MKSAP-6 Flashcards
(29 cards)
Risk of transmission of HIV is___if they have undetectable viral load for at least___months
0
6 months
Not even condoms needed If you are in a monogamous relationship
Patient came in had erythema migrans and was treated with doxycycline, now finished her 10-day course of doxycycline and it has been 6 months and she still feels disabling level of fatigue and muscle aches, what should be done?
Nothing
She is experiencing posttreatment Lyme disease syndrome
These nonspecific constitutional symptoms will linger after Lyme treatment for many months
Need to use HIV prophylaxis for patient who is doing injection drugs?
Has safe sex practices
Surprisingly yes
They need HIV PrEP With tenofovir and Emtricitabine
Are lab vaccines okay to given HIV? If so when?
CD4 count >200, can give MMR or varicella or zoster vaccines
For a patient with MAC, you will classically see this on chest x-ray or CT scan
Cavitary lesion
Most surgical site infections occur within___days following surgery
Most post implant infections occur within___days of implant placement
30 days
90 days
Patient postcholecystectomy, this is day 12, at the incision sites there is some drainage coming out, what the next step?
Obtain a CT scan, this is useful for identifying deep organ space abscess or any sites that could be drained
Get blood cultures because of possible bacteremia since this is very deep organ space area
Central venous catheters inserted under emergency conditions should be removed as soon as possible, ideally should not stay longer than___time. After insertion
48 hours
You have a patient who came in with hemorrhagic shock from MVA, they got a femoral central line placed, not using them the next day, what is the next step about the femoral line?
Take it out, add a internal jugular central line
Which version of E. coli produces the Shiga toxin?
Mode of transmission
Clinical presentation
Lab findings
E. hec i.e. enterohemorrhagic E. coli
Absolutely no feverdistinguishes it from other causes of bloody diarrhea, belly pain, bloody bloody bloody diarrhea
Uncooked meat, fecally contaminated food or water, even recreational lake water
HUS
Maha
AKI
Thrombocytopenia
Schistocytes on smears
For tuberculin skin test, it should be considered positive if >10 mm for these individuals
Within 5 years of immigration from a highly prevalent country
IV drug user
Residents/employee of high risk settings
(Hospitals, homeless, healthcare facility)
A patient just finished a CABG, 8 hours later they have a fever spike in the 100.9 °F, should you start antibiotics?
No this is a postop fever which is common as a result of stress and inflammatory marker surge in turn, peaks in 11 hours, and will spontaneously resolve in a day, sometimes even a few days as a result of severe trauma
For tuberculin skin test, it should be considered positive if >5 mm for these individuals
Patient with HIV
Recent or known contact with active TB
Has chronic fibrotic changes on chest x-ray consistent with old TB
Solid organ transplant
Immunosuppressed patient
Presence of pyuria is___when it comes to catheter acquired urinary tract infections
Nonspecific finding
Should not be interpreted as a real UTI, therefore not an indication for antibiotic treatment
Antibiotics regimen for necrotizing fasciitis from following organisms:
Clostridium perfringens
Vibrio vulnificus
Penicillin + Clindamycin
Doxycycline + ceftazidime
Patient has a chronic hep B, is a transplant patient, will resume medications that she will be on indefinitely for the hep B?
Entecavir
Just like the ixodesused to carries Babesia, Lyme disease, what virus does not also transmit
Powassan
Just like West Nile, this is a viral encephalitis also affects the___part of the brain and is called___and is infected by this mode___
Annual clinically present this way
Basal ganglia
Japanese encephalitis
Mosquitoes
Flaccid paralysis, Parkinson-like symptoms, focal neurological abnormalities
For Pseudomonas community-acquired pneumonia, previous isolation of the organism in the sputum is associated with___subsequent infection
16X increase risk of repeat infection With Dear Pseudomonas in the future
Treatment for genital herpes
Valacyclovir
Acyclovir
Famciclovir
All appropriate
Duration is 2 to 5 days
They will possibly even have recurrences, it would be appropriate to give them antiviral in the case it recurs again
Long-term suppressive therapy is an option if the genital herpes is frequent and at 3 occurrences
Long-term suppressive therapy is also okay if she would like to reduce the potential for transmission to future all sexual partners who do not have HSV type II
For severe malaria give this drug
For all other malaria that is not severe, give this drug
Artesunate
Atovaquone
White pharyngeal exudate with formation of pseudomembrane gray and white, what bacteria?
Her respiratory diphtheria
Corynebacterium diphtheria
Positive for how many of the Centor criteria should be considered for beta-hemolytic strep or strep pharyngitis?
3 or more
Antibiotic of choice for Campylobacter diarrhea
Azithromycin azithromycin azithromycin azithromycin azithromycin
If really bad - Merrem
