Infxn Dx

Question 1

Best initial test for Genital Herpes

Answer 1

Tzanck Smear

Question 2

Multiple vesicular lesions on an erythematous base; Painful grouped vesicles

Answer 2

Genital Herpes/ Herpes Simplex 2

Question 3

Treatment of choice for HSV encephalitis and neonatal herpes

Answer 3

IV Acyclovir

Question 4

non- painful rash, solitary, non-tender ulcerated nodule with indurated border. A painless firm genital lesion

Answer 4

Chancre/ primary syphilis

Question 5

Etiology of Syphilis

Answer 5

Treponema pallidum

Question 6

most accurate test for primary syphilis

Answer 6

Dark field microscopy

Question 7

most infections stage of Syphilis

Answer 7

secondary Syphilis

Question 8

Recommended treatment for Syphillis

Answer 8

IM Penicillin, Single Dose

Question 9

Bilateral small pupils that reduce in size on a near object but do not constrict when exposed to bright light

Answer 9

Argyll- Robertson pupil

Question 10

Alternative drug given if the patient with Syphilis if allergic to Penicillin

Answer 10

Doxycycline

Question 11

Given/Done if patient with syphilis has neurosyphilis or pregrnant with penicillin allergy

Answer 11

Desensitization

Question 12

Single best test for both gonorrhea and chlamydia

Answer 12

NAAT (Nucleic Acid Amplification Test)

Question 13

Lower abdominal pain and tenderness, fever, leukocytosis and cervical motion tenderness

Answer 13

Pelvic Inflammatory Disease

Question 14

White clumped discharge with vulvar itching and irrritation

Answer 14

V. Candidiasis

Question 15

Strawberry Cervix/ Profuse white/ yellow homogenous discharge

Answer 15

Trichonimal Vaginitis

Question 16

Fishy odor; Slight increase in discharge with Clue cells

Answer 16

Bacterial Vaginosis

Question 17

First step to diagnose trichomoniasis

Answer 17

Wet mount preparation

Question 18

Causative agent for diarrhea following picnics where potato salad, mayonnaise, and cream pastries have been served

Answer 18

S. aureus

Question 19

Bloody stools without fecal leukocytes

Answer 19

Shiga toxin producing EHEC

Question 20

Tenesmus is prominent in

Answer 20

Shigellosis or amoebiasis