ALL THE COMSAE || ALL SOLUTIONS ARE
ACCURATE.
Giardia lamblia correct answers tinidazole or nitazoxanide (alt: metronidazole)
Entamoeba histolytica correct answers metronidazole or tinidazole, then paromomycin or
iodoquinol
Ascaris lumbricoides correct answers albendazole or mebendazole
Necator americanus correct answers albendazole (alt: mebendazole)
Trichinella spiralis correct answers albendazole + prednisone
Enterobius vermicularis correct answers mebendazole
Shistosoma spp. correct answers praziquantel
Diphyllobothrium latum correct answers praziquantel (alt: niclosamide)
Yersinia Pestis correct answers Streptomycin (alt: gentamicin
Adenovirus (severe infection) correct answers cidofovir + probenecid
Influenza A (seasonal), Influenza B, adn avian flu (H5N1) correct answers zanamivir or
oseltamivir
,Measles correct answers -Children: vitamin A
-Adults: ribavirin
Smallpox correct answers smallpox vaccine within 4 days of exposure + cidofovir + probenecid
Osteomyelitis (<4 months old) correct answers nafcillin or oxacillin + ceftazidime or cefepime
Osteomyelitis (4 months - adult) correct answers nafcillin or oxacillin
Herpes Encephalitis correct answers -acyclovir
-if HSV (+): acyclovir
-If not HSV (+): DOC for specific etiologic agent
Encephalitis due to Rickettsia, Anaplasma, Ehrlichia, Bartonella, or Mycoplasma correct answers
Doxycycline
Encephalitis due to Borrelia burgdorferi correct answers Ceftriaxone
Meningitis in neonate, child, or adult correct answers ampicillin + cefotaxime + gentamicin +
ceftriaxone or cefotaxime + dexamethasone + vacomycin
Meningitis in alcoholics, people >50, people with severe comorbid diseases, or anyone who is
immunocompromised correct answers ceftriaxone or cefotaxime + dexamethasone + vacomycin
+ ampcillin
Meningitis prophylaxis if hemophilus influenzae correct answers rifampin
Meningitis prophylaxis if neisseria meningitidis correct answers rifampin or ceftriaxone or
ciprofloxacin
, Otitis externa correct answers acetic acid + propylene glycol + hydrocortisone drops
or
Cirpofloxacin + hydrocortisone drops
Otitis media correct answers -amoxicillin if <2 y/o
-analgesics if >2 with no pain or fever
Viral conjunctivitis correct answers nothing or chilled artificial tears
Bacterial conjunctivitis correct answers fluoroquinolone drops
Neonatal conjunctivitis with onset within 1st day of life correct answers nothing
Neonatal conjunctivitis with onset within 2-4 days of life correct answers IV ceftriaxone + PO
erythromycin
Neonatal conjunctivitis with onset within 3-10 days of life correct answers PO erythromycin
Neonatal conjunctivitis with onset within 2-16 days of life correct answers topical antivirals + IV
acyclovir
Ophthalmia neonatorum prophylaxis correct answers tetracycline ointment or erythromycin
ointment
Post-antibiotic diarrhea correct answers Metronidazole
Travel associated diarrhea correct answers fluoroquinolone or rifaximin
ACCURATE.
Giardia lamblia correct answers tinidazole or nitazoxanide (alt: metronidazole)
Entamoeba histolytica correct answers metronidazole or tinidazole, then paromomycin or
iodoquinol
Ascaris lumbricoides correct answers albendazole or mebendazole
Necator americanus correct answers albendazole (alt: mebendazole)
Trichinella spiralis correct answers albendazole + prednisone
Enterobius vermicularis correct answers mebendazole
Shistosoma spp. correct answers praziquantel
Diphyllobothrium latum correct answers praziquantel (alt: niclosamide)
Yersinia Pestis correct answers Streptomycin (alt: gentamicin
Adenovirus (severe infection) correct answers cidofovir + probenecid
Influenza A (seasonal), Influenza B, adn avian flu (H5N1) correct answers zanamivir or
oseltamivir
,Measles correct answers -Children: vitamin A
-Adults: ribavirin
Smallpox correct answers smallpox vaccine within 4 days of exposure + cidofovir + probenecid
Osteomyelitis (<4 months old) correct answers nafcillin or oxacillin + ceftazidime or cefepime
Osteomyelitis (4 months - adult) correct answers nafcillin or oxacillin
Herpes Encephalitis correct answers -acyclovir
-if HSV (+): acyclovir
-If not HSV (+): DOC for specific etiologic agent
Encephalitis due to Rickettsia, Anaplasma, Ehrlichia, Bartonella, or Mycoplasma correct answers
Doxycycline
Encephalitis due to Borrelia burgdorferi correct answers Ceftriaxone
Meningitis in neonate, child, or adult correct answers ampicillin + cefotaxime + gentamicin +
ceftriaxone or cefotaxime + dexamethasone + vacomycin
Meningitis in alcoholics, people >50, people with severe comorbid diseases, or anyone who is
immunocompromised correct answers ceftriaxone or cefotaxime + dexamethasone + vacomycin
+ ampcillin
Meningitis prophylaxis if hemophilus influenzae correct answers rifampin
Meningitis prophylaxis if neisseria meningitidis correct answers rifampin or ceftriaxone or
ciprofloxacin
, Otitis externa correct answers acetic acid + propylene glycol + hydrocortisone drops
or
Cirpofloxacin + hydrocortisone drops
Otitis media correct answers -amoxicillin if <2 y/o
-analgesics if >2 with no pain or fever
Viral conjunctivitis correct answers nothing or chilled artificial tears
Bacterial conjunctivitis correct answers fluoroquinolone drops
Neonatal conjunctivitis with onset within 1st day of life correct answers nothing
Neonatal conjunctivitis with onset within 2-4 days of life correct answers IV ceftriaxone + PO
erythromycin
Neonatal conjunctivitis with onset within 3-10 days of life correct answers PO erythromycin
Neonatal conjunctivitis with onset within 2-16 days of life correct answers topical antivirals + IV
acyclovir
Ophthalmia neonatorum prophylaxis correct answers tetracycline ointment or erythromycin
ointment
Post-antibiotic diarrhea correct answers Metronidazole
Travel associated diarrhea correct answers fluoroquinolone or rifaximin
