ID Exam 2

Question 1

True or False: All patients with a positive culture are infected

Accepted Answer

False

Question 2

Which of the following are risk factors that increase risk of HIV transmission?

Accepted Answer

All of the following

Question 3

Which of the following is true about empiric antibiotic use?

Accepted Answer

Should start higher dosages of appropriate antibiotic ASAP

Question 4

Which new SSTI therapy has a BBW for tendonitis/tendon rupture and CNS effects?

Accepted Answer

Delafloxacin (Baxdela)

Question 5

Which of the following is not an ADR of TMP/SMX?

Accepted Answer

Phototoxicity

Question 6

Which of the following should be avoided in patients with renal dysfunction due to nephrotoxicity?

Accepted Answer

Amphotericin B

Question 7

True or False: Inpatient treatment selection is dependent on MRSA and Pseudomonas risk

Accepted Answer

True

Question 8

True or False: Microbiological Cultures are only required for outpatients w/ Severe (ICU) CAP

Accepted Answer

False

Question 9

True or False: Impetigo with numerous lesions and ecthyma should be treated with topical mupirocin BID for 7 days

Accepted Answer

False

Question 10

An UTI located in the bladder is called ______ while an UTI in the kidney is called ______.

Accepted Answer

Cystitis; Pyelonephritis

Question 11

Which of the following is true about MIC?

Accepted Answer

It allows quantitative determination of in vitro antibacterial activity

Question 12

True or False: An UTI is considered complicated if the patient is pregnant

Accepted Answer

True

Question 13

True or False: 1 catheterized urine specimen can be used to diagnose asymptomatic bacteriuria in men and women

Accepted Answer

True

Question 14

True or False: It takes 1-6 months of consistent ART use to achieve undetectable viral load

Accepted Answer

True

Question 15

Which Filmarray Multiplex PCR System panel has a turnaround time of 1 hr and tests for >20 pathogens?

Accepted Answer

GI Panrl

Question 16

Which is true about MALDI-TOF?

Accepted Answer

Determines a sample’s elemental composition via molecule ionization

Question 17

Which of the following is recommended for outpatient treatment in patients with chronic comorbidities?

Accepted Answer

Levofloxacin 750 mg

Question 18

Will a patient’s new medication (Rifampin) interact with her current meds (Atorvastatin & Junel FE)?

Accepted Answer

It will increase Atorvastatin’s metabolism and decrease Junel’s metabolism

Question 19

Which NRTIs should never be given together?

Accepted Answer

Lamivudine & Emtricitabine

Question 20

True or False: Clindamycin resistance vary depending on geography and susceptibility must be confirmed with a D-test

Accepted Answer

True

Question 21

True or False: Cephalosporins have zero coverage against enterococcus species

Accepted Answer

True

Question 22

Which NRTI is given IV during delivery to prevent mother-to-child HIV transmission?

Accepted Answer

Zidovudine

Question 23

Which post-attachment inhibitor is used for multidrug resistant HIV in patients failing ART?

Accepted Answer

Ibalizumab (Trogarzo)

Question 24

When would a microorganism be identified from a blood culture?

Accepted Answer

24-48 hrs

Question 25

Which Oxazolidinone antibiotic is FDA-approved for SSTIs for 6 day course?

Accepted Answer

Tedizolid (Sivextro)

Question 26

Which pathogen is more often found in young women?

Accepted Answer

Staph Saprophyticus

Question 27

When does HIV progress to AIDS?

Accepted Answer

When they develop 1+ opportunistic infections regardless of CD4 count

Question 28

True or False: Multiplex PCR rapidly identifies C. Diff by fluorescent labeling of a probe and 1 set of primers

Accepted Answer

False

Question 29

True or False: Amoxicillin/Clavulanate is the DOC for purulent wounds caused by animal bites

Accepted Answer

True

Question 30

True or False: Chronic HIV infections have low viral replication and typically are asymptomatic

Accepted Answer

True

Question 31

What is a disadvantage of automated systems in MIC determination?

Accepted Answer

Not for all pathogens/antibiotics or MICs

Question 32

A patient presents with typical cellulitis and systemic signs of infection. Which would you recommend for treatment?

