MKSAP STOCK7

Question 1

What is the therapy for C. diff negative hospital diarrhea?

Answer 1

Antimotility Agent

Question 2

What is the name of the paradoxical worsening of symptoms in patients who recently began appropriate antiretroviral therapy?

Answer 2

Immune Reconstitution Inflammatory Syndrome

Question 3

What is the treatment for coccidiodal meningitis?

Answer 3

Fluconazole

Question 4

What is the diagnostic test for a patient with syphilis of unknown duration and abnormal neurologic examination?

Answer 4

Cerebrospinal Fluid Analysis (LP)

Question 5

What is the duration of the continuation phase of tuberculosis therapy in patients with positive tuberculin sputum cultures after initial therapy phase?

Answer 5

7 months

Question 6

What is the recommendation for tetanus-diphtheria-acellular pertussis immunization after organ transplant?

Answer 6

One-time booster immunization

Question 7

What tuberculin skin test reading is considered positive in a patient with recent active TB contact?

Answer 7

>5 mm

Question 8

What bacterial organisms are implicated in necrotizing fasciitis?

Answer 8

Aerobic and Anaerobic gram positive and gram negatives including MRSA

Question 9

What is the management of a patient who remains febrile 72 hours appropriate antibiotic therapy for pyelonephritis?

Answer 9

Kidney imaging with US, CT, or MRI for perinephric abscess

Question 10

What is the three drug regimen for HIV post-exposure prophylaxis?

Answer 10

Tenofovir-emtracitabine and raltegravir

Question 11

What are three studies in the standard evaluation of encephalitis?

Answer 11

LP, Brain MRI, and EEG

Question 12

What are the clinical manifestations of late complement component deficiency?

Answer 12

Invasive meningococcal or gonococcal infections

Question 13

What two-drug empiric therapy for brain abscess from an odontogenic source is indicated?

Answer 13

IV PCN and metronidazole

Question 14

What are four potential antibiotic choices for uncomplicated cutaneous anthrax?

Answer 14

Ciprofloxacin, Levofloxacin, Moxifloxacin (basically, quinolones) and doxycycline

Question 15

What is the management of asymptomatic bacteriuria during pregnancy?

Answer 15

Antibiotic therapy (risk of physiologic hydronephrosis)

Question 16

What is the interpretation of reactive HIV 1/2 antigen/antibody combination immunoassay followed by a negative result on confirmatory testing

Answer 16

False positive result

Question 17

What is the postexposure prophylaxis for varicella infection in an immunocompromised person?

Answer 17

Varicella-zoster immune globulin

Question 18

What are the characteristics of superficial incisional surgical site infections?

Answer 18

Inflammatory changes at the incision site without fever

Question 19

What is the empiric triple antibiotic therapy for bacterial meningitis in an older adult?

Answer 19

Vancomycin, ceftriaxone, and ampicillin

Question 20

What is the antibiotic therapy for cervicitis?

Answer 20

Ceftriaxone and Azithromcyin

Question 21

Diagnostic test for West Nile neuroinvasive disease?

Answer 21

West Nile Virus antibody test on CSF

Question 22

What are two principles to prevent catheter associated UTIs

Answer 22

Use catheters only when essential and for the shortest perioid of time

Question 23

What are two principles to treat candidemia associated with an IV catheter?

Answer 23

Remove the catheter, begin empric antifungal therapy

Question 24

Antibiotic therapy for secondary syphilis

Answer 24

Benzathine PCN (don?t touch the rash)

Question 25

What is the time of highest risk for CMV infection after transplant?

Answer 25

First few months after transplantation when ppx against CMV infection has been discontinued

Question 26

Two primary treatments for foot osteomyelitis in a patient with DM

Answer 26

Empiric broad spectrum antibiotics and surgical debridement

Question 27

Mosquito-borne disease characterized by sudden high fever, frontal headache, severe LBP and rash

Answer 27

Dengue Fever

Question 28

Imaging for nonresponsive CAP

Answer 28

Chest CT

Question 29

What are two modalities to diagnose a microbiological cause of spinal osteomyelitis?

Answer 29

Blood culture, needle aspiration biopsy

Question 30

What is the administration sequence and timing of pneumococcal immunization in a patient with HIV infection?

Answer 30

Administer the 13-valent pneumococcal conjugate vaccine followed by the 23-valent pneumococcal polysaccharide vaccine 8 weeks later

Question 31

What are the isolation precautions for disseminated varicella zoster virus infection?

Answer 31

Airborne and contact precautions

Question 32

What is the management of mild travelers diarrhea?

Answer 32

Aggressive oral hydration only

Question 33

What are the three criteria to establish noncontagious status for pulmonary tuberculosis?

Answer 33

TB Tx for at least 2 weeks; improvement of sx; and three consecutive negative sputum smears

Question 34

What is the empiric antifungal treatment of candidemia?

Answer 34

Echinocandins (caspofungin, micafungin, or anidulafungin)

Question 35

What are three typical findings of acute progressive disseminated histoplasmosis?

Answer 35

Fever, Weight loss, and hepatosplenomegaly