PANCE Randomz

Question 1

Increased mortality and hospitalization with severe alcoholic hepatitis is associated with these 2 lab values:

Answer 1

Significantly elevated INR (>7)

Serum Bilirubin >10 mg/dL

Question 2

Rabies vaccine administration:

Answer 2

Rabies immunoglobulin at 20 IU/kg with half of total injected locally into bite site and other half IM deltoid
Begin IM deltoid human vaccine (return 3d, 7d, 14d, and 21d for f/u vaccines)

Question 3

HIV positive pregnant woman screening for ______ should occur each trimester

Answer 3

CD4 lymphocytes

Question 4

HIV positive additional initial neonatal screening tests:

Answer 4

CMV baseline testing
Shielded CXR
TB testing with controls

Question 5

A dad with hemophilia wants to have a baby. He asks you what are the chances his child will have hemophilia?

Answer 5

Daughters are carriers

Sons are normal (x-linked disease so txr to son via mother)

Question 6

“buy AT 30, CELL at 50” refers to which abx?

Answer 6

A=aminoglycosides, T=tetracyclines at 30S ribosome

C=chloramphenicol, E=erythromycin (macrolides), L=Lincosamides, L = cLindamycin at 50S ribosome

Question 7

Pediatric Opththamologist or Optometrist referral criteria for a 3-5 y.o. pt at his annual childhood wellness visit includes:

Answer 7

Vision of less than 20/40 in either eye or greater than a 2 line difference between eyes

Question 8

CDC recommended tx for Babesiosis?

Answer 8

Atovaquone plus azithromycin

Question 9

abrupt onset of jaundice with splenomegaly should make you think of this dz:

Answer 9

autoimmune hemolytic anemia