Infectious disease

Question 1

what medication is a monoclonal antibody given monthly during winter months to infants at high risk of RSV complications?

Answer 1

pavalizumab

Question 2

for what domains does TRT improve function for males with hypogonadism?

Answer 2

sexual function and depression

Question 3

what are the components of initial treatment for obstructive sialadenitis?

Answer 3

massage, heat, sialogogues, and hydration

Question 4

t/f use of oseltamavir reduces hospitalization due to flu

Answer 4

false

Question 5

how do you treat hot tub folliculitis?

Answer 5

no treatment typically needed - self limiting

Question 6

what topical medication is more effective than permethrin for the treatment of scabies?

Answer 6

benzyl benzoate

Question 7

doxycycline postexposure prophylaxis for STI prevention can be used in what populations?

Answer 7

MSM and transgender women with previous bacterial STI diagnosis within the previous year

Question 8

initial episodes of HSV should be treated for what duration?

Answer 8

7-10 days

Question 9

what is the typical duration of treatment of HSV outbreak recurrence with valtrex 1g daily?

Answer 9

5 days

Question 10

after administration of epipen for anaphylaxis, it is recommended to monitor a patient for 1 hour for what reason?

Answer 10

to ensure biphasic anaphylaxis does not occur

Question 11

uncomplicated febrile UTI in children can be treated with how many days of antibiotics?

Answer 11

5 days as successful as 10 days

Question 12

a patient sustains a puncture wound to the foot and presents with progressive pain several days following the initial puncture injury, pain with passive movement, and pain out of proportion to the external exam with persistent signs of infection despite initial wound care and antibiotic administration. what should you suspect?

Answer 12

deeper infection, such as deep tissue abscess, necrotizing soft tissue infection, septic arthritis, or osteomyelitis

Question 13

t/f superficial cultures of wounds correlate reliably with the pathogen found in deeper structures

Answer 13

false

Question 14

empiric antibiotic therapy for puncture plantar wound infections of the foot should generally include activity against what two pathogens?

Answer 14

p. aeruginosa and staph aureus

Question 15

empiric antibiotic therapy for infections complicating puncture wounds other than plantar injuries should generally include coverage for what two pathogens?

Answer 15

staph aureus and beta hemolytic strep

Question 16

what two virus strains are responsible for over 90% of cases of condyloma acuminatum?

Answer 16

HPv 6/11

Question 17

what topical medication is the most effective patient-administered therapy for genital warts?

Answer 17

podofilox 0.5%

Question 18

t/f use of podofilox and imiquimod should be avoided during pregnancy

Answer 18

true

Question 19

routine HPV vaccination is recommended in all patients what age?

Answer 19

11 - 12 yo

Question 20

what age group should engage in shared decision making about HPV vaccination?

Answer 20

27-45 yo

Question 21

t/f most successfully treated genital warts do not recur

Answer 21

true

Question 22

what is the major risk of using co2 laser, surgical removal or electrosurgery for treatment of genital warts?

Answer 22

risk of scar

Question 23

in addition to cryotherapy, what other topical treatment may be able to be applied by a clinician in primary care for the treatment of genital warts?

Answer 23

trichloroacetic acid

Question 24

how often should cryotherapy or trichloroacetic acid application be repeated for treatment of genital warts?

Answer 24

weekly

Question 25

for non bloody diarrhea in the traveler with mild symptoms, what two oral medications are first line?

Answer 25

bismuth subsalicylate and loperamide

Question 26

for severe non bloody diarrhea, what two oral antibiotic options are first line?

Answer 26

fluoroquinolone or azithromycin

Question 27

to help prevent altitude sickness, travelers should not increase sleeping elevation by more than how many meters per day?

Answer 27

500m

Question 28

what is the first line ppx medication for altitude sickness? what is the second line option?

Answer 28

1. acetazolamide 2. dexamethasone

Question 29

how many days of antibiotic are needed for severe non bloody travelers diarrhea?

Answer 29

single dose of fluoroquinolone or azithromycin

Question 30

what type of ROM is most likely to be able to differentiate intraarticular monoarthritis from periarticular process?

Answer 30

PROM - if reduced would indicate intraarticular pathology

Question 31

what neutrophil to lymphocyte ratio is most predictive of septic arthritis arthrocentesis ?

Answer 31

25 or more

Question 32

which medication reduces hospitalizations due to RSV infection in average risk infants?

Answer 32

nirsevimab

Question 33

which medication is more effective for treatment of scabies than permethrin?

Answer 33

benzyl benzoate

Question 34

which route of probiotic is superior for reducing recurrent UTI?

Answer 34

vaginal

Question 35

what is the most reliable way to confirm suspected HSV in a patient with genital lesions?

Answer 35

type specific viral PCR

Question 36

t/f ALA and medical cannabis may be effective for treatment of distal sensory polyneuropathy in HIV patients

Answer 36

true

Question 37

people living with HIV have 10-50% higher rate of what condition up to a decade earlier than the general population?

Answer 37

osteoporosis fracture risk

Question 38

what two prescription medications are first line therapy for distal polyneuropathy in HIV patients?

Answer 38

gabapentin and topical capsaicin 8%

Question 39

what is the recommendation for the use of statins in HIV patients?

Answer 39

patients with HIV 40-75 years old should receive statin for primary prevention of CVD

Question 40

annual screening for HIV patients to assess kidney function with what two lab markers is recommended?

Answer 40

GFR and albumin/creatinine ratio

Question 41

what medication is used for post exposure prophylaxis STI prevention in patients with HIV who are MSM or transgender women?

Answer 41

doxycycline

Question 42

HPV vaccination can be offered up to what age?

Answer 42

45 years old