ID

Question 1

when to tx flu

Answer 1

clinical sxs (malaise, myalgia, HA, fever, rhinitis, sore throat, cough)

Question 2

what tinea infxn requires systemic anti fungal?

Answer 2

tinea capitis

Question 3

1 cause of erythrasma

Answer 3

corynebacterium minutissimum

Question 4

x of intertrigo complicated by erythrasma

Answer 4

erythromycin

Question 5

HIV pt CD count

Answer 5

corticosteroids when PO2

Question 6

1st line tx for acute otitis media (AOM)

Answer 6

amoxicillin

Question 7

4 Centor criteria for strep throat

Answer 7

1) tonsillar exudates
2) tender ant LN
3) no cough
4) fever
4 –> Tx
3 –> test

Question 8

purpose of tx pertussis

Answer 8

decr infectivity (no effect on duration or severity)

Question 9

MCC of superficial foot infxns

Answer 9

staph and strep

Question 10

PPD mm cutoffs

Answer 10

at least 5 mm:

• HIV
• transplant
• household contact

at least 10 mm

• kids
• nursing home
• jail
• homeless
• immigrants
• IVDU
• hospital workers (incr in 10 mm)
• chronic illnesses

Question 11

bac causes for AOM

Answer 11

strep pneumo
H flu
M cat

Question 12

tx options for flu and CI to tx

Answer 12

oseltamivir

zanamivir (CI if COPD, asthma, respiratory distress)

Question 13

if worried a/b tetanus, and unsure a/b vaccinations

Answer 13

if vaccinated past 5 yrs, don’t vaccinate

if more than 5 years, don’t vacc if got Tdap

Question 14

1st line for head lice

Answer 14

permethrin

Question 15

latex allergy cross reacts w/ what fruits

Answer 15

avocado
bananas
kiwi

Question 16

HCV test

Answer 16

enzyme immunoassay
if positive, recombinant immunoblot assay
if pos, HCV RNA (if +, active, if -, resolved)
if negative, was false + immunoassay

Question 17

what proteins are decreased in a septic patient

Answer 17

albumin

transferrin

Question 18

who gets a 2 step PPD

Answer 18

people at high risk

Question 19

pos PPD but no sxs, next step

Answer 19

CXR

Question 20

organism that fluoresces red under Wood’s lamp

Answer 20

Corynebacterium

Question 21

organism that fluoresce green under Wood’s lamp

Answer 21

Microsporum

Question 22

tx for corynebacterium

Answer 22

erythromycin

Question 23

tx of impetigo limited to a small area

Answer 23

topical mupirocin

Question 24

2 step PPD: 1st neg, 2nd pos. What does this mean?

Answer 24

long standing, latent infection

Question 25

tx of latent TB

Answer 25

INH 9 mos

Question 26

preferred pressor in sepsis causing decr MAP

Answer 26

norepinephrine (Levophed)

vasopressin used if NE doesn’t work

Question 27

vaccines after splenectomy

Answer 27

pneumococcal
meningococcal
Hib

Question 28

indications for imiquimod

Answer 28

external genital and perianal warts in age 12 and older

Question 29

Hep B vacc indications

Answer 29

MSM
multiple sexual partners
IVDU
prison inmates
hemodialysis
living w/ Hep B carriers
health care workers
from endemic areas

Question 30

Hep A vacc indications

Answer 30

MSM

IVDU

Question 31

impetigo mostly caused by

Answer 31

staph aureus

Question 32

tx of conjunctivitis in contact lens wearers

Answer 32

gentamicin ointment (covers staph, strep, and GRAM NEG)

Question 33

excessively purulent conjunctival discharge - dx?

Answer 33

gonococcal conjunctivitis

Question 34

bacterial cause of acute sinusitis

Answer 34

strep

Question 35

bacterial cause of chronic sinusitis

Answer 35

polymicrobial

Question 36

tx adult chronic sinusitis

Answer 36

fluoroquinolone or amox/clavulanate for 2-3 wks

Question 37

what to do if needlestick occurs with HIV pt

Answer 37

test for HIV Ab and begin 2 drug therapy

Question 38

test to rule out acute HIV infection

Answer 38

HIV RNA (viral load)

Question 39

only thing beneficial for cold

Answer 39

ipratropium (atrovent) an anticholinergic nasal spray (decr rhinorrhea and sneezing)

Question 40

tx acute otitis externa

Answer 40

TOPICAL cipro and dexamethasone (Ciprodex)