Bioweapons

Question 1

what is the anthrax PEP regimen?

Answer 1

cipro or doxy x 60 days
+/- biothrax

Question 2

What is the differential for a Gram Neg Coccobacilli that grows on MAC?

Answer 2

Yersinia and Burkholderia

Question 3

What is the differential for Gram Neg Coccobacilli that does NOT grow on MAC and is catalase positive?

Answer 3

Brucella or Burkholderia mallei

Question 4

What might you have with a Gram Neg Coccobacilli that does NOT grow on mac and is Oxidase NEGATIVE?

Answer 4

Francisella Tularensis

Question 5

Treatment for cutaneous anthrax (naturally occuring)
Treatment of pulmmonary anthrax (naturally occuring)

Treatment of pulmonary anthrax (bioweapon)

Answer 5

Naturally occuring/No evidence of systemic disease - amox/PCN 7-10 days

Severe disease/inhaled doxy/cipro +/- anthrax antitoxin and vaccination

if bioterrorism treat for 60 days out of concern for spores

Question 6

plague Rx

Answer 6

quinolone or aminoglycoside
(no doxy)

Question 7

tularemia rx

Answer 7

aminoglycoside
or cipro or doxy