ID

Question 1

Tx strep pharyngitis

Answer 1

Penicillin V

Question 2

Tx strep pharyngitis/PCN allergy

Answer 2

Azithromycin

Question 3

Tx otitis media

Answer 3

Amoxicillin

Question 4

CURB-65

Answer 4

Confusion, Uremia (BUN>30), RR>20, BP<90/60, Age>65

Question 5

Electrolyte abnormality associated with Legionella

Answer 5

Hyponatremia

Question 6

Dx sarcoidosis

Answer 6

transbronchial biopsy

Question 7

Tx CAP Outpt (no risk factors) (2)

Answer 7

Doxycycline or Azithromycin

Question 8

Tx CAP Inpt (risk factors) (2)

Answer 8

Levofloxacin, Beta-lactam + azithromycin or doxycycline

Question 9

Tx CAP ICU

Answer 9

Levofloxacin/Beta-lactam or Azithromycin/Beta-lactam

Question 10

Tx CAP MRSA: Add ____

Answer 10

linezolid and vancomycin

Question 11

Tx Aspiration Pneumonia (3)

Answer 11

Clindamycin, Pip-Taz, ampicillin-sulbactam

Question 12

What is the TST threshold? No risk factors

Answer 12

15mm

Question 13

What is the TST threshold? IVDU

Answer 13

10mm

Question 14

What is the TST threshold? HIV

Answer 14

5mm

Question 15

What is the TST threshold? Contact with active TB

Answer 15

5mm

Question 16

What is the TST threshold? Healthcare worker

Answer 16

10mm

Question 17

What is the TST threshold? Prison

Answer 17

10mm

Question 18

What is the TST threshold? organ transplant/immunocompromise

Answer 18

5mm

Question 19

What is the TST threshold? arrival from foreign high risk country

Answer 19

10mm

Question 20

What is the TST threshold? CXR findings consistent with TB

Answer 20

5mm

Question 21

Which diagnosis? Multiple lung nodules with associated bronchiectasis

Answer 21

MAC

Question 22

Which diagnosis? necrotizing granulomas, glomerulonephritis, cavitary lesions common

Answer 22

Granulomatosis with Polyangiitis

Question 23

Dx TB (2)

Answer 23

Acid fast bacilli on culture or NAAT of morning sputum

Question 24

Tx TB

Answer 24

9months: isoniazid, rifampin, ethambutol, pyrazinamide

Question 25

Tx LTBI

Answer 25

Isoniazid (9mo) + rifampin (4 mo) OR isoniazid/rifapentine (3mo)

Question 26

Ppx endocarditis

Answer 26

Amoxicillin x1

Question 27

Tx endocarditis empiric

Answer 27

Gentamicin/Vancomycin

Question 28

Tx endocarditis MSSA (2)

Answer 28

Oxacillin or nafcillin

Question 29

Tx endocarditis Strep (2)

Answer 29

PCN or Ceftriaxone

Question 30

Tx endocarditis prosthetic valve

Answer 30

Gentamicin/Vancomycin/Rifampin

Question 31

Dx complicated prostatitis

Answer 31

rectal US

Question 32

Dx prostatic abscess

Answer 32

CT

Question 33

Which UTI drug should not be used for pyelonephritis?

Answer 33

Nitrofurantoin

Question 34

Tx Inpt pyelonephritis

Answer 34

Fluoroquinolone

Question 35

Tx UTI pregnancy (2)

Answer 35

Nitrofurantoin or Amoxicillin

Question 36

Dx chancroid

Answer 36

Culture

Question 37

Tx chancroid

Answer 37

Azithromycin or ceftriaxone

Question 38

Tx GC/Chlamydia

Answer 38

Ceftriaxone + (Doxycycline or Azithromycin)

Question 39

CD4 count PCP

Answer 39

200

Question 40

CD4 count Candida

Answer 40

200

Question 41

CD4 count Toxo

Answer 41

100

Question 42

CD4 count MAC

Answer 42

50

Question 43

CD4 count Cryptococcus

Answer 43

100

Question 44

CD4 count PML/JCV

Answer 44

100

Question 45

CD4 count CMV

Answer 45

50

Question 46

CD4 count Cryptosporidium

Answer 46

100

Question 47

MAC PPx

Answer 47

Azithromycin qw when CD4 <50

Question 48

HIV PI suffix

Answer 48

-navir

Question 49

HIV II suffix

Answer 49

-tegravir

Question 50

HIV Coreceptor antagonist

Answer 50

Maraviroc

Question 51

Pathogen Osteomyelitis dog/cat bite

Answer 51

Pasteurella multocida

Question 52

Pathogen Osteomyelitis IVDU

Answer 52

Staph aureus, pseudomonas

Question 53

Pathogen Osteomyelitis Sickle Cell

Answer 53

Salmonella

Question 54

Duration of osteomyelitis tx

Answer 54

4-6 weeks

Question 55

Tx Osteomyelitis empiric (3)

Answer 55

nafcillin, cephazolin, vancomycin

Question 56

Tx Osteomyelitis IVDU/SCD (2)

Answer 56

Vancomycin, levofloxacin/nafcillin

Question 57

First-line vasopressor in sepsis

Answer 57

Norepinephrine

Question 58

Airborne precautions (3)

Answer 58

VZV, Measles, TB

Question 59

Droplet precautions (2)

Answer 59

N. meningitidis, flu

Question 60

Contact precautions (3)

Answer 60

VRE, MRSA, C diff

Question 61

Tx CLABSIs

Answer 61

Vancomycin + 3rd/4th cephalosporin +/- amphotericin B

Question 62

Tx VAP (2)

Answer 62

Ceftriaxone or Levofloxacin (+/- vancomycin or anti-pseudomonal)