Flashcards in ID - Random Deck (28):
Most sensitive sign for otitis media? Treatment?
Immobile tympanic membrane; axoxicillian
Best diagnostic test for otitis media ? When to order?
Tympanocentisis; multiple recurrences
Sinusitis – most accurate test? When to do it?
Sinus biopsy or aspirate; recurrent sinusitis or no response from empiric therapies
(never do culture of nasal discharge)
First-line options for otitis or sinusitis?
Signs of strep pharyngitis?
If membranous oropharyngeal exudates, think?
Under 48 hours: oseltamivir, zanamivir (neuroaminidase to shorten duration)
If over 48 hours: symptomatic treatment
Infectious diarrhea – next step?
Look for blood or Stool lactoferrin
1. Most common? (Complication?)
2. Associated with HUS?
3. Associated with cruise ships
4. Associated with history of liver disease and rash
5. Associated with hemochromatosis or blood transfusions
1. Campylobacter (GBS)
2. E. coli and shigella
3. Vibrio parahaemolyticus
4. Vibrio vulnificus
Nonbloody diarrhea and vomiting?
Staph or bacillus cereus
Patient presents with diarrhea, wheezing, Flushing, and skin rash soon after eating fish dinner - diagnosis? Treatment?
Treatment for cryptosporidium?
Elevated lab test in viral hepatitis that is associated with higher mortality?
Assess disease course of Hep C with?
PCR RNA level (use to assess response to treatment, etc)
In hep B, finding that suggests that patient is no longer at any risk for transmission?
Which finding indicates need for antivirals in chronic disease?
No surface antigen
Best indicator that pregnant woman with hep B will transmit infection to child?
E-antigen or DNA polymerase
Only *acute* hepatitis that gets meds? Treat with?
Acute hep C
#boceprevir OR telaprevir
Urethritis - most likely diagnosis if? Best initial test? Most accurate test? Treatment?
Urethral swab (for Gram stain)
Urethra culture, DNA probe, amplification for gonorrhea/chlamydia
Ceftriaxone and doxycycline/azithromycin
Urethritis – if not chlamydia or gonorrhea?
Mycoplasma genitalium or ureaplasma
Female with abdominal tenderness, fever, cervical motion tenderness and leukocytosis – likely diagnosis? First test? Most accurate test? (Do when?)
PID; cervical swab;
laparoscopy (if unclear diagnosis, systems persist despite therapy, recurrent episodes)
STD with tender, suppurative lymph nodes? Best test? Treatment?
Complement fixational titers for amplification
HSV - Best initial test? Most accurate test?
Tzack prep ; Viral culture
Treatment for chancroid?
Tx for condylomata acuminata?
Cryotherapy; podophyllin; trichloroacetic acid;
Treatment for UTI?
Three days nitrofurantoin (seven days if anatomic abnormality)
Empiric treatment for Pyelonephritis?
#Ampicillin + gentamicin
Long-term therapy for chronic prostatitis?
6 to 8 weeks of Bactrim