ITE - ID

Question 1

Epidural abscess: Dx.

Answer 1

Dx: MR w/ blood cultures prior to abx administration

Question 2

IRIS: Dx:

Answer 2

Inflammatory response in a patient with HIV recently started on ART therapy

Question 3

Malaria, Dx.

Answer 3

Dx: Fever, HA, myalgia, GI symptoms, in pt travelling to endemic areas.

Question 4

Typhoid fever: Dx.

Answer 4

Fever, HA, arhtralgia, myalgia, pharyngitis, anorexia, abd pain, diarrhea, relative bradycardia, prostration. Travel to: South/East Asia, sub-saharan africa.

Question 5

TIck bite, in endemic area: Tx.

Answer 5

Doxycycline, single dose of 200mg if: black legged deer tick, >36hr attachment, within 72hrs after tick removal.

Question 6

VRE colonization in stool, Tx.

Answer 6

Tx: Dapto, linezolid, tigecycline, carbapenems

Question 7

Latent tuberculosis in HIV patient, Tx.

Answer 7

Tx: Pyridoxine

Question 8

Indications for Tx fro latent tuberculosis

Answer 8

at risk for peripheral neuropathy (DM, CKD, malnutrition, HIV, alcoholism)

Question 9

Listeria meningitis: Tx.

Answer 9

Tx: Ampicillin

Question 10

Mild, nonpurulent cellulitis: Tx.

Answer 10

Tx: beta-lactams, clindamycin

Question 11

Otitis media, Tx.

Answer 11

Tx: topical treatment (abx, ‘roids, antiseptics), avoid aminoglycosides if TM injury risk, If spreading, cover for pseudo

Question 12

Community acquired MRSA soft tissue infection, Tx.

Answer 12

Tx: Gram positive coverage with doxycline, maybe moxifloxacin

Question 13

Urethritis, Tx.

Answer 13

Screen: other STIs
Tx: if infectious, abx (e.g., macrobid, bactrim, cipro)