Tuberculosis
This form of TB is characterized by having a positive IGRA but no symptoms thart correlates with TB
What is latent TB?
BONUS: Is latent TB contagious?
How is HIV diagnosed?
fourth-generation combination immunoassay that includes an EIA for HIV antibody (HIV-1 and HIV-2) and HIV p24 antigen
This STI is traditionally characterized by having a painless genital ulcer known as a chancre.
What is primary syphilis?
This is the name of the bug that transmits lyme disease
Ixodes tick, Borrelia burgdorferi
BONUS: what is the most important intervention you can do to treat lyme disease?
How often you should check your inbox?
Once a day at least!
This is to diagnose active TB?
3 positive AFB sputums
When should treatment for HIV happen?
As soon as the diagnosis is made
Who do we screen for STI?
The USPSTF recommends screening for chlamydia in all sexually active women 24 years or younger and in women 25 years or older who are at increased risk for infection.
How is osteomyelitis diagnosed?
Bone biopsy
When are you responsible for covering your own inbox?
Ambulatory, inpatient and outpatient electives
What are the PPD cutoffs?
5mm- direct contact or immunocompromised
10mm- direct patient care or high-risk region
15mm - everyone else
Name the opportunistic infection that can happen if CD4 count is less than 200.
PJP?
BONUS: What about less than 100?
Less than 50?
Doxycycline
BONUS: What if the patient is pregnant?
How is C.diff diagnosed?
Stool toxin.
BONUS: What is the treatment for C.diff?
Where can I find resources how to proxy someone's inbox, send consults and do asynchronous ordering?
Teams!
What is the most common site of extrapulmonary TB?
Lymph nodes
intense inflammatory disorder associated with paradoxical worsening of preexisting infectious processes following the initiation of ART
What is IRIS (Immune reconstitution inflammatory syndrome)
BONUS: How do you treat IRIS?
How is HSV diagnosed?
PCR of the ulcer sites.
This disease manifests with the abrupt onset of high fever, headache, retro-orbital pain, myalgia, arthralgia, and lower back pain (break-bone fever); a positive tourniquet test is characteristic.
What is dengue?
BONUS: How is it different from Chikungunya?
Are you responisble for covering your box during a wellness day?
Yes
Name one major side effect of isoniazid
Hepatotoxicity or peripheral neuropathy
When is HIV no longer sexually transmissible?
After 6 months of having no viral load.
This is an emerging cause of urethritis among men
Mycoplasma genitalium
BONUS: How to treat?
Presents as difficult to control asthma with recurrent infiltrates with extensive eosinophilia.
What is allergic bronchopulmonary aspergillosis?
BONUS: How do you treat it?
If you have ANY inbox question, who can you turn to?
chief, sumorok, your attending, your team nurse