ALL THE COMSAE ACTUAL Questions and CORRECT Answers

ALL THE COMSAE ACTUAL Questions
and CORRECT Answers
Giardia lamblia - CORRECT ANSWER - tinidazole or nitazoxanide (alt: metronidazole)



Entamoeba histolytica - CORRECT ANSWER - metronidazole or tinidazole, then
paromomycin or iodoquinol


Ascaris lumbricoides - CORRECT ANSWER - albendazole or mebendazole



Necator americanus - CORRECT ANSWER - albendazole (alt: mebendazole)



Trichinella spiralis - CORRECT ANSWER - albendazole + prednisone



Enterobius vermicularis - CORRECT ANSWER - mebendazole



Shistosoma spp. - CORRECT ANSWER - praziquantel



Diphyllobothrium latum - CORRECT ANSWER - praziquantel (alt: niclosamide)



Yersinia Pestis - CORRECT ANSWER - Streptomycin (alt: gentamicin



Adenovirus (severe infection) - CORRECT ANSWER - cidofovir + probenecid



Influenza A (seasonal), Influenza B, adn avian flu (H5N1) - CORRECT ANSWER -
zanamivir or oseltamivir


Measles - CORRECT ANSWER - -Children: vitamin A

,-Adults: ribavirin


Smallpox - CORRECT ANSWER - smallpox vaccine within 4 days of exposure +
cidofovir + probenecid


Osteomyelitis (<4 months old) - CORRECT ANSWER - nafcillin or oxacillin +
ceftazidime or cefepime


Osteomyelitis (4 months - adult) - CORRECT ANSWER - nafcillin or oxacillin



Herpes Encephalitis - CORRECT ANSWER - -acyclovir
-if HSV (+): acyclovir
-If not HSV (+): DOC for specific etiologic agent


Encephalitis due to Rickettsia, Anaplasma, Ehrlichia, Bartonella, or Mycoplasma - CORRECT
ANSWER - Doxycycline



Encephalitis due to Borrelia burgdorferi - CORRECT ANSWER - Ceftriaxone



Meningitis in neonate, child, or adult - CORRECT ANSWER - ampicillin + cefotaxime +
gentamicin + ceftriaxone or cefotaxime + dexamethasone + vacomycin


Meningitis in alcoholics, people >50, people with severe comorbid diseases, or anyone who is
immunocompromised - CORRECT ANSWER - ceftriaxone or cefotaxime +
dexamethasone + vacomycin + ampcillin


Meningitis prophylaxis if hemophilus influenzae - CORRECT ANSWER - rifampin



Meningitis prophylaxis if neisseria meningitidis - CORRECT ANSWER - rifampin or
ceftriaxone or ciprofloxacin

, Otitis externa - CORRECT ANSWER - acetic acid + propylene glycol + hydrocortisone
drops
or
Cirpofloxacin + hydrocortisone drops


Otitis media - CORRECT ANSWER - -amoxicillin if <2 y/o
-analgesics if >2 with no pain or fever


Viral conjunctivitis - CORRECT ANSWER - nothing or chilled artificial tears



Bacterial conjunctivitis - CORRECT ANSWER - fluoroquinolone drops



Neonatal conjunctivitis with onset within 1st day of life - CORRECT ANSWER - nothing



Neonatal conjunctivitis with onset within 2-4 days of life - CORRECT ANSWER - IV
ceftriaxone + PO erythromycin


Neonatal conjunctivitis with onset within 3-10 days of life - CORRECT ANSWER - PO
erythromycin


Neonatal conjunctivitis with onset within 2-16 days of life - CORRECT ANSWER -
topical antivirals + IV acyclovir


Ophthalmia neonatorum prophylaxis - CORRECT ANSWER - tetracycline ointment or
erythromycin ointment


Post-antibiotic diarrhea - CORRECT ANSWER - Metronidazole