How would you treat?
Which diagnostic test?
Vaccines and images
Bugs/Drugs/Geography
Wild Card
100

Antibiotic therapy for suspected Rocky Mountain Spotted Fever?

What is Doxycycline/Chloramphenicol?

100

Diagnostic test for a person with syphilis of unknown duration and abnormal neurologic examination

What is CSF analysis?

100

The following image is a methenamine silver stain of a lung biopsy from a patient with fever and a new pulmonary infiltrate who is receiving chemotherapy for acute myeloid leukemia. Which organism does it demonstrate?

What is aspergillus fumigatus?

100

Empiric triple antibiotic therapy for bacterial meningitis in an older adult?

What are Ampicillin, Ceftriaxone and Vancomycin?

100

Patient with presumed meningitis undergoes LP with the following India ink of the CSF

What is Cryptococcus neoformans?

200

Treatment for C. diff negative hospital acquired diarrhea?

What is antimotility agent?

200

Three studies in the standard evaluation of encephalitis?

What are LP, MRI brain and EEG?

200

Post exposure prevention for varicella infection in an immunocompromised person?

What is varicella IVIG?

200

Fungal disease causing respiratory illness endemic in southwestern US and south and central America?

What is Coccidioidomycosis?

200

Water borne gram negative bacillus associated with necrotizing skin infections in immunocompromised patients?

What is vibrio vulnificus?

300

What is initial treatment for coccidioidal meningitis?

What is fluconazole/itraconazole? Add intrathecal amphotericin for severe meningitis

300

Diagnostic CSF finding in sporadic Creudztfelt-Jakub disease?

What is elevated CSF 14-3-3 protein?

300

Recommendations for tDAP immunization after organ transplantation

What is one-time booster immunization?

300

Area with endemic blastomycoses

Ohio and Mississipi river valleys, great lakes

300

Cause of skin infection associated with commercial pedicures and contaminated whirpool footbaths? 

What is mycobacterium fortuitum?

400

Management of patients who remain febrile 72 hours after appropriate antibiotic therapy for pyelonephritis?

What is kidney imaging with US, CT or MRI?

400

What is the most common endemic mycoses in the US, and how is it definitively diagnosed?

What are Histoplasma and culture?

400

Vaccination strategy for a patient whose hepatitis B vaccine series was interrupted?

What is resume series (do not start over)?

400

Leptospiral syndrome characterized by a triad of jaundice, renal failure and hemorrhage

What is Weil's syndrome?

400

Lesions along lymphatic drainage in a gardener, which organism is implicated?

What is sporotrichosis?

500

Fungal bloodstream infection common in neutropenic patients, and its recommended first line treatment?

What are Candidiasis and Echinocandins?(micafungin/caspofungin)

500

Diagnosis and treatment of Brucellosis?

What are serum agglutination test, and 

doxycycline+streptomycin/rifampin/gentamicin OR

fluoroquiniolones+doxycycline/rifampin


500

Bacteremia with which of the following is associated with the following skin findings?

What is Neisseria meningitides bacteremia?

500

Duration of continuation phase of TB therapy in patients with positive tuberculin sputum cultures after initial therapy phase? 

What is 7 months?

500

Three potential clinical manifestations of selective IgA deficiency?

Recurrent sinopulmonary infections, anaphylaxis with blood transfusions, association with autoimmune diseases, association with allergic disorders and giardia lamblia gastrointestinal infection

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