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1
Q

Upper extremity weakness, slurred speech, resp failure, visual changes?

Tx?

A

Botulisim

Equine anti-toxin

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2
Q

MCC of PNA in CF patients?

A

S aureus

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3
Q

HIV dx test order?

A

ELISA –> WB

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4
Q

HIV treatment in late pregnancy for pt and baby?

A

AZT (Zidovudine) for both

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5
Q

S/E of protease inhibitors —navir?

Idonavir?

A

Lipodystrophy

Idonavir = Crystal nephropathy

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6
Q 
S/E of Nucleoside/tide reverse transcriptase inhibitors
Zidovudine
Didanosine
Stavudine
Lamivudine
Emtracibine
Abacavir
Tenofovir?
A

BM supp
Nueropathy

Didanosine: Pancreatitis

Abacavir: Hypersensitivity

Tenofovir: renal insuff.

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7
Q

S/E of NNRTI?
Efavirenz
Nevirapine

A

Efav: Dreams/hallucinations
Nev: Liver

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8
Q

Post HIV exposure PPX?

A

4wks of triple therapy

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9
Q

CNS and lung infection in immunosuppressed pt?

Tx?

A

Nocardia (weakly acid fast)

TX: TMP/SMX

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10
Q

Hepatosplenomegaly, fever, weight loss, lymphadenopathy, cough, palate ulcers, CXR densities in immunocompromized?

A

Histoplasma

TX: severe = amph B + 1 yr itraconazole

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11
Q

PCP presentation?

tx?

A

NON-productive cough in immunosuppressed, bilateral CXR

High dose TMP/SMZ

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12
Q

CMV infections in immunocompromised?

A

Retinitis
GI : Diarrhea
Esophageal ulcers (large superficial ulcers)
CNS: encephalitis

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13
Q

MAC presentation?

Tx?

A

Fever, weakness, weight loss in HIV not on HAART
Possible Adrenal Insuff.

ELEVATED LDH, and ALP, anemia

Tx: Clarithromycin

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14
Q

Malaria dx?

A

Giemsa or Wright stains

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15
Q 
Malaria-
ppx?
Uncomplicated?
Unknown org?
Severe?
A

ppx: Mefloquine, atovaquone-proguanil

Uncompl: Chloroquine

Unknown: Chlorquine + Primaquine

Severe: +IV Quinidine

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16
Q 
South central/eastern US
Fevers, chill, myalgias, AMS
NO RASH
Anemia/thrombocytopeina?
Dx?
tx?
A

Erhlichosis

Doxy

(Morula in monocytes)

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17
Q

Osteomyelitis after puncture wound?

A

Pseudomonas

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18
Q

M/C osteomyelitis without any risk factors?

A

S aureus

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19
Q

Pig farm infection?

A

Neurocysticerosis

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20
Q

Sheep and Dog vector –> liver cysts?

A

Echinnococcus

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21
Q

Supportive tx for measles?

A

Vit A

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22
Q

Pseudoappendicitis, bloody diarrhea?

A

C Jejuni

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23
Q

Non-bloody travelers diarrhea without fecal leukocytes?

Study These Flashcards
A

Giardia - Rural US
Cryptosporidium - International travel, poor sanitation
Cyclospora (relapsing remitting)

24
Q

Weird indications for Meningcoccus vaccine?

Study These Flashcards
A

Asplenic

Complement deficiency

25
Vaccinations in HIV?
Hep A (MSM and IVDA) HBV (test for immunity) PCV Varicella (LIVE OK IF CD4>200)
26
Treatment for human bite wounds?
Augmentin
27
Liver abscess + Bloody diarrhea? tx?
Entamoeba histolytica Metronidazole
28
PPD ranges?
5mm - HIV, recent TB, transplant/immunosupp 10mm - healthcare, recent immigrants, IVDA 15mm - everyone else
29
Coverage required for neutropenic fever, unknown origin?
Pseudomonas coverage
30
Fever, drooling, dysphagia, submandibular swelling? Spread? tx?
Ludwig angina = streptcoccus From infected molar Penicillin, clinda, metro
31
Bartonella henselae presentation vs. other bacterial lymphadenitis?
Cat scratch --> local papule with local node with overlying erythema Bacterial = No papule
32
Acid staining nocardia vs actinomyces?
Nocardia = Partially acid fast Actino = Not (also is anaerobic)
33
MCC cause of splenic abscess?
Spread from endocarditis
34
Babesiosis vs erhlichosis on blood studies?
Babesiosis = Hemolysis leukocytosis, Maltese cross Erhlichosis = Thrombocytopenia/neutropenia, morula
35
Measles vs. Rubella?
Measles = HIGH FEVER, Cervical adenopathy Rubella = ARTHRALGIAS, Posterior auricular adenopathy
36
Raised grey-white lesions of mucous?
Condylomata Lata (2nd syphillis)
37
Tb vs. aspiriation PNA on CXR?
Tb = upper lobes Aspiration = lower lobes
38
Vaccines after splenectomy?
14 days after! PCV 13 Meningococcus HiB
39
Hep C screening risk factors?
IVDA | Blood transfusion before 1992
40
Tropical, Polyarthritis, High fevers, thrombocytopenia?
``` Chikungunya aedes misquito (same as dengue) ```
41
Diarrhea, hyponatremia, high fever, PNA? Tx?
Legionella LF
42
Hep A vaccine indication?
HBV or HCV MSM IVDA
43
+Whiff test? On smear? tx?
BV Clue cells Metro
44
Tx for trich?
Metro FOR pt AND PARTNER
45
Hep B and C associated vascular disease?
B = Polyarteritis nodosa | C m mixed cryoglobinemia, PCT
46
Hep B exposure tx?
ALL GET IVIG Immediate vaccine if no immunization
47
LFTs in alcoholic vs. infectious hepatitis?
Alcoholic = 1000
48
D-xylulose absorption and mechanism for testing for disease?
Absorbed in SI measured in urine -- high = good absorption = no SI disease Low urinary concentration in either SIBO or Celiac
49
Tx for Acute Liver failure in Hep B?
Tenofovir | Entecavir
50
Abscess in lung, IVDA Fast onset? Slow onset?
Fast = Bacterial endocarditis Slow = Tb
51
Who gets desensitized PCN tx? Otherwise?
Pregnant syphillis or Neurosyphillis + history of severe reaction 2nd line = Doxy
52
Diarrhea 1 wk after food when travelling Periorbital edema, Muscle pain/damage, eosinophilia 4 wks after?
Trichinellosis tx: mebendazole
53
Lung disease/eosinophilia after ingestion. Later GI obstruction/malnutrition?
Ascariasis
54
Organisms that cause bacterial abscess via 1- hematogenous spread 2- surgical hx?
1- s. viridans | 2- s aureus
55
Skin INFX lesions that mimic kaposi sarcoma in HIV pt?
Bacillary angiomatosis (Bartonella)
56
HUS vs. HSP?
HUS = Upper extremity rash HSP = Lower extremity

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