ID High yield for final

Question 1

Treatment for Teatnus

Answer 1

Human IgG
Penicillin G
Teatnus has a neurotoxin that leads to the muscle spasm, so need to reverse it.

Question 2

Botulism treatment

Answer 2

> 1 year: Equine antitoxin
<1 year: human botulism Ig antitoxin

Question 3

What are the anti MRSA drugs

Answer 3

Vanco
Doxy
Bactrim
Clinda

MSSA:
Diclox

Vanco resistant: Linezolid

Question 4

What are the anti psdudomonal drugs

Answer 4

Cephalosporins: Ceftazidime, Cefepime, and Cefiderocol.

Penicillins: ticarcillin and piperacillin.

Zosyn, Unasyn

Question 5

Toxoplasmosis tx of choice and prophy of choice

Answer 5

Pyrimethamine and Sulfadiazine(or Clinda), Leucovorin

USE prophy if CD4 <100, Bactrim

Question 6

What is roseaola caused by

Answer 6

HHV 6

Question 7

TX for Streptococcus pneumonia

Answer 7

PCN G for Pneumoniae
Ceftriaxone or Vanco for Meningitis (Treat neisseria meningitis and strep pneumonia meningitis with this)

Question 8

Most common causes of neonatal/adult meningitis, and treatment choice

Answer 8

Adult: Strep pneumoniae- Ceftriaxone and vanco
Neonatal: Group B strep - PCN G

Question 9

Most common cause of gastroenteritis

Answer 9

Viruses- Norovirus and Rotavirus

Question 10

Cryptococcal meningitis treatment and presentation

Answer 10

Presentation: A lumbar puncture with mucicarmine staining reveals encapsulated organisms with red inner capsules and narrow budding.

TX: Amphotericin B and flucytosine

Question 11

Coccidioidomycosis

Answer 11

Valley fever
TX: Self limiting if asx. Fluconazole if sx, or Amphotecerin b if pregnant

Question 12

OHIO

Answer 12

Histoplasmosis
TX: No treament if asx
Mild: Itraconazole
Severe: Amphotericin B
Atypical pneumonia that mimics TB. Get sputum culture.

Question 13

Histoplasmosis

Answer 13

OHIO
TX: No treament if asx
Mild: Itraconazole
Severe: Amphotericin B
Atypical pneumonia that mimics TB. Get sputum culture.

Question 14

Blastomycosis

Answer 14

Fungus that impacts HIV especially (Ohio river valley or great lakes, mississippi).

Question 15

tx for gonococcal joint disorder

Answer 15

ceftriaxone

Question 16

Fluffy white retinal lesions

Answer 16

CMV- HHV-5
Esp high risk for HIV

Question 17

CMV Tx

Answer 17

Gaincyclovir

Question 18

Trichomonas tx

Answer 18

Metronidazole

Question 19

Most common cause of esophagitis in HIV patients and TX

Answer 19

Candida
Tx: Fluconazole

Question 20

HSV Tx

Answer 20

Acyclovir, Valacyclovir

Question 21

Candida vs Bacterial Vaginitis Tx

Answer 21

Candida- Fluconazole
Gardinella (BV)- Metrionadazole or Clinda

Question 22

Which genital lesion does chlamydia cause

Answer 22

Lymphogranuloma verneum

Question 23

Pertussis Tx

Answer 23

Azithromycin

Question 24

Cat Scratch vs cat bite diseases

Answer 24

Cat Scratch: Bartonella Henslae (TX: Azithro or doxy)
Cat Bite: Pasteruella multicedia (TX: PCN)

Question 25

Toxoplasmosis

Answer 25

Toxoplasmosis gondii is causative organism Found in cat feces Bilateral Lymphadenopathy Ring Enhancing lesions on CT TX:Sulfadiazine, pyrimethamine, leucovorin

Question 26

Ring enhancing lesions on MRI and TX

Answer 26

Toxoplasmosis tx: sulfadiazine, pyrimethamine, & leucovorin Causes Encephalitis in AIDS pts

Question 27

Cryptococcal meningoencephalitis

Answer 27

AIDs pts tx: Amphotericin B + flucytosine

Question 28

Pneumocystis jirovecci dx and tx

Answer 28

-dx: x-ray looks like normal PNA (bat wing appearance on XR = bilateral interstitial infiltrate) -tx: TMP/SMX (bactrim)

Question 29

V or L arrangement

Answer 29

Club-shaped rods Diptheriae

Question 30

Trichinella spiralis Tx?

Answer 30

Hunters who eat the meat they catch (kill?) Larvae visible on muscle biopsy Transmitted by ingestion of undercooked meat Fever, Muscle pain, periorbital edema Thiabenzadole and Steroids to tx

Question 31

Zika is found where and has what symptoms

Answer 31

South Africa, Microcephaly

Question 32

Uncomplicated cystitis (UTI) TX

Answer 32

Nitrofurantoin, Bactrim

Question 33

Pharyngitis (Group A beta-hemolytic strep only) TX

Answer 33

Amoxicillin

Question 34

Gonococcal urethritis and/or Cervicitis TX

Answer 34

Gonorrhea: Ciprofloxacin and doxy or azithro if possible chlamydia

Question 35

Anogenital warts TX

Answer 35

-imiquimod or podofilox 0.5% solution -cryotherapy w/ liquid N - Trichloroacetic acid (TCA)

Question 36

BV TX

Answer 36

Metronidazole Trachamonis Vaginalis

Question 37

Cerebral toxoplasmosis TX

Answer 37

-pyrimethamine, sulfadiazine, and leucovorin

Question 38

Tx for strep pharyngitis

Answer 38

Amoxicillin

Question 39

Tx for Salmonella typhi

Answer 39

Ceftriaxone

Question 40

Pea Soup Diarrhea

Answer 40

Salmonella