Answer 10

10.  Choice C is the answer.  Heterosexual contact is the most common mode of HIV infection.

Question 10

10.  Which of the following is the most common mode of transmission for HIV infection?

A.  Intravenous drug users
B.  Homosexual contact
C.  Heterosexual contact
D.  Blood transfusions

Answer 9

9.  Choice A is the correct answer.  Treponema Pallidum is the organism that causes syphillis.  Borrelia Burgdorferi causes lyme disease.  Plasmodia causes malaria and human papilloma virus causes genital warts.

Question 9

9.  Syphillis is caused by which of the following organisms?

A.  Treponema Pallidum
B.  Borrelia Burgdorferi
C.  Plasmodia
D.  Human Papilloma Virus

Answer 8

8.  Choice C is the correct answer.  While chloramphenicol is not an ideal choice for antibiotic, it is the best treatment to use for pregnant females with Rocky Mountain Spotted Fever.  Doxycycline otherwise is the antibiotic of choice for Rocky Mountain Spotted Fever.  Ampicillin and Levaquin have not shown to be effective with Rocky Mountain Spotted Fever.

Question 8

8.  Your patient is a 24 year old pregnant female that presents with pedal edema, confusion, bilateral conjunctivitis, and a diffuse rash consistent with Rocky Mountain Spotted Fever.  She is approximately 7 weeks pregnant.  Which of the following is the best treatment?

A.  Doxycycline
B.  Ampicillin
C.  Chloramphenicol
D.  Levaquin

Answer 7

7.  Choice A is the correct answer.  Amoxicillin, cefuroxime, and doxycycline are equally effective in treating Lyme disease.  Doxycycline is incorrect because it should not be given to patients that are less than 8 years of age.  Clindamycin and Bactrim DS have not shown to be effective against Lyme disease.  

Question 7

7. Your patient is a 7 year old male that presents with appears to be a tick bite on his right thigh.  His parents report him being in a wooded area that is known for ticks.   He has a circular rash around the site.  Which of the following is the best treatment plan?

A.  Amoxicillin

B.  Clindamycin

C.  Bactrim DS

D.  Doxycycline

Answer 6

6.  Choice D is the correct answer.   The Jones Criteria for diagnosis of ARF major criteria include:  Migratory arthritis (large joints), carditis or valvulitis, CNS involvement (Sydenham Chorea), Erythema Marginatum, and subcutaneous nodules.  Minor criteria include:  fever, prolonged PR interval, elevated CRP or ESR, and arthralgias.  To make a diagnosis you need one major criteria and two minor criteria.

Question 6

6.  Your are working up a patient suspected of Rheumatic Fever.  All of the following are considered major criteria Acute Rheumatic Fever except:

A.  Migratory Arthritis
B.  Erythema Marginatum
C.  Subcutaneous Nodules
D.  Elevated CRP or Sed Rate