OME - Day 23

Question 1

Brain mass on CT, AIDS negative in vignette: next step?

Answer 1

Biopsy

Question 2

Brain mass on CT, AIDS positive in vignette: next step?

Answer 2

Treat for Toxo 4-6 weeks

Question 3

What are the empiric antibiotics for bacterial meningitis?

Answer 3

Vancomycin + Ceftriaxone + Steroids

Question 4

Empiric antibiotics for bacterial meningitis if immunocompromised?

Answer 4

Vancomycin + Ceftriaxone + Ampicillin + Steroids

Question 5

Fever and a headache, no fails -> next step?

Answer 5

LP

Question 6

Fever and a headache, + FAILS; next step?

Answer 6

IV Abx (not CT scan)

Question 7

Flaccid paralysis and encephalopathy -> likely dx?

Answer 7

West Nile

Question 8

Lyme meningitis - treatment?

Answer 8

Ceftriaxone

Question 9

Temporal Lobe and Encephalitis -> likely dx?

Answer 9

HSV

Question 10

Treatment for HSV encephalitis?

Answer 10

Acyclovir

Question 11

Fungal skin infections that don’t involve the nail - treat with?

Answer 11

Topical antifungals

Question 12

Fungal skin Infections that involve the nail?

Answer 12

Oral medications = Terbinafine

Question 13

Gas on X-ray?

Answer 13

Gas-gangrene, Clostridium perfringens

Question 14

Honey-crusted lesion?

Answer 14

Impetigo, Amoxicillin

Question 15

How to diagnose osteomyelitis with cellulitis?

Answer 15

X-ray, then MRI, then biopsy (no bone scan)

Question 16

How to diagnose osteomyelitis without cellulitis?

Answer 16

X-ray, then Bone Scan, then Biopsy

Question 17

Rapidly spreading cellulitis with far more pain than should be present?

Answer 17

Nec Fac, debridement ASAP

Question 18

Treat Lice with?

Answer 18

Permethrin

Question 19

Treat scabies with?

Answer 19

Permethrin

Question 20

Bilateral white out in an aids patient?

Answer 20

PCP, IV trimethoprim-sulfa and prednisone

Question 21

Fever and a cough, consolidation on x-ray, not toxic - antibiotic?

Answer 21

Azithromycin

Question 22

Fever and a cough, consolidation on x-ray, septic - antibiotic?

Answer 22

Ceftriaxone and Azithromycin

Question 23

Fever and a cough, no consolidation on x-ray, - antibiotic?

Answer 23

Doxycycline or Azithromycin

Question 24

Pneumonia but foul breath and a CXR shows cavitation?

Answer 24

Abscess

Question 25

Pneumonia in a dialysis patient?

Answer 25

HCAP, Vancomycin and Pip/Tazo

Question 26

Pneumonia in a nursing home patient: dx / tx?

Answer 26

HCAP, Vancomycin and Pip/Tazo

Question 27

Healthy man with a UTI and no sepsis?

Answer 27

Nitrofurantoin x 7 days

Question 28

Healthy woman with a UTI and no sepsis?

Answer 28

Nitrofurantoin x 3 days

Question 29

Healthy woman with pyelo but can tolerate po?

Answer 29

Cipro x 7 days

Question 30

Healthy woman with pyelo but can’t tolerate po - Tx?

Answer 30

Ceftriaxone x 10 days

Question 31

Positive urinary tract infection on labs during a “routine” or “screen”, patient asymptomatic - Tx?

Answer 31

Do nothing

Question 32

Positive urinary tract infection on labs, patient asymptomatic, but pregnant - tx?

Answer 32

Amoxicillin (Nitrofurantoin if pen allergic)

Question 33

Three days into a pyelo diagnosis and the patient hasn’t improved - next step?

Answer 33

Perinephric abscess, CT scan

Question 34

White blood cell casts?

Answer 34

Pyelonephritis