Micro
Abs
Fungus Amongus
Guidelines
Poopourri
100
Patient has fever, chills and neck pain
Neisseria meningitidis in cerebrospinal fluid (CSF)
Gram negative diplococcus
100
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)
100
Name the three categories of fungi and name one fungus for each
Yeast (Candida, Crypto), Mold (Mucor, Aspergillus), Dimorphic (Cocci, Blasto, Histo)
100
Treatment duration for hospitalized CAP (non-icu)
5-7 days
100
Define neutropenia
Abs Neutrophils < 1500 or 1000
200
What am I?
Blastomycosis - broad-based budding
Itraconazole for 6 - 12 months
200
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
200
Candida species resistant to Fluconazole
C. Glabrata or C. Krusei
200
Empiric treatment for fever with neutropenia
Zosyn or Cefepime or Ceftazidime (NOT VANC unless they have shock, PNA, or port infection/SSTI)
200
Which Mardi Gras krewe has a Star Wars theme?
300
Malassezia furfur
300
IDSA guidelines for Recurrent C Diff Colitis
Fidaxomicin or high-dose PO Vancomycin (1st Recurrence)
Tapered or pulsed Vanc Regimen or Fidaxomicin (2nd recurrence)
300
Initial Treatment for Cryptococcal meningitis
Amphotericin and Flucytosine 2-6 weeks
300
Empiric treatment for bacterial meningitis in a 54 yo
Vancomycin, Ceftriaxone 2g BID and Ampicillin and Steroids
(> 50 add Amp)
300
Prophylaxis indications for SBP (name two)
400
Under a woods lamp. What am I?
Corynebacterium (Erythrasma)
Topical Abx (Clinda or Erythromycin)
400
Treatment for Stenotrophomonas (name two)
Trimethoprim-sulfamethoxazole (preferred)
Minocycline
Levofloxacin
400
Name all five Azoles
Fluconazole, Itraconazole, Voriconazole, Posaconazole, Isavuconazole
400
What medications make up PrEP?
Tenofovir + Emtricitabine
Brand Name: Truvada or Descovy
400
New Orleans canceled Mardi Gras parades in the 1870s due to the outbreak of what disease?
Yellow Fever
500
Treatment?
Babesiosis
Antimicrobial therapy consists of oral azithromycin (500 to 1000 mg orally per day) plus oral atovaquone (750 mg orally twice daily).
500
Name the two treatment options for Toxo
Sulfadiazine plus pyrimethamine OR Trimethoprim-sulfamethoxazole (TMP-SMX)
500
The only FDA approved indication for Posaconazole
Prophylaxis of invasive Aspergillus and Candida infections
500
At 2 months of age, what recommended vaccinations should a child get? (<3 Angela)
Oral rotavirus, Hep B (2nd dose), DTap, IPV, Hib, Pneumococcal
500
How many pounds of beads are thrown during an average New Orleans Mardi Gras celebration?
25 million !