MKSAP STOCK7 Flashcards
What is the therapy for C. diff negative hospital diarrhea?
Antimotility Agent
What is the name of the paradoxical worsening of symptoms in patients who recently began appropriate antiretroviral therapy?
Immune Reconstitution Inflammatory Syndrome
What is the treatment for coccidiodal meningitis?
Fluconazole
What is the diagnostic test for a patient with syphilis of unknown duration and abnormal neurologic examination?
Cerebrospinal Fluid Analysis (LP)
What is the duration of the continuation phase of tuberculosis therapy in patients with positive tuberculin sputum cultures after initial therapy phase?
7 months
What is the recommendation for tetanus-diphtheria-acellular pertussis immunization after organ transplant?
One-time booster immunization
What tuberculin skin test reading is considered positive in a patient with recent active TB contact?
>5 mm
What bacterial organisms are implicated in necrotizing fasciitis?
Aerobic and Anaerobic gram positive and gram negatives including MRSA
What is the management of a patient who remains febrile 72 hours appropriate antibiotic therapy for pyelonephritis?
Kidney imaging with US, CT, or MRI for perinephric abscess
What is the three drug regimen for HIV post-exposure prophylaxis?
Tenofovir-emtracitabine and raltegravir
What are three studies in the standard evaluation of encephalitis?
LP, Brain MRI, and EEG
What are the clinical manifestations of late complement component deficiency?
Invasive meningococcal or gonococcal infections
What two-drug empiric therapy for brain abscess from an odontogenic source is indicated?
IV PCN and metronidazole
What are four potential antibiotic choices for uncomplicated cutaneous anthrax?
Ciprofloxacin, Levofloxacin, Moxifloxacin (basically, quinolones) and doxycycline
What is the management of asymptomatic bacteriuria during pregnancy?
Antibiotic therapy (risk of physiologic hydronephrosis)
What is the interpretation of reactive HIV 1/2 antigen/antibody combination immunoassay followed by a negative result on confirmatory testing
False positive result
What is the postexposure prophylaxis for varicella infection in an immunocompromised person?
Varicella-zoster immune globulin
What are the characteristics of superficial incisional surgical site infections?
Inflammatory changes at the incision site without fever
What is the empiric triple antibiotic therapy for bacterial meningitis in an older adult?
Vancomycin, ceftriaxone, and ampicillin
What is the antibiotic therapy for cervicitis?
Ceftriaxone and Azithromcyin
Diagnostic test for West Nile neuroinvasive disease?
West Nile Virus antibody test on CSF
What are two principles to prevent catheter associated UTIs
Use catheters only when essential and for the shortest perioid of time
What are two principles to treat candidemia associated with an IV catheter?
Remove the catheter, begin empric antifungal therapy
Antibiotic therapy for secondary syphilis
Benzathine PCN (don?t touch the rash)
What is the time of highest risk for CMV infection after transplant?
First few months after transplantation when ppx against CMV infection has been discontinued
Two primary treatments for foot osteomyelitis in a patient with DM
Empiric broad spectrum antibiotics and surgical debridement
Mosquito-borne disease characterized by sudden high fever, frontal headache, severe LBP and rash
Dengue Fever
Imaging for nonresponsive CAP
Chest CT
What are two modalities to diagnose a microbiological cause of spinal osteomyelitis?
Blood culture, needle aspiration biopsy
What is the administration sequence and timing of pneumococcal immunization in a patient with HIV infection?
Administer the 13-valent pneumococcal conjugate vaccine followed by the 23-valent pneumococcal polysaccharide vaccine 8 weeks later
What are the isolation precautions for disseminated varicella zoster virus infection?
Airborne and contact precautions
What is the management of mild travelers diarrhea?
Aggressive oral hydration only
What are the three criteria to establish noncontagious status for pulmonary tuberculosis?
TB Tx for at least 2 weeks; improvement of sx; and three consecutive negative sputum smears
What is the empiric antifungal treatment of candidemia?
Echinocandins (caspofungin, micafungin, or anidulafungin)
What are three typical findings of acute progressive disseminated histoplasmosis?
Fever, Weight loss, and hepatosplenomegaly
