ID

Question 1

Gram + cocci in chains

Answer 1

Streptococcus

Question 2

Gram positive cocci in grape-like clusters

Answer 2

Staph aureus

Question 3

PCN coverage

Answer 3

Gram +

Staph, strep, enterococcus

Question 4

Augmentin / unasyn

Coverage

Answer 4

Gram +
Better gram -
M. Cat, H. Flu, e. Coli, anaerobes

Question 5

1st gen cephalosporins coverage

Keflex, ancef

Answer 5

Gram + cocci
Staph, strep
Some gram - (e coli, anaerobes)

Question 6

2nd gen cephalosporins

Ceclor, ceftin

Answer 6

Broader gram -

H flu, proteus, neisseria, moraxella

Question 7

3rd gen cephalosporins

Rocephin, ceftazidime, cefixime

Answer 7

Better gram -
Broad spectrum
Meningitis, gonorrhea, CAP

Question 8

4th gen cephalosporins

Cefepime

Answer 8

Coverage v pseudomonas

Broad

Question 9

Carbapenem coverage

Answer 9

Broadest of all!

Question 10

Vanco coverage

Answer 10

Gram + only

S aureus, mrsa, s pneumoniae

Question 11

Bacitracin coverage

Answer 11

Gram +

Question 12

Polymixin coverage

Answer 12

Gram -

Question 13

Macrolide coverage

Answer 13

Bacteria w/o cell walls
- and +
Mycoplasma, legionella, chlamydia, strep

Question 14

Tetracycline coverage

Answer 14

Macrolide coverage PLUS

Various animal/insect dz, acne

Question 15

Clinda coverage

Answer 15

Gram +, anaerobes above diaphragm

Question 16

Aminoglycoside coverage

Gentamicin, tobramycin

Answer 16

Gm - ONLY
Common used with PCNs for broad coverage
Tx against pseudomonas

Question 17

Linezolid coverage

Answer 17

Gram + ONLY
MRSA, VRE, enterococcus
Atypicals

Question 18

FQ coverage

Answer 18

Depends on drug
Mostly gram neg with cipro being best
Pseudomonas coverage

Levo better for CAP because better for pneumonia

Question 19

Flagyl coverage

Answer 19

ONLY for anaerobes/ Protozoa

Question 20

Bactrim coverage

Answer 20

Gram - and staph including mrsa

Question 21

Pigeon droppings inhaled in immunocomp patient - new onset of pneumonia, meningitis.
What disease - what special test for diagnosis of this type of meningitis

Answer 21

Cryptococcus (fungal)

Need India ink stain with CSF

Question 22

Bird/bat droppings in MS/OH, HIV+ patient, sx of pneumonia

What disease

Answer 22

Histoplasmosis (fungal)

Question 23

What is an opportunistic fungal infection that doesn’t respond to antifungals and causes pneumonia like sx?
And what do you treat with?

Answer 23

Pneumocystis

Tx with bactrim

Question 24

Puncture wound from raw fish/meat leaves the hand with severe pain, swelling,
*purplish erythema w sharp irregular borders extending peripherally but clearing centrally

Answer 24

Erysipeloid

Question 25

Tx for tetanus

Answer 25

Flagyl + tetanus immune globulin

Question 26

Disease assoc with rabbits or insect bite Gives Fever/HA/N and ulceration of a papule with central eschar and tender regional LAD Disease and treatment?

Answer 26

Tularemia | Treat w streptomycin

Question 27

Exposure to farm animals and their products eg wool Pneumonia and influenza like illness, culture negative endocarditis if chronic Diagnosis, bacterial species and treatment?

Answer 27

Q fever Coxiella Burnetti Treat with doxy

Question 28

What’s the name of the malaria bug

Answer 28

P falciparum

Question 29

What type of blood testing do you do for malaria

Answer 29

Giemsa stain peripheral smear

Question 30

History of tick bite w symptoms | Smear shows PATHOGNOMONIC TETRADS

Answer 30

Babesiosis

Question 31

What is the bug in Chagas’ disease

Answer 31

Protozoa - trypanosoma cruzi

Question 32

Describe the unique presentation of chagas dz

Answer 32

Latin America region Illness w unilateral Periorbital edema, LAD, bite site Chronic causes CM, CHF, megacolon/esoph

Question 33

Which disease presents with GI symptoms, then progresses to muscle pain, swelling, weakness, and *palpebral/orbital edema Will have eosinophilia

Answer 33

Trichinosis

Question 34

History of tick bite w symptoms | Peripheral buffy coat smear shows morulae in WBCs

Answer 34

Ehrlichiosis

Question 35

What is the MC cause of encephalitis

Answer 35

HSV

Question 36

This disease causes a mono illness and then causes older immunocomp patients to have a reactivation with retinitis and esophagitis, +/- pneumonitis, colitis, encephalitis

Answer 36

CMV

Question 37

Only childhood viral exam them that starts on the trunk

Answer 37

Roseola

Question 38

“Negri bodies”

Answer 38

Rabies

Question 39

Exposure to mouse or rodent dropping -> myalgia, fever, N/V/D Then sudden respiratory distress, pulm edema, renal failure

Answer 39

Hantavirus

Question 40

CREAM of Kawasaki syndrome

Answer 40

``` Conjunctivitis Rash Extremity - edema, erythema, desquamation Adenopathy Mucous membranes - strawberry tongue ```

Question 41

HIV Testing: Screening test Confirmatory test Monitoring test

Answer 41

Screen with ELISA Confirm with Western Blot Monitor with RNA Viral load