Accepted Answer

Penicillin IV

Question 33

_______ differentiates Community-Acquired Pneumonia (CAP) from Bronchitis

Accepted Answer

Acute infection of aveoli

Question 34

To classify as ABSSSI, the infection must possess a minimum lesion size of 75 cm^2 and _______

Accepted Answer

Any of the following

Question 35

True or False: A PSI score of 69 or a CURB-65 score of 0 recommends outpatient treatment

Accepted Answer

True

Question 36

True or False: Fluconazole, Metronidazole, and Trimethoprim/Sulfamethoxazole have great oral absorption

Accepted Answer

True

Question 37

Which of the following is false about Clindamycin?

Accepted Answer

Poor activity vs streptococci

Question 38

Multivalent cations decrease the absorption of:

Accepted Answer

All of the following

Question 39

Which of the following is a first line option for a uncomplicated lower UTI?

Accepted Answer

Fosfomycin 3 g PO once

Question 40

Which HIV treatment class is dosed multiple times a day with boosting and administered with 2 NRTIs?

Accepted Answer

PIs

Question 41

Which of the following antibiotic classes are used to treat infections due to legionella/mycoplasma/chlamydia species?

Accepted Answer

All of the following

Question 42

True or False: Fluorescent In Situ Hybridization (FISH) allows for visualization and genetic mapping in cells.

Accepted Answer

True

Question 43

Penicillins may cross react with:

Accepted Answer

Carbapenems

Question 44

If a patient is suspected of having CAP, their physical exam may show ______

Accepted Answer

Decreased breath sounds

Question 45

_________ has modest distribution in the lungs.

Accepted Answer

Aminoglycosides

Question 46

A patient with PSI score >90+ and 1 major or 3 minor criteria should be admitted to the ICU. Which is a major criteria?

Accepted Answer

Invasive mechanical ventilation

Question 47

Which infection is considered purulent?

Accepted Answer

Furuncle

Question 48

How is Tenofovir Alafenamide different from Tenofovir Disoproxil Fumarate?

Accepted Answer

Adverse effects are less likely to occur

Question 49

Nitrofurantoin should only be used if _____

Accepted Answer

CrCl >60 mL/min

Question 50

True or False: All patients diagnosed with asymptomatic Bacteriuria are indicated for treatment

Accepted Answer

False

Question 51

Which gram (-) bacteria is associated with hospital acquired infections?

Accepted Answer

P. aeruginosa

Question 52

What is the MOA of Linezolid (Zyvox)?

Accepted Answer

Binds 50S ribosomal subunit to inhibit protein synthesis

Question 53

Any penicillin with beta-lactamase inhibitor has excellent _________ coverage

Accepted Answer

Anaerobic

Question 54

True or False: Tetracyclines lack activity against Group A strep and should not be given to children <8 yrs old

Accepted Answer

True

Question 55

Antibiotics are generally safe but ___________ are photosensitive.

Accepted Answer

Fluoroquinolones and Tetracyclines

Question 56

Which of the following is a clinical sign/symptom of pyelonephritis?

Accepted Answer

Nausea/Vomiting

Question 57

Rapid diagnostics have a true _____ rate for sensitivity and true _____ rate for specificity

Accepted Answer

Positive; Negative

Question 58

True or False: Healthcare associated MRSA is more virulent and more suscetible to antibiotics than Community-Acquired

Accepted Answer

False

Question 59

Who is susceptible to CA-MRSA?

Accepted Answer

Patients who play contact sports (i.e. wrestling/football)

Question 60

Which urinalysis result indicates pyuria?

Accepted Answer

WBC > 10 cells/mm^3

Question 61

HIV progresses to AIDS when:

Accepted Answer

Both

Question 62

True or False: Broth Macrodilution is the gold standard of MIC methods but it’s not very practical

Accepted Answer

False

Question 63

UTIs are indicated by the presence of microbial pathogens (________) within the urinary tract

Accepted Answer

>100,000 cfu/mL

Question 64

True or False: Acute cystitis is predominantly caused by E. Coli

Accepted Answer

True

ID Exam 2

Questions 73

ID Exam 2

Questions 73