OME - Day 22

Question 1

Alternate for Ceftriaxone?

Answer 1

Ceftazidime

Question 2

Alternate for Pip/Tazo?

Answer 2

Meropenem, Cefepime

Question 3

Alternate for Vancomycin?

Answer 3

Linezolid

Question 4

Antibiotics for a young woman with pyelo but ambulatory and can tolerate po?

Answer 4

Cipro

Question 5

Antibiotics for a young woman with pyelo who’s toxic?

Answer 5

Ceftriaxone (Pip/Tazo not inappropriate)

Question 6

Antibiotics for Cholangitis?

Answer 6

Gram negative and anaerobic coverage, Cipro + Metronidazole

Question 7

Antibiotics for community acquired pneumonia?

Answer 7

Ceftriaxone and Azithromycin (moxifloxacin is appropriate)

Question 8

Antibiotics for Diverticulitis?

Answer 8

Gram negative and anaerobic coverage, Cipro + Metronidazole

Question 9

Antibiotics for Health Care Associated Pneumonia?

Answer 9

Vancomycin + Pip/Tazo

Question 10

Young woman with a uti but no sepsis?

Answer 10

Nitrofurantoin, Trimethoprim-Sulfa

Question 11

CD4 Count < 200?

Answer 11

PCP, Trimethoprim-Sulfa prophylaxis

Question 12

CD4 Count < 100?

Answer 12

Toxo

Question 13

CD4 < 50?

Answer 13

MAC, Azithromycin

Question 14

PCP prophylaxis if G6PD deficient?

Answer 14

Atovaquone

Question 15

PCP prophylaxis with a sulfa allergy?

Answer 15

Dapsone

Question 16

Raised palpable purple lesions in an HIV patient?

Answer 16

Kaposi’s Sarcoma, HHV8

Question 17

Risk factors for HIV?

Answer 17

Sex worker, frequent sex, UTIs, Needle drugs

Question 18

What do you look for when the patient has flu-like symptoms, flu is negative, and the question is about HIV?

Answer 18

Viral load (NOT an Elisa)

Question 19

White stuff you can easily scrape of the mouth, WITH dysphagia?

Answer 19

Esophageal candidiasis, oral fluconazole

Question 20

White stuff you can easily scrape off the mouth, no dysphagia?

Answer 20

Oral candidiasis, nystatin swish and spit

Question 21

AFB smear is positive for TB?

Answer 21

Isolation, RIPE

Question 22

How do we screen someone with a positive ppd in the past that was treated for TB?

Answer 22

Chest X-rays

Question 23

In TB, what do you do about a BCG vaccine?

Answer 23

Ignore it, or choose gamma-interferon release

Question 24

The PPD is 11mm, who is that positive for?

Answer 24

Health-care workers

Question 25

The PPD is 16mm, who is that positive for?

Answer 25

People who shouldn’t have been tested

Question 26

The PPD is 6mm. Who is that positive for?

Answer 26

Immunocompromised and close contacts

Question 27

What are the SIRS critieria? Name them without looking

Answer 27

WBC > 12, <4 . HR > 90 . Temp > 38, <36 . RR > 20

Question 28

Sepsis + Low blood pressure?

Answer 28

Severe sepsis, give fluid bolus

Question 29

What separates severe sepsis from septic shock?

Answer 29

Severe sepsis is responsive to fluids, septic shock is not