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  1. 3 painless genital ulcers
    • LGV-recurrs and scars
    • Granuloma inguinale
    • syphilis
  2. what bacteria gives box car
    h.ducreyi
  3. what bacteria gives bipolar safety big
    granuloma inguinale
  4. you treat syphilis and titer goes up, wtd
    LP to r/o neurosyphilis
  5. you rx syphilis and titer goes down 4-fold, wtd
    nothing, rx was successful
  6. how do you treat neurosyphilis vs regular syphilis
    • PCN G x2 weeks q4hfor neuro
    • all other syphils is benzathine PCN
  7. anaplasma (erhrlisos
    everything i.e leukopenia, thrombocytopenia, elevated LFTS
  8. babesia- hemolysis or elevated LFTS, leukopenia, thrombocytopenia
    hemolysis
  9. rx for babesia
    • severe quinine and clindamycin
    • mild to moderate azithro and atovaquone
  10. pt treated for lyme and still has IgM and is always tired 
    wtd
    nothing, she has chronic fatigue syndrome
  11. tick bite and paralysis, wtd
    • remove the tick
    • patient has tick induced paralysis
  12. local impetigo
    bacitracin
  13. dapto, wtd follow
    CPK
  14. what do you give for toxin  producing bacteria
    clinda +whatever antiboitic you are treating with
  15. best study for NF
    MRI
  16. fish tank cleaner with a non healing skin ulcer, dx
    • mycobacterium marinarum
    • rx is clarithromycin, ethambutol +/- rifabutin
  17. pt with liver disease has a skin cut went swimming, now is septic, dx
    aeromonas hydrophilia
  18. for most disseminatd systmic severe fungal infection, yougive what
    • ampho
    • except in candida, you give echinocandins
  19. pt with a rash, was in a hot tub, dx
    psedumonoas
  20. pt with pulmnoary symptoms uses a hot tub, dx
    MAi
  21. chemotherapy patietn with black ulcer and celluitis, dx and rx
    • ecthyma gangrenosum
    • rx is meropenem + cefepime and polymyxin?
  22. rx for otitis media
    otits externa
    • media- po abx
    • externa- topical abx
  23. most people who are exposter to herpes zoster are not treated if >72 hrs , who are the exceptions
    • >50
    • HIV
    • anti TNF
  24. how to differntiate chicken and small pox
    chicken has diff stage of healing vesiclesh
  25. how do you treat popele exposed to people with chicken pox
    • vaccine
    • if immunocompromised, VZIG
  26. most likely complication of chicken pox
    pna
  27. pustules after petting an animal at a fair
    monkey pox
  28. pt visiting south west, now has pulmoanry renal syndomre
    hanta virus
  29. how you get hanta virus
    from animal bites and scratches
  30. post splenectomy patient with shock
    capnocytophagia canimoruss
  31. rx for cat bite vs rx for cat scratch
    • cat bite- augmentin
    • cat scratch- doxycycline
  32. hiv patient with nodular lesions has a cat
    • bacillary angiomatosis-
    • peliosis hepatis(cystic spaces with blood)
  33. cat exposure and now endocarditis in an HIV pt, dx
    bartonella quintana
  34. which animal you would not treat with rabies IG
    rat
  35. pt already vaccinated against rabies, has a dog bite, wtd
    give rabies vaccine again
  36. what meds do you not give for m. falciparum resistant
    chloroquine or primaquine
  37. how do you rx m.falciparum resistant
    quinine+doxy
  38. how to treat cerebral malaria
    quinidine gluconate +doxy
  39. how to treat later malaria
    artemether-lumefantrine
  40. pt did not take malaria ppx, now has malaria, wtd
    malarone
  41. can you use mefloquine in cardiac conduction defects
    no
  42. retained IUD sepsis, etiology
    actinomyces
  43. which antifungal improves mortality in neutropenic patient
    posaconazole
  44. what fungus has halo sign
    aspergillosis
  45. infection in a transplant within 1 month
    nosocomial
  46. what anti fungal in renal failure
    voriconazole
  47. serum in aspergillosis is + for what
    galactomannan
  48. ground glass inclusions in the urine on tacrolimus in a transplant patietn
    BK virus
  49. ring encancing lesion in  immunosuppressed pt
    nocardia
  50. OM + prosthetic implant wtd
    give vanco, rifampin, gentamycin
  51. s.p chemo, neutropneinc, has nodules in the liver, dx
    candida
  52. rx for ESBL resistant to carbapenem
    caftrazidime/avibactam
  53. esbl in urine only sens to colistin or tigecycline, wtd
    colistin
  54. rx for xanthomonoas
    bactrim
  55. central line and staph epi, wtd
    give abx but if GNR or staph aureus, need to remove the line
  56. how to preevent VAP
    • HOB
    • chlorhexidine mouth washes
    • ETT suction
  57. mono symptoms + pharyngeal petechiae, wtd
    EBV testing
  58. rash in a paitent , wt element def
    zinc
  59. rx for anthrax
    fq or pcn
  60. do yo do contact for anthrax
    no CONTACT
  61. ulceroglandular fever from rabits
    tularemia
  62. dead deer removal, now iwth paupulses
    tularemia
  63. can tularemia give pnay
    yes
  64. fever, pna from a farmer or vet
    q fever
  65. culture neg endocarditis
    brucella
  66. pt with red eyes, cough, sob, dead fish on the beach
    red tide bloom
  67. dz affecting hands and feet
    • coxsackie a
    • RMSF
    • Syphilis
  68. typhus gives what type of rash
    on the trunk
  69. rx for PJP in sulfa allergy
    clinda+primaquine
  70. serum galactomannan for 
    serum B D glucan for
    • aspergillosis
    • PJP
  71. do you start HAART right away with MTB
    yes
  72. do you continue ART in immune reconstitution syndrome
    yes
  73. do you give seizure ppx in neurocysticyrcosis
    yes
  74. which live vaccines can you give in HIV pts if CD4>200
    • MMR
    • VZV/Shingles

    no yellow fever or oral polio

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Author:
pszurnicki
ID:
333469
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Updated:
2017-08-13 18:26:53
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