Answer 15

15.  Choice A is the correct answer.  Chlamydia is best treated with either azithromycin 1 gram PO or Doxycycline 100 mg BID for 10 days.   The majority of patients afflicted with chlamydia at the cervix have no signs or symptoms and left untreated can cause PID.  Chlamydia is the most common cause of sexually transmitted infections.

Question 15

15.  Which of the following is incorrect regarding Chlamydia?

A.  It is best treated with Cipro

B.  85 percent of patients with women infected at the cervix have no signs or symptoms

C.  Chlamydia is the most common cause of sexually transmitted diseases

D.  Untreated cervical infection can lead to PID that can cause infertility and chronic pain

Answer 14

14.  Choice D is the correct answer.  Flagyl and Penicillin G IV are recommended for patients who have wound botulism.  Human Derived Botulism Immunoglobulin is used for patients with botulism that are less than one year of age.  Patients that are over 1 year of age are treated with Equine Serum Hepatovalent Botulism Toxin. 

Question 14

14.  Your patient is a 45 year old female just diagnosed with systemic botulism.  Which of the following is the best treatment plan?  

A.  Flagyl 

B.  Penicillin

C.  Human Derived Botulism Immunoglobulin

D.  Equine Serum Hepatovalent Botulism Toxin

  

Answer 13

13.  Choice B is the correct answer.  The patient is allergic to sulfa so choices A and C can be excluded.  Clindamycin must be given in addition to primaquine for pneumocystis.  Therefore Pentamidine is the correct answer.  

Question 13

13.  Your patient is a 45 year old female diagnosed with pneumocystis pneumonia.  She is allergic to penicillin and sulfa.  Her vitals are normal.  Which of the following is the most appropriate therapy?

A.  Bactrim
B.  Pentamidine
C.  Bactrim plus Dapsone
D.  Clindamycin

Answer 12

12.  Choice A is the correct answer.  Histoplasmosis is endemic to the following areas Central America, North America, and the Ohio and Mississippi River Valleys.

Question 12

12.  Your patient is a 54 year old recently diagnosed with Histoplasmosis.  Which of the following geographically is not associated with endemic areas?

A.  South America
B.  Ohio River Valley
C.  Mississippi River Valley
D.  Central America

Answer 11

11.  Choice D is the correct answer.  Fungal UTI, Candidia Meningitis, Fungal Peritonitis, Fungal Osteoarticular Infections, Candidia Empyema, Candidia Mediastinitis, and Candidia Esophagitis are all associated with immunosuppression.  Balanitis is not associated with immunosuppression.

Question 11

11.  All of the following fungal infections are associated with immunosuppression except:

A.  Fungal UTI
B.  Candidia Meningitis
C.  Peritonitis
D.  Balanitis