Mixed

Question 1

NNRTI drug of choice among TB pts

Answer 1

Efavirenz

Question 2

Monitoring months for retreatment cases

Answer 2

3, 5, 8 months

Question 3

Group A pts for dengue hydration

Answer 3

40-50 mL/kg/day

Question 4

Hydration for dengue:
Group B without warning signs
Group B with warning signs
Shock

Answer 4

w/o warning signs: > 20: 1500 mL + 20 mL/kg > 20
w/ warning signs: 5-7 mL/kg for 1-2 hrs; 3-5 mL/kg for 2-4 hrs, 2-3 mL/kg for succeeding
5-10 mL/kg

Question 5

Which of the following is the most common
manifestation of spontaneous bacterial peritonitis? (HPIM

Answer 5

Fever

Question 6

Mortality benefit group with albumin for PBP?

Answer 6

Crea >= 1 mg/dL
TB >= 4 mg/dL
BUN >= 30

Question 7

Organisms presenting as enteric fever with penetration of distal small bowel. Lab findings of fecal mononnuclear cells

Answer 7

S. typhi
Yersinia enterocolita *(also presents with fecal pmn)

Question 8

Markers for severe C. diff

Answer 8

WBC >= 15
Crea >= 1.5x premorbid value

Question 9

Proteus indole _ lactose _

Answer 9

negative

Question 10

Hydration for typhoid fever according to severity

Answer 10

Mild: Ad libitum. Goal is to 2L/day
Moderate: 2200-4000 mL/day
Severe: 100 mL/kg in 1st 3hrs then 200 mL/kg over 24 hrs

Question 11

Pathognemonic finding of miliary TB

Answer 11

Choroidal tubercle

Question 12

HRZE drug causing thrombocytopenia

Answer 12

Rifampicin

Question 13

DOC MAC infections

Answer 13

Macrolide, Rifampicin, Ethambutol

Question 14

Definitive diagnosis of Amebic colitis requires demonstration of what?

Answer 14

Amebic trophozites

Question 15

Mc isolate among splenic abscess

Answer 15

Streptococcus

2nd- Staphlococcus

Question 16

Most valuable lab tests for low grade fever with suspected occult disease

Answer 16

CRP and ESR

CRP induces IL-6

Question 17

Test with highest diagnostic yield for miliary tb?

Answer 17

Liver biopsy for AFB
PCR

Question 18

At what PaO2 level is it recommended not to have any supplemental oxygen?

Answer 18

PaO2 >= 72

Question 19

Diagnostic order in pts with meningitis

Answer 19

Blood CS –> Abx –> Imaging –> Tap

“BAIT”

Question 20

Duration of tx for osteomyelitis if bone uncompletely removed by surgery?

Answer 20

4-6 weeks

• 3 months - dead bone cannot be removed

Question 21

ADR of Linezolid

Answer 21

Thrombocytopenia
Optic neuritis
Peripheral neuropathy

Question 22

Essentially diagnostic of anaerobic bacteria

Answer 22

Putrid-foul smelling discharge

Question 23

Parasitic infection that cause IDA

Answer 23

Necator/Ancyclostoma (hookworm)

Trichuris (Whipworm) - anemia in severe infection

Question 24

Agents with macrofilaricidal activity

Answer 24

DAD

DEC
Albendazole
Doxycycline

Question 25

For typhoid oral live vaccine, how many doses for primary and booster series and every when is the booster?

Answer 25

4 doses every 5 years

Question 26

Most severe complication of hepatosplenic schistosomiasis

Answer 26

Hematemesis

Question 27

Species involved in intestinal and hepatosplenic schistosomiasis?

Answer 27

INTESTINAL SCHISTOSOMIASIS (S. Mansoni, S. Japonicum, S. Mekongi) HEPATOSPLENIC SCHISTOSOMIASIS (S. Mansoni, S. Japonicum)

Question 27

Species involved in intestinal and hepatosplenic schistosomiasis?

Answer 27

INTESTINAL SCHISTOSOMIASIS (S. Mansoni, S. Japonicum, S. Mekongi) HEPATOSPLENIC SCHISTOSOMIASIS (S. Mansoni, S. Japonicum)

Question 28

Alternative abx for penicillin allergic pt for human occlusional and clenched fist wounds?

Answer 28

occlusional - Erythromycin/ Fluoroquinolone Clenched - Cefoxitin (Eikenella)

Question 29

Best indicator of immunologic competence for HIV

Answer 29

CD4 count

Question 30

Best indicator of disease progression

Answer 30

HIV RNA

Question 31

Ancillary test most associated with all-cause mortality among HIV infected patients

Answer 31

D-dimer IL-6 hsCRP

Question 32

Blunted febrile response of the following populations

Answer 32

Newborn Elderly Chronic renal Chronic liver disease Patients taking steroids or anti-cytokines

Question 33

MC symptom in Typhoid fever

Answer 33

PROLONGED FEVER (38.8-40.5 degC)

Question 34

Most specific source of culture for typhoid despite 5 days of antibiotic therapy?

Answer 34

Bone marrow

Question 35

Source of culture of typhoid that can be positive during THIRD week if no treatment given

Answer 35

Stool

Question 36

Empirical treatment for typhoid

Answer 36

Ceftriaxone 2g IV OD x 10-14 days Azithromycin 1g OD x 5 days

Question 37

MDR Tx for typhoid

Answer 37

Ceftriaxone 2g IV OD x 10-14 days Azithromycin 1g OD x 5 days

Question 38

Optimal treatment for fully susceptible typhoid

Answer 38

Ciprofloxacin 500 mg BID x 5 days ; 400 mg IV q12 Azithromycin 1g OD x 5 days

Question 39

Tx of choice of typhoid fever among pregnant patients

Answer 39

Ampicillin 1-2 g IV q6 Ceftriaxone 1-2 g IV q24

Question 40

Definition of chronic carrier of Salmonella

Answer 40

After 1 year, positive stool culture or rectal swab

Question 41

Indication for typhoid vaccination

Answer 41

Vi capsular polysaccharide vaccine (Age 2 and above) - 1 dose of primary -1 dose of booster (2 yrs interval) Oral live attentuated (Age 6 and above) - 4 doses primary (0,2,4,6) -4 booster (every 5 yrs interval)

Question 42

Live vaccines are given through what route of administration

Answer 42

SC

Question 43

Vaccines that CI with latex allergy

Answer 43

Hep A Hep B TdAP (severe) Meningococcemia

Question 44

Vaccine CI to those with egg allergy

Answer 44

Hep B

Question 45

Vaccine with TTP as precaution

Answer 45

MMR

Question 46

Secondary prevention of PBP

Answer 46

Norfloxacin 400 mg/d Ciprofloxacin 500 mg/weekly TMP SMX 1 DS tab

Question 47

Duration of sBP Treatment

Answer 47

As short as 5 days Until 14 days of bacteremic