lab with rats now with neuro symptoms and pulmonary edema may have

Answer 15

hantavirus

Question 16

patient form missouri presenst with pulm symptoms an patchy infiltrates on CXR?

Answer 16

histoplastmosis

Question 17

transmission of plague?

Answer 17

flea or tick

Question 18

patient from east coast presents with target rash. Dx and tx?

Answer 18

lyme disease

doxy

Question 19

sx after chlorine gas exposure

Answer 19

eye burning, smell of bleach, pulm complaints

Question 20

patient with recent sore throat and now has mitral murmur, joint pain, rash, and fever; no history of IVDA; has most likely?

Answer 20

rheumatic fever

etiology: strep pyogenes

Question 21

IVDA with erythema, crepitant painful elbow requires what tx?

Answer 21

surgery

Question 22

what are first symptoms in patients with botulism poisoning?

Answer 22

CN deficits - ptosis, extra-ocular muscle deficits

Question 23

HIV patient has CD4 < 200 and oxygen < 90%. Requires what txs?

Answer 23

PCP PNA

tx = bactrim and steroids

Question 24

tx for HIV patient with dysphagia and esophageal white patches

Answer 24

oral fluconazole

Question 25

most likely infection in any patient with solid organ transplant

Answer 25

CMV

Question 26

organism and tx for patient?

Answer 26

``` impetigo = strep or staph tx = oral diclox, topical mupirocin ```

Question 27

patient with pustule on hand, ankle, and now wrist arthritis. tx?

Answer 27

gonococcus | tx = ceftriaxone

Question 28

common place for extrapulmonary TB

Answer 28

lymph nodes

Question 29

differentiates SIRS from sepsis?

Answer 29

source of infection. SIRS is non-specific and associated with other causes than infection

Question 30

gram stain of positive cocci

Answer 30

strep

Question 31

multinucleated giant cells

Answer 31

herpes

Question 32

infection after punctured shoe?

Answer 32

pseudo

Question 33

strawberry tongue and sandpaper rash

Answer 33

scarlet fever

Question 34

most likely injury due to saphenous vein cutdown

Answer 34

loss of medial sensation

Question 35

subclavian line pulled out and patient hemodynamically compromised. Next tx?

Answer 35

air embolus, place patient in left lateral trendelenburg position

Question 36

technique of choice for pericardiocentesis?

Answer 36

subxyphoid approach

Question 37

anesthetic effect of a mental nerve block

Answer 37

lower lip anesthesia

Question 38

lower teeth are anesthetized in addition to lower lip with what nerve block

Answer 38

inferior alveolar

Question 39

main complication of missing inferior alveolar nerve too posteriorly

Answer 39

facial nerve paralysis

Question 40

tx for suture abscess

Answer 40

warm compresses

Question 41

patient receiving blood transfusion gets hives. what should be done?

Answer 41

give benadryl continue transfusion

Question 42

correct direction of force to reduce mandibular dislocation

Answer 42

downward an posterior

Question 43

preferred site of intraosseous access in peds patients

Answer 43

tibia - 1 cm distal and medial to tuberosity

Question 44

safest IV access if unable to cannulate peripheral veins in extremities

Answer 44

EJ

Question 45

patient taking metoprolol presents with hives, swelling of tongue, and difficulty breathing. med indicated?

Answer 45

glucagon anaphylaxis cocktail