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