ID

Question 1

Treat gonorrhea with ceftriaxone
Treat chlamydia with doxycycline 7 days. Pregnancy use azithromycin instead of doxycycline

Question 2

Treat chlamydia psittaci

Answer 2

Doxy, macrolide and fluoroquinolones 10-14 days

Question 3

Hanta virus when expose to rodent excrement or urine

Question 4

Rhodococcus equi when expose to horse on immunocompromised host and cause pulmonary nodule or cavitary lesion

Question 5

Treatment of non severe first episode of c diff infection

Answer 5

Oral fidaxomycin, vancomycin, metronidazole

Question 6

Fecal transplant used for multiple relapse of c diff infection

Question 7

Fulminant c diff treatment is oral vanc and iv metronidazole and surgery. If ileus, use rectal instillation of vanc.

Question 8

Treat secondary syphilis

Answer 8

Benzathine penicillin iv one dose

Question 9

Treatment of late latent syphilis or unknown stage
Treat neurosyphilis with ceftriaxone if allergic to peni
Treat all stages of syphillis with doxy if allergic to peni except neurosyphilis

Answer 9

Benzathine penicillin iv three dose

Question 10

Treat blastomycosis

Answer 10

Itraconazole

Question 11

Round budding yeast with broad base

Answer 11

Blastomycosis

Question 12

Gram positive budding yeast cells or pseudohyphae

Answer 12

Candida

Question 13

Spherules

Answer 13

Coccidioides

Question 14

Broad nonseptate hyphae with acute angle branches

Answer 14

Mucomycosis

Question 15

Treat clostridial perfringen

Answer 15

Penicillin and clindamycin

Question 16

Treat aeromonas hydrophila necrotizing skin by

Answer 16

Ciprofloxacin plus doxycycline

Question 17

Treat mycobacterium avium complex

Answer 17

Clarithromycin and ethambutol

Question 18

Live attenuated influenza vaccine is contrandicated in patient with hiv regardless of cd4 cell count

Question 19

Treatment of antrax

Answer 19

Ciprofloxacin, levofloxacin and doxycycline

Question 20

Descovy for prep is not used for people assigned female at birth who are having vaginal sex

Question 21

Disseminated histoplasmosis show yeast cell within a leukocyte on peripheral blood smear

Question 22

Treat cryptococcus neoformans

Answer 22

Amphotericin b and fluocytosin then maintain with fluconazole

Question 23

Ixodes tick is the vector of lyme disease, babeosis and anaplasmosis and Powassan virus

Question 24

Anaplasmosis infection

Answer 24

Fever headache leukopenia thrombocytopenia abnormal liver enzymes

Question 25

Babeosis infection

Answer 25

Fever headache myalgia cough jaundice hepatosplenomegaly hemolytic anemia

Question 26

Tick borne encephalitis will have biphasic manner: febrile viral like illness then a brief of defervescence and one or more neurologic syndrome

Question 27

Orientia tsutsugamushi cause srub typhus with black eschar fever, rash and various multiorgan symptoms

Question 28

Disseminated Herpes zoster on immunocompetent need more than 2 dermatomes or vesicular lesions cross the midline. On immunocompromised need any dermatome

Answer 28

If disseminated, need airborne and contact If not disseminated just need contact precaution

Question 29

Treatment option of influenza Oral oseltamivir, intranasal zanamivir, iv peramivir

Question 30

Chikungunya often have joint pain

Question 31

Meningitis due to strep pneumoncan treat with dexamethasone

Question 32

Treatment of latent hepatic stage of malaria

Answer 32

Primaquine or tafenoqiune

Question 33

Give glucocorticoid to ebv infection when autoimmune hemolytic anemia, cvs involvement and tonsillar enlargement with a compromised airway

Question 34

Treat campylobacter on immunocompromised

Answer 34

Azithromycin Aminoglycoside Carbapenem Bactrim Tetracycline

Question 35

Polyoma BK virus cause tubulointerstitial nephritis with decoy cells on urine microscopy

Question 36

Severe Community acquired pneumonia needs glucocorticoid in addition to abx

Question 37

Treatment for autoimmune encephalitis

Answer 37

Ivig and glucocorticoid

Question 38

Treat mild cmv by valganciclovir, severe cmv by ganciclovir Treat resistance cmv with cidofovir or foscanet Treat cmv on bone marrow transplant by letermovir

Question 39

Brucellosis includes intermittent fever lasting months, hepatosplenomegaly, arthralgia, depression

Question 40

Histoplasmosis include lung cavitary lesion and mediastinal lymphadenopathy

Question 41

Heartland virus is not response to doxycycline

Question 42

Ethambutol can cause changes in visual acuity or red green color blindness

Question 43

Mri brain in west nile virus show basal ganglia involvement and test by wnv igm Hsv will test by pcr and showed unilateral temporal lobe enhancement on mri

Question 44

Latent tb on immunocompetent treat with inz and rif or rifapentine for 3 months Rifampin for 3 months Inz 6-9 months

Question 45

Invasive pulmonary aspergillosis, serum galactomannan is positive

Question 46

Prep with tenofovir and emteicitabine Pep with tenofovir emteicitabine and dolutegravir in 72 hours

Question 47

Treat cryptosporidium or giardia by nitazoxanide

Question 48

Cryptosporidium infection should not swim in pool for 2 week after diarrhea resolve

Question 49

Treat mrsa if vanc mic more than 2 or close to 2 and clinical response is poor by daptomycin

Question 50

Treat infectious endocarditis by mrsa with prosthetic valve

Answer 50

Vanc genta and rifampin

Question 51

Treat muco rhizopus by amphotericine b then downgrade to posaconazole or isavuconazonium

Question 52

Treat pid with Cefotetan plus doxycycline Ceftri plus doxy plus metro Cefoxitin plus doxy

Question 53

Primary central nervous system lymphoma present with a single well demarcated deep white matter periventricular lesion with minimal mass effect or edema

Question 54

Cerebral toxoplamosis with multiple ring enhancing lesions

Question 55

Diagnosis invasive candia by beta d glucan

Question 56

Treat coccidioidomycosis by fluconazole With meningitis fluconazole for life and intrathecal amphotericine b

Question 57

Interferon gamma release assay can be negative in disseminated tuberculosis

Question 58

Side effect of tenofovir disproxil fumarate is kidney dysfunction and reduce bone mineral densitive

Question 59

Post exposure hiv drugs are tenofivir emteicitiabine and raltegravir or dolutegravir

Question 60

Prophylaxis p jirroverci if cd4 less than 200 and toxoplasmosis if cd4 leas than 100 with bactrim

Question 61

Treat unknown duration syphilis with benzathyl penicilline once a week for three doses