MKSAP ID ACTUAL Exam Questions and
CORRECT Answers
MCC of post-influenza CAP w/ cavitary lesions - CORRECT ANSWER - staph aureus
Fever, leukopenia, and thrombocytopenia in a patient undergoing treatment for Lyme -
CORRECT ANSWER - Coinfection with anasplasma
Lyme type sxs are present for >1m but Lyme IgG is neg - CORRECT ANSWER - No
further testing for lyme is needed, as lyme is unlikely (false pos)
PID tx - CORRECT ANSWER - ceftriaxone or cefotetan PLUS doxycycline
Anthrax tx - CORRECT ANSWER - Doxy or fluoroquinolone
Fever, HA, retro-orbital pain, myalgia, and rash that starts once fever abates - CORRECT
ANSWER - Dengue
Fever, abdo pain, tender hepatosplenomegaly - CORRECT ANSWER - typhoid fever
C diff recurrence tx - CORRECT ANSWER - If more than one recurrence, start PO vanco
x 6 weeks
PTLD - CORRECT ANSWER - EBV infection when EBV neg pt gets transplant from
EBV pos pt
Type of isolation for disseminated zoster - CORRECT ANSWER - airborne and contact
, HIV post exposure treatment - CORRECT ANSWER - Triple therapy with tenofovir-
emtricitabine and raltegravir
HIV-1/2 Ag/Ab combination immunoassay (+)
HIV-1/HIV-2 Ab differentiation immunoassay (-)
HIV-1 NAAT (+) - CORRECT ANSWER - Pt is in window period
PrEP - CORRECT ANSWER - Daily combination tenofovir-emtricitabine
Rapid growth of skin nodules after nail salon WHIRLPOOL - CORRECT ANSWER -
mycobacterium fortuitum
meningitis tx - CORRECT ANSWER - vancomycin + ceftriaxone + (if >50yo) ampicillin
Required labs to monitor while on outpt IV antibx - CORRECT ANSWER - Nafcillin,
oxacillin, carbapenem - CBC, LFT, Cr
Antipseudomonals - CBC, LFT, Cr, K
Beta-lactams - CBC, Cr
When to start antiretroviral therapy for HIV pt - CORRECT ANSWER - Once medication
adherence is confirmed, at any CD4 count
Post exposure ppx for influenza - CORRECT ANSWER - Oseltamivir + inactivated flu
vaccine
Salmonella gasteroenteritis - tx - CORRECT ANSWER - No tx needed
Fluoroquinolones if severe
Most common genital rash - CORRECT ANSWER - HSV2
CORRECT Answers
MCC of post-influenza CAP w/ cavitary lesions - CORRECT ANSWER - staph aureus
Fever, leukopenia, and thrombocytopenia in a patient undergoing treatment for Lyme -
CORRECT ANSWER - Coinfection with anasplasma
Lyme type sxs are present for >1m but Lyme IgG is neg - CORRECT ANSWER - No
further testing for lyme is needed, as lyme is unlikely (false pos)
PID tx - CORRECT ANSWER - ceftriaxone or cefotetan PLUS doxycycline
Anthrax tx - CORRECT ANSWER - Doxy or fluoroquinolone
Fever, HA, retro-orbital pain, myalgia, and rash that starts once fever abates - CORRECT
ANSWER - Dengue
Fever, abdo pain, tender hepatosplenomegaly - CORRECT ANSWER - typhoid fever
C diff recurrence tx - CORRECT ANSWER - If more than one recurrence, start PO vanco
x 6 weeks
PTLD - CORRECT ANSWER - EBV infection when EBV neg pt gets transplant from
EBV pos pt
Type of isolation for disseminated zoster - CORRECT ANSWER - airborne and contact
, HIV post exposure treatment - CORRECT ANSWER - Triple therapy with tenofovir-
emtricitabine and raltegravir
HIV-1/2 Ag/Ab combination immunoassay (+)
HIV-1/HIV-2 Ab differentiation immunoassay (-)
HIV-1 NAAT (+) - CORRECT ANSWER - Pt is in window period
PrEP - CORRECT ANSWER - Daily combination tenofovir-emtricitabine
Rapid growth of skin nodules after nail salon WHIRLPOOL - CORRECT ANSWER -
mycobacterium fortuitum
meningitis tx - CORRECT ANSWER - vancomycin + ceftriaxone + (if >50yo) ampicillin
Required labs to monitor while on outpt IV antibx - CORRECT ANSWER - Nafcillin,
oxacillin, carbapenem - CBC, LFT, Cr
Antipseudomonals - CBC, LFT, Cr, K
Beta-lactams - CBC, Cr
When to start antiretroviral therapy for HIV pt - CORRECT ANSWER - Once medication
adherence is confirmed, at any CD4 count
Post exposure ppx for influenza - CORRECT ANSWER - Oseltamivir + inactivated flu
vaccine
Salmonella gasteroenteritis - tx - CORRECT ANSWER - No tx needed
Fluoroquinolones if severe
Most common genital rash - CORRECT ANSWER - HSV2
