INFECTIOUS DISEASE

Question 1

strongest indication for antiretroviral medication

Answer 1

CD4 below 500

Question 2

best initial antiretroviral regiment

Answer 2

emtricitabine (NRTI)
tenofovir(NRTI)
Efavirez(non- NRTI)=vivid dreams

Question 3

acute Hepatitis C treatment

Answer 3

interferon + ribavirin(causes anemia) + bose or telaprevir

Question 4

best initial test for diarrhea

Answer 4

blood and fecal leukocytes

Question 5

SIRS criteria

Answer 5

tach

Question 6

RBC in CFS without a history of trauma is highly suggestive of ??

Answer 6

HSV encephalitis

Question 7

best initial test for diarrhea

Answer 7

blood and fecal leukocytes

Question 8

meningitis prophylaxis

Answer 8

rifampim or cripo or ceftriaxzone in close contact

• households
• kissing
• sharing cigarettes
• eating utensils

Question 9

righ enhancing lession

Answer 9

abscess
toxomplasma(AIDS)
cisticercosis(inmigrant)
lymphoma(AIDS)

Question 10

RBC in CFS without a history of trauma is highly suggestive of ??

Answer 10

HSV encephalitis

Question 11

brain abscess empirical treatmen

Answer 11

ceftriaxone + vancomycin + metronidazole

adn surgery

Question 12

chronic hep C treatment genotype 2 and 3

Answer 12

ribavirin+sofosbuvir

Question 13

chronic hep C genotype 1 treatmetn

Answer 13

sofosbuvir or ledipasvir

Question 14

PID outpatient treatment

Answer 14

ceftriaxone + doxyxycline

Question 15

PID inpatient treatment

Answer 15

cefotetan of cefoxitin + doxycycline

Question 16

PID treatment in outpatient allergic to peniciline

Answer 16

levofloxacin + metronidazol

Question 17

PID treatment in inpatient allergic to peniciline

Answer 17

clinda or gentamicin and doxycycline

Question 18

endocarditis empiric therapy

Answer 18

vanco and gentamicin

Question 19

treatment for culture negative endocarditis

Answer 19

ceftriaxone

Question 20

anti HIV drug contraindicated in pregnancy

Answer 20

efavirenz and delaviridine

Question 21

MRSA drugs

Answer 21

telavancin
dalbavancin
tedizolid
oritavancin

Question 22

most accurate test for sinusitis

Answer 22

sinus biopsy or aspirate

Question 23

1 line treatment for sinusitis

Answer 23

amoxicilin/calvulanate,doxycycline or TMPSMX

Question 24

intications for antibiotic in acute diarrhea

child: ceftriaxone or TMPTMX
adults: ciprofloxacin

Answer 24

• hypotension
• tachycardia
• fever
• abdominal pain
• bloody diarrhea
• metabolic acidosis

Question 25

nausea, vomiting, abdominal pain - fever weight loss and fatigue - hepatosplenomegaly - dark urine(increase direct biliribin) - jaundice

Answer 25

acute hepatitis

Question 26

correlates with the likehood of mortality in acute hepatitis

Answer 26

Prothrombine time

Question 27

chornic hep B treatment(when e Ag its present)

Answer 27

``` entecavir adefovir lamivudine telbivudine interfeeron tenofovir ```

Question 28

test for hep C

Answer 28

everyone born between 1945 and 1965 is tested for hepatitis C regardless or the risk

Question 29

best initial test for urethritis

Answer 29

urethral swab for gram stain

Question 30

antiretroviral medication indication

Answer 30

CD4 below 500 viral load very high (greater than 100 000) oportunistic infection occurs