Infectious Disease

Question 1

Epididymitis

Answer 1

• Children + Old = E coli
• Young / Sexually active = G +C
• E coli = Levofloxacin
• G+C = Ceftriaxone + Doxy

Question 2

Community Acquired Pneumonia Outpt

Answer 2

60yo:
1. flouroquinalones
2. Ceftriaxone

Question 3

Community Acquired Pneumonia Inpt

Answer 3

1. Flouroquinalone

2. Ceftriaxone + Macrolide

Question 4

Hospital Aquired Pneumonia Dx Criteria

Answer 4

• Onset AFTER 72 hrs of admission
• onset w/in 90 days of discharge
• Resident in healthcare facility

Question 5

HCAP tx

Answer 5

(cover Pseudomonas) = treat with 3

• Ceftazdime OR cefepime
• Imipenem OR meropenem OR pipercillin/tazobactam
• Levofloxacin

Question 6

Vent Asst. Pneumonia

Answer 6

(Cover Pseudamonas and MRSA) = Treat with 3

• Ceftazidime OR Cefepime OR Pipercillin/tazobactam
• Flouroquinalone OR Aminoglycoside
• Vancomycin OR Linezilid

Question 7

Lung Abscess Tx

Answer 7

Need Abx for MONTHS

• G(+): Amoxacillin
• S aureus: Vanco
• Anaerobes: Clinda OR Metronidazole
• G(-): Flouroquinalones OR Ceftazidime

Question 8

Tuberculosis Tx

Answer 8

Initial Quad Therapy =  2mo
- Rifampin
- Isoniazide
- Pyrazinamide 
- Ethambotol 
(- Streptomycin)
Continue: Isoniazide +  Rifampin 9mo

Prophylaxis after exposure:
- Isoniazide 9mo

Question 9

Isoniazid Sideeffects

Answer 9

Hepatotoxicity
Neurotoxic –> prevent with B6
Lupus

Question 10

Rifampin sideeffects

Answer 10

Orange body fluids

450 STIMULATOR

Question 11

Pyrazinamide sideeffects

Answer 11

Hyperuremia

Hepatotoxicity

Question 12

Ethambutol side effects

Answer 12

Red-green coloblindness

Question 13

Influenza Tx

Answer 13

ONLY is Sx for Zanamivir / /Oseltamivir

Question 14

Endocarditis (empiric) Tx

Answer 14

Penicillin + Aminoglycoside

Question 15

Endocarditis Prophylaxis

Answer 15

Amoxicillin

Question 16

bacteria conjunctivitis

Answer 16

Toical sulfonamide

Question 17

Meningitis (empiric) Tx

Answer 17

50yr: Cafotaxime + Ampicillin + Vancomycin
Prophylaxis: Caftriaxone

Question 18

HSV Encaphalitis

Answer 18

Acyclovir

Question 19

CMV encephalitis

Answer 19

Gancyclovir

Question 20

UTI Tx

Answer 20

Uncomplicated:
1. Bactrom
1. Nitrofurantoin
1. Cephalexin
2. Ciprofloxacin
Pregnancy: Cephalexin 
Recurrent 2/yr: bactrim post-sex OR at "early signs"

Question 21

Prostatitis

Answer 21

Outpt:

1. Bactrim
2. Flouroquainlones

Inpt (Pt LOOKS sick)
IV Flouroquinalones

Question 22

Pyelonephritis

Answer 22

Uncomplicated:

• Emperic = ceftriaxone OR gentamycin
• Gram (-) = Bactrim OR Flouroquinalones
• Gram (+) = amoxacillin

Question 23

Complicated Pyelonephritis Criteria:

Answer 23

• Elderl OR Pregnant OR Unable to care for self
• Tx:
  1. Hospitlize
  2. IVF
  3. Ampicillin + Gentamycin (or Ciprofloxacin)

Question 24

Chlamydia (STI)

Answer 24

1. Azithromycin
2. Doxycycline
   ALWAYS treat for gonorrhea

Question 25

Gonorrhea (STI)

Answer 25

1. Ceftriaxone

ALWAYS treat for Chlamydia

Question 26

HIV infections at CD4

Answer 26

• Pneumycyctic pneumonia (Tx: Bactrim)

Question 27

HIV infections at CD4

Answer 27

• Mycobacterium Aveum ocmplex (Tx: Clarithromycin OR Azithromycin)
• Toxoplasmosis (tx: Bactrim)

Question 28

Chancroid

Answer 28

• H. ducreyi
• Tx:
  1. Azithromycin
  2. Ceftriaxone

Question 29

Lymphogranuloma venereum

Answer 29

• C trichomatis

- Tx: Doxycycline

Question 30

Pebiculosis pubis (public lice)

Answer 30

• 1% permethrin shampoo (all hair form neck down)

- Treat all partners

Question 31

Histoplasmosis

Answer 31

Ithraconazole

Question 32

Cryptococcus

Answer 32

Fluconazole + Amphotericin

Question 33

Emdometritis

Answer 33

Polymicrobial infection

- Clindamycin + gentamicin

Question 34

Pertusis

Answer 34

1mo= any macrolide

prophylaxis for ALL close contacts! (w/ macrolide)