NCA 622 Module 5 HIV and Emerging Infections
Questions with Answers (100% Correct Answers)
A mother brings her 2yo to the clinic who is febrile with rapid bursts of
coughing followed by a whooping sound in inspiration. What is the
appropriate treatment?
- Methylprednisolone 500mg IV now
- Azithromycin 500mg PO QD x1d the 250mg PO QD x4d
- Augmentin 125/31.35 PO QD x7d
- Doxycycline 50mg PO BID x7d Answer: Azithromycin 500mg PO QD
x1d then 250mg PO QD x4d
Macrolides are the first line of treatment for Bordetella pertussis and
must be started immediately to be effective
A woman brings her 16 year old son to the ER for a bump on his arm
for about a week and is getting larger. The boys thinks he was bitten by
a spider. The bump is red, swollen, warm, and is draining purulent fluid.
What infectious process are you most concerned about?
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, 2
- WNV
- MRSA
- Zika
- Candida auris Answer: MRSA
I&D the bump and send off for cultures and start broad spectrum
antibiotics
A 56-yo male is admitted with fever, chills, nausea, and vomiting. He
has a severe headache. He recently traveled abroad. There is a course
tremor in his upper extremities and labs reveal an elevated CRP and
ESR in addition to leukocytosis. What is your top differential?
- MRSA
- WNV
- Zika
- Candida auris Answer: WNV
While fever, GI upset, and chills are generic symptoms, the coarse
tremor is unique to WNV
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