Endocarditis prophylaxis is recommended for which of the following patients?

60F s/p TAVR who fell and has an avulsed tooth and mucosal lacs

Which of the following presentations is most consistent with Entamoeba histolytica infection?

B. Diarrhea w occasional blood, mucus, intermittent fever, abd pain x 3 day

Which of the following patients requires oral fluconazole treatment?

27M w CP and severe odynophagia who also has asthma and is HIV positive

44F p/w bilat finger pain. No trauma. Began while mixing drinks for Derek. PE: hands pale, white, skin shiny/taut. Next?

Start hand-warming and consider oral nifedipine

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Quiz Bowl 2018: ID/Immuno

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Questions 9

Answers

1
Endocarditis prophylaxis is recommended for which of the following patients?
40M with HOCM referred  for extraction of impacted wisdom teeth
60F s/p TAVR who fell and has an avulsed tooth and mucosal lacs
60M h/o endocarditis, needs foley for urinary retention without UTI
20F w ASD repair 1 wk ago who now needs emergent endoscopy for hematemesis
2
Which of the following presentations is most consistent with Entamoeba histolytica infection?
B. Diarrhea w occasional blood, mucus, intermittent fever, abd pain x 3 day
A. watery stools for 3 days with overt signs of significant dehydration
A. Nonbloody diarrhea with bloating and flatulence for 3 weeks
A. Several episodes of nonbloody diarrhea for 3 days with nausea,
3
Pt tubed for for peanut anaphylactic shock refractory to tx with epi, benadryl, pepcid, and steroids. Why failed?
Hyperthermia
Myocardial dysfunction
Hypoxia.
Vascular permeability
4
50M presents with fever, cough, HA, and loss of appetite w N/V/D. Taking amox, not better. HypoNa, elevated liver enzyme
a. Psittacosis
a. Legionnaire disease
a. Tularemia
a. Q fever
5
Which of the following patients requires oral fluconazole treatment?
27M w CP and severe odynophagia who also has asthma and is HIV positive
17F w dysphagia and odynophagia refractory to PPI, has mult allergies
55-year-old man with halitosis, transfer dysphagia, and neck fullness
47M w transport dysphagia for solids initially and now liquids, +smoker
6
40M from AZ p/w RUQ pain, cough with thick, dark sputum. +large R pleural effusion, 7cm hypoechoic walled liver lesion
B. Paromomycin 500 mg orally
B. Levofloxacin 750 mg IV
Metronidazole 750 mg IV
Ampicillin 2 g IV and gentamicin 2 mgikg IV
7
37M s/p liver tx 7wk ago p/w recurrent fever, fatigue, and joint pain. Which of the following bugs is most common cause?
Cytomegalovirus
Streptococcus pneumoniae
Pseudomonas aeruginosa
Candida species
8
Which of the following is the most frequently documented pathogen in acute monoarticular septic arthritis?
a. Haemophilus species
a. Escherichia coli
a. Staphylococcus aureus
a. Neisseria gonorrhoeae
9
44F p/w bilat finger pain. No trauma. Began while mixing drinks for Derek. PE: hands pale, white, skin shiny/taut. Next?
Administer prazosin intra-arterially
Start hand-warming and consider oral nifedipine
Start tPA and heparin
Arrange urgent interventional radiology consultation

Quiz Bowl 2018: ID/Immuno Flashcards | StudBud