Micro

Question 1

best ix for asymp STI in a female

if symp

Answer 1

vulvovaginal swab for C/G PCR

do speculum exam

Question 2

rx of BV and TV

Answer 2

metro treats anaerobes, protozoa

Question 3

BC

Answer 3

gardanella - anaerobic

Question 4

TV

Answer 4

protozoa

Question 5

candida

Answer 5

fungus

Question 6

can chlamydia trach culture

Answer 6

no

Question 7

chlamydia A-C
D-K
L1-L3

Answer 7

trachoma - eye infection

associated with lymphogranuloma venereum in MSM

genital but can also cause eye infections in neonates

Question 8

clue cells

Answer 8

BV

Question 9

tap of pus in men

Answer 9

gon

Question 10

what is done in all px with gon and why

Answer 10

test of cure

increase in antimicrobial resistance

Question 11

gram neg diplo

Answer 11

gon

Question 12

rx for gon

Answer 12

IM ceft 500 and PO azitho

Oral cefixime 400mg second line

Question 13

most confirms are sensitive to what

Answer 13

gentamicin

Question 14

amox

Answer 14

entero and strep

Question 15

metro

Answer 15

protozoa and anaerobes

Question 16

empirical treatment for intra abd sepsis

Answer 16

Amox (PA co trimox) gent and metro

Question 17

severe CAP

Answer 17

co amoxiclav and clarithro

Question 18

low blood pressure that doesn’t come back up when IV fluids are given re diagnostic of what

Answer 18

severe septic shock

Question 19

dizziness

Answer 19

gent

Question 20

college entrants meningitis

Answer 20

neisseria mening

Question 21

general adults meningitis

Answer 21

pneumoniae

Question 22

listeria infection is assoc with what

Answer 22

consumption of soft cheese

Question 23

gram pos bacillus

Answer 23

listeria

Question 24

ceftriaxone has a what compared to penicillin

Answer 24

longer half life

Question 25

why is azithro given stat

Answer 25

long half life

Question 26

what else is azithro

Answer 26

intracellular and penetrates cell wall

Question 27

how long before px can have sex after being treated for chlamydis

Answer 27

one week

Question 28

how long can chlamydia be asymp

Answer 28

months to years

Question 29

tests for male suspected of chlamydia (who’s partner has it )

Answer 29

FPU for G/C PCR
blood for syphillis
hep
HIV

Question 30

test for herpes

Answer 30

de roofed blisters for PCR

Question 31

infection and SIRS

Answer 31

sepsis

Question 32

sepsis 6

Answer 32

give 3 take 3
give oxygen, IV fluids, Abs
take bloods, UO, lactate

Question 33

usual contaminants in blood cultures

Answer 33

staph epidermis and diptheroids

Question 34

step down for intra abd sepsis with coliforms as the organism

Answer 34

co trimoxazole

Question 35

can penicillin be given in meningitis if its expires

Answer 35

as long as you tell the px before

Question 36

encephalitis

Answer 36

stupor come seizures

give IV ceftriaxone

Question 37

herpex simplex encephalitis

Answer 37

bloody CSF

Question 38

when should the health protection team be informed about a suspected case of meningitis

Answer 38

as soon as suspected so within 24 hours of admission