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ABIM > MKSAP STOCK7 > Flashcards

MKSAP STOCK7 Flashcards

1
Q

What is the therapy for C. diff negative hospital diarrhea?

A

Antimotility Agent

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2
Q

What is the name of the paradoxical worsening of symptoms in patients who recently began appropriate antiretroviral therapy?

A

Immune Reconstitution Inflammatory Syndrome

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3
Q

What is the treatment for coccidiodal meningitis?

A

Fluconazole

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4
Q

What is the diagnostic test for a patient with syphilis of unknown duration and abnormal neurologic examination?

A

Cerebrospinal Fluid Analysis (LP)

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5
Q

What is the duration of the continuation phase of tuberculosis therapy in patients with positive tuberculin sputum cultures after initial therapy phase?

A

7 months

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6
Q

What is the recommendation for tetanus-diphtheria-acellular pertussis immunization after organ transplant?

A

One-time booster immunization

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7
Q

What tuberculin skin test reading is considered positive in a patient with recent active TB contact?

A

>5 mm

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8
Q

What bacterial organisms are implicated in necrotizing fasciitis?

A

Aerobic and Anaerobic gram positive and gram negatives including MRSA

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9
Q

What is the management of a patient who remains febrile 72 hours appropriate antibiotic therapy for pyelonephritis?

A

Kidney imaging with US, CT, or MRI for perinephric abscess

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10
Q

What is the three drug regimen for HIV post-exposure prophylaxis?

A

Tenofovir-emtracitabine and raltegravir

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11
Q

What are three studies in the standard evaluation of encephalitis?

A

LP, Brain MRI, and EEG

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12
Q

What are the clinical manifestations of late complement component deficiency?

A

Invasive meningococcal or gonococcal infections

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13
Q

What two-drug empiric therapy for brain abscess from an odontogenic source is indicated?

A

IV PCN and metronidazole

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14
Q

What are four potential antibiotic choices for uncomplicated cutaneous anthrax?

A

Ciprofloxacin, Levofloxacin, Moxifloxacin (basically, quinolones) and doxycycline

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15
Q

What is the management of asymptomatic bacteriuria during pregnancy?

A

Antibiotic therapy (risk of physiologic hydronephrosis)

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16
Q

What is the interpretation of reactive HIV 1/2 antigen/antibody combination immunoassay followed by a negative result on confirmatory testing

A

False positive result

17
Q

What is the postexposure prophylaxis for varicella infection in an immunocompromised person?

A

Varicella-zoster immune globulin

18
Q

What are the characteristics of superficial incisional surgical site infections?

A

Inflammatory changes at the incision site without fever

19
Q

What is the empiric triple antibiotic therapy for bacterial meningitis in an older adult?

A

Vancomycin, ceftriaxone, and ampicillin

20
Q

What is the antibiotic therapy for cervicitis?

A

Ceftriaxone and Azithromcyin

21
Q

Diagnostic test for West Nile neuroinvasive disease?

A

West Nile Virus antibody test on CSF

22
Q

What are two principles to prevent catheter associated UTIs

A

Use catheters only when essential and for the shortest perioid of time

23
Q

What are two principles to treat candidemia associated with an IV catheter?

A

Remove the catheter, begin empric antifungal therapy

24
Q

Antibiotic therapy for secondary syphilis

A

Benzathine PCN (don?t touch the rash)

25
Q

What is the time of highest risk for CMV infection after transplant?

A

First few months after transplantation when ppx against CMV infection has been discontinued

26
Q

Two primary treatments for foot osteomyelitis in a patient with DM

A

Empiric broad spectrum antibiotics and surgical debridement

27
Q

Mosquito-borne disease characterized by sudden high fever, frontal headache, severe LBP and rash

A

Dengue Fever

28
Q

Imaging for nonresponsive CAP

A

Chest CT

29
Q

What are two modalities to diagnose a microbiological cause of spinal osteomyelitis?

A

Blood culture, needle aspiration biopsy

30
Q

What is the administration sequence and timing of pneumococcal immunization in a patient with HIV infection?

A

Administer the 13-valent pneumococcal conjugate vaccine followed by the 23-valent pneumococcal polysaccharide vaccine 8 weeks later

31
Q

What are the isolation precautions for disseminated varicella zoster virus infection?

A

Airborne and contact precautions

32
Q

What is the management of mild travelers diarrhea?

A

Aggressive oral hydration only

33
Q

What are the three criteria to establish noncontagious status for pulmonary tuberculosis?

A

TB Tx for at least 2 weeks; improvement of sx; and three consecutive negative sputum smears

34
Q

What is the empiric antifungal treatment of candidemia?

A

Echinocandins (caspofungin, micafungin, or anidulafungin)

35
Q

What are three typical findings of acute progressive disseminated histoplasmosis?

A

Fever, Weight loss, and hepatosplenomegaly

ABIM (9 decks)

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