ID

Question 1

This deficiency shows an impaired antibody production with infections due to encapsulated bacteria

Answer 1

Humoral immune deficiency

Question 2

This deficiency shows infections from ordinarily benign viruses, opportunistic pathogens, or fungi

Answer 2

Cell mediated

Question 3

This next step of management is needed if a patient gets a nucleic acid amplification of chylamydia and gonnorrhea and it returns back positive for C. trach and negative N. gonn. Need this if only Gram stain is used.

Answer 3

Single dose azithromycin or 7-day of doxycycline. / both azithro or doxy and ceftriaxone

Question 4

These two tests should be done initially with a patient who used IV drugs in the past presents with fatigue, anorexia, and MMSE of 24/30

Answer 4

HIV and Hep C screening (advanced HIV can cause

Question 5

This is considered to be the biggest risk for RA patients. And explain why.

Answer 5

osteoporosis; because the increased levels of cytokines, steroid tx, and low exercise leads to local and generalized loss of bone mass

Question 6

This has to be monitored while taking hydroxychloroquine. This is done to help prevent this from happening.

Answer 6

Eyes for retinopathy. Have to do eye exam every 6 months

Question 7

Exposure to oxidizing agents like dapsone, nitrates, and anesthetics cause this.

Answer 7

methemoglobinemia

Question 8

Hydroxocobalamin, sodium thiosulfate or nitrates are used as an antidote for this type of toxicity.

Answer 8

Cyanide

Question 9

Metabolic acidosis is caused by cyanide toxicity because of this.

Answer 9

Lactic acidosis (since ATP production is blocked leading to anaerobic metabolism, leading to lactic acid)

Question 10

This is the next immediate management for a patient exhibiting a 1 month hx of diarrhea, abd distension, weight loss, night sweats, and enlarged, nontender cervical and inguinal nodes as well as ulcer on buccal mucosa

Answer 10

HIV testing

Question 11

These two bacteria are the most common causes of pneumonia in the elderly.

Answer 11

S. aureus and H. influenzae

Question 12

This type of antibiotic is used for a cat bite.

Answer 12

Amoxicillin/clavulanate (Augmentin)

Question 13

This type of disease is associated with peptostreptococcus.

Answer 13

Peridontal disease

Question 14

A patient with fevers (every 2-3 days) with parasites on thick and thin blood smears can be protected by having this.

Answer 14

hemoglobinopathies and sickle cell trait (the misshapen RBCs make it hard for parasitic proliferation)

Question 15

SE Asian patient who comes in with hypopigmented lesion on arm with left upper arm muscle atrophy needs this to be done for dx.

Answer 15

Skin biopsy (acid fast bacilli)

Question 16

Patient with a surgical site that is painful, numb at the edges, and purulent, cloud-gray discharge needs this as tx.

Answer 16

Parenteral abx and urgent surgical exploration

Question 17

Healthy granulating wounds can be managed with this.

Answer 17

Negative pressure wound tx

Question 18

A patient who emigrated from Mex with ab pain, fever, inc WBC, and liver abscess on imaging should be treated wtih this.

Answer 18

Oral metronidazole (never drain due to risk of peritoneal rupture)

Question 19

An HIV patient who is asymptomatic with a PPD test of 6mm induration should have this be done next.

Answer 19

Isoniazid and pyridoxine for 9 months (

Question 20

A patient who has a cavitary infiltrate in the upper lobe and hemoptysis, weight loss, and night sweats should have this be done next.

Answer 20

rifampin, INH, pyrazinamide, and ethambutol for 2 months followed by INH and rifampin for 4 months

Question 21

This is the gold standard for testing infants of HIV

Answer 21

PCR (antibody testing not reliable)