
Patient has fever, chills and neck pain
Neisseria meningitidis in cerebrospinal fluid (CSF)
Gram negative diplococcus
You discharge a patient from the hospital to complete a course of antibiotics. He returns to the ED with nausea, vomiting and flushing after having a "few drinks" at a party. What did you discharge him with?
Metronidazole (disulfiram-like reaction)
Specific acute clinical presentation of systemic sarcoidosis with triad of arthritis, erythema nodosum, and bilateral hilar adenopathy
Lofgren Syndrome
Treatment duration for Community Acquired Pneumonia
5 days

Air Force Technical Sergeant
What am I?
Blastomycosis - broad-based budding
Itraconazole for 6 - 12 months
You are admitting a patient for expedited LHC and the ED ordered a UA with 1+ bacteria, 10 WBC and culture has 15K CFU of gram-negative rods. The patient tells you "I feel great." Treatment of choice?
None
Triad of hemorrhagic nephritis, sensorineural hearing loss and characteristic ocular findings
Alport Syndrome
5 days

Army or AF or Marine Corps
Major General
Treatment?
Babesiosis
Antimicrobial therapy consists of oral azithromycin (500 to 1000 mg orally per day) plus oral atovaquone (750 mg orally twice daily).
Bacterial infection transmitted via fecal-oral route for which there is an oral and intramuscular vaccine available
Typhoid fever (accept Salmonella typhi infection)
Who's triad is abdominal pain, jaundice, and fever?
Charcot's Triad- Acute Cholangitis
Treatment Duration for C Diff with Fidaximicin (initial episode)
10 days

Navy Ensign
Under a woods lamp. What am I?
Corynebacterium (Erythrasma)
Erythromycin
Treatment for Stenotrophomonas (name two)
Trimethoprim-sulfamethoxazole (preferred)
Minocycline
Levofloxacin
Name the eponymous sign and components associated with cardiac tamponade
Beck’s Triad
•Hypotension
•Increased central venous pressure (JVP)
•Distant heart sounds
Treatment Duration for uncomplicated UTI- 3 agents and their durations
Macrobid- 5 days
Bactrim- 3 days
Fosfomycin- 1 dose
Beta Lactams, FQ- 5 days

Navy Commander

Malassezia furfur- Tinea versicolor
IDSA guidelines for Recurrent C Diff Colitis
Fidaxomicin or high-dose PO Vancomycin (1st Recurrence)
Tapered or pulsed Vanc Regimen or Fidaxomicin (2nd recurrence)
Pinpoint bleeding when scales are removed from psoriasis
Auspitz Sign
Induction treatment and duration for cryptococcal meningitis in non-HIV patients
The minimum duration of induction therapy with amphotericin B and flucytosine is two weeks

Marine Corps E7 Gunnery Sergeant