Uworld ID Flashcards

0
Q

Lyme tx?

A

Doxycycline

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1
Q

Prophylaxis For TB?

A

Chloroquine for most

Mefloquine for sub-Saharan Africa and Indian subcontinent (chloroquine-resistant)

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2
Q

Nocardia tx?

A

Bactrim

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4
Q

Tx for dog/human bite?

A

Amoxicillin-clavulanate

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5
Q

Immunocompromised pt with pulmonary nodule with halo sign?

A

aspergillosis

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6
Q

hemochromatosis predisposes to what infections?

A

Lysteria, Yersinia enterocolitica, Vibrio vulnificus

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7
Q

Causal drug in pt with HIV who presents with crystal-induced nephropathy? pancreatitis? liver failure? hypersensitivity?

A

indinavir (protease-inhibitor)
didanosine
nivirapine
abacavir

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8
Q

Class of HIV drugs that cause lactic acidosis? SJS?

A

NRTI (nucleoside reverse transcriptase inhibitor)

NNRTI

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9
Q

Most common cause of pneumonia in nursing home pts?

A

Strep pneumonia

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10
Q

pt with syphilis who is allergic to penicillin?

A

give doxycycline

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11
Q

pt with with skin-colored, verrucous, papilliform lesions. Tx?

A

HPV

  1. chemical agents (trichloroacetic acid, 5FU epinephrine cream, podophyllin)
  2. Immune therapy (imiquimod, alpha-interferon)
  3. Surgery
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12
Q

pt with HIV who presents with CD4 count<50. In addition to HAART, add?

A

Bactrim for PCP prophylaxis

Azithromycin for MAI prophylaxis

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13
Q

tx of pt with severe PCP?

A

bactrim and steroids

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14
Q

Diagnose leprosy with?

A

Acid-fast stain of skin biopsy

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15
Q

Measles vs Rubella?

A

koplik spots vs arthritis

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16
Q

Signs of Malignant Otitis externa? Cause? Common in pts with history of?

A
  1. granulation tissue on external ear canal
  2. otorrhea
  3. severe ear pain radiating to TMJ

Psudomonas

Diabetes

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17
Q

Pt with puncture wound who gets osteomyelitis. Organism?

A

Pseudomonas

18
Q

AIDS pt with palatal ulcers, hepatosplenomegaly, pancytopenia?

A

histoplasmosis

19
Q

Pt with PID should be tested for?

A

HIV, RPR (syphilis), hep B, pap smear

20
Q

Pt with anemia and periodic fevers. Look for?

A

Malaria. Hepatosplenomegaly

21
Q

Atypical lymphocytes are seen in what infections?

A

Mono, toxoplasmosis, rubella, roseola, viral hepatitis, mumps, CMV, HIV

22
Q

When to test for EBV-specific antibodies?

A

Pt with suspected mono with negative heterophile antibodies

23
Q

Post contact with sand in Southeast US - can get? findings?

A

Cutaneous larva migrans (Ancylostoma brasiliense)

Pt presents with puritic, erythematous papules that progressed to reddish-brown elevated lesions?

24
Q

Blastomyosis skin lesions?

A

violet, verrucous or ulcerative/crusting lesions with sharp border

25
Tx options for influenza?
Oseltamivir and Zanamivir if influenza A can also use Rimantadine or Amantadine
26
Pt post GI/viral infection can get this? Typical presentation?
Gullian-Barre. Numbness/tingling in fingers/toes that ascends
27
Trichinella - transmitted via? symptoms?
undercooked pork ``` Triad: 1. periorbital swelling 2. myositis 3. Eosinophilia Can also get splinter hemorrages, conjuntival hemorrhages ```
28
Pt with sore throat, fever, malaise, exudative tonsilitis, and splenomegaly. May develop?
Mono. Autoimmune hemolysis
29
``` Empiric meningitis tx for pts age: 1. < 3 months 2. children and adults 3. elderly 4 post-neurosurgery ```
1. cefotaxime (avoid ceftriaxone in neonates) and ampicillin 2. Vanc and ceftrixaone 3. Vanc, ceftriaxone and ampicillin 4. Vanc and ceftazidime (anti-pseudomonal)
30
Toxic shock syndrome. Caused by? Signs?
Staph. Erythema that starts on trunk, strawberry tongue, conjunctival hyperemia
31
Pathogenesis of giardia? Pt typically returns from?
Trophozoites adhere to mucosal surface by adhesive disks and produce malabsorption. 3rd world or rocky mountains
32
Only give anti-influenza drugs if?
Within 2 days of symptom onset
33
Most common cause of osteomyelitis? Osteomyelitis after nail puncture wound?
Staph aureus. Pseudomonas
34
Pt with idiopathic thrombocytopenia - test for?
HIV and Hep C
35
Signs of erlichiosis?
``` #flulike symptoms (high fever, myalgias) #confusion #No rash ``` ``` Labs: #Leukopenia and thrombocytopenia #elevated LFTs ```
36
Toxoplasmosis tx? Ppx?
Sulfadiazine and pryimethamine Bactrim
37
Diagnose histoplasmosis with? Treatments?
Urine test ``` #itraconazole #Amphotericin and itraconazole if fever over 103 or fungemia ```
38
Leprosy presents as?
``` #Hyperpigmented plaque that does not have sensation #progresses to muscle atrophy and distal deformities ```
39
HIV pt with large red nodules?
Bacillary angiomatosis
40
Pnemonia and GI (diarrhea) in transplant patient - suspected diagnosis?
CMV