Kaplan ID - Hepatitis/Meningitis

Question 1

What basic lab results can help you differentiate viral from drug-induced hepatitis?

Answer 1

v1r4l – ALT higher

drug-induced – AST higher

Question 2

You can treat chronic Hep B with interferon and _______.

Answer 2

Ribavirin

Question 3

You can treat chronic Hep C with interferon and _______.

Answer 3

Lamivudine

Question 4

When do you need a CT scan prior to LP in meningitis pt?

Answer 4

signs of increased ICP (papilledema) or focal neuro deficits

Question 5

Empiric therapy for meningitis in most healthy adults?

Answer 5

Vanc, ceftriaxone, & steroids

Question 6

What needs to be added if you suspect listeria in meningitis?

Answer 6

ampicillin

Question 7

What are the risk factors for listeria meningitis?

Answer 7

Immunosuppression, HIV, elderly, neonates

Question 8

Aside from Abx, what is needed for Neisseria meningitis pts?

Answer 8

isolation and ppx treatment for close contacts

Question 9

What is used for Neisseria ppx in close contacts?

Answer 9

rifampin (or cipro)

Question 10

What is the most common complication of untreated meningitis?

Answer 10

CN VIII palsy