Mix1

Question 1

Rx for Legionella?

Answer 1

Resp fluoroquinolone (levofloxacin) or newer macrolide.

Question 2

Diagnostic test for Legionella:

Answer 2

Urine Legionella Ag. Lobar infiltrate on CXR, Hyponatremia

Question 3

ADA recommends fasting BG screening for diabetes for all Pt starting at what age?

Answer 3

45

Question 4

When do you stop HPV-Pap screening?

Answer 4

65

Question 5

Rx for CMV colitis?

Answer 5

Ganciclovir

Question 6

Etiology of Molloscum Contagiosum?

Answer 6

Poxvirus

Question 7

Rx for nocardiosis?

Answer 7

TMP-SMX

Question 8

What 3 tests can you do for initial testing for suspected Cushings?

Answer 8

Low dose dexamethasone suppression, 24 hr urinary cortisol excretion, and late night salivary cortisol.

If hypercortisolism is confirmed, measure ACTH to determine if Dz is ACTH dependent (Cushings Dz, ectopic source) or independent (adrenal adenoma)

Question 9

Purulent monoarthritis or a triad of tenosynovitis, dermatitis, and asymmetric migratory polyarthralgia in a sex worker is?

Answer 9

Disseminated gonococcal infection. Rx = IV Ceftriaxone

• Empiric doxy or azithro for concomitant chlamydia

Question 10

Most likely causative organism for struvite stones in urine?

Answer 10

Proteus (high urinary pH). Struvite = Mg Ammonium phos. High urinary pH reduces urine solubility of phosphate.