SAN LAZARO ADULT INFECTIOUS DISEASE AND TROPICAL MEDICINE DEPARTMENT

I. Identification

ETIOLOGIC AGENT DOC / RECOMMENDED TREATMENT

1. Pneumocystis jirevoncii pneumonia Cotrimoxazole
2. Schistosoma japonicum Praziquantel
3. Clostridium tetani Metronidazole
4. Neisseria gonorrhea Cetriaxone 125 mg IM; Azithromycin tab single dose
5. Toxoplasma gondii Azithromycin
6. Herpes simplex Acyclovir
7. Cryptococcus neoformans Itraconazole (and another conazole)
8. HIV Zidovudine; Lamivudine
9. Plasmodium falciparum Chloroquine
10. Giardia lamblia Metronidazole
11. Candida albicans Fluconazole
12. Entamoeba histolytica Metronidazole
13. Klebsiella pneumonia 3rd gen cephalosporin (ie Ceftriaxone)
14. Cytomegalovirus Gancyclovir
15. Pseudomonas aeroginosa Ceftazidime (and another one I wasnt able to get)
16. Ascaris lumbricoides Mebendazole, Albendazole
17. Hepatitis B virus Interferon-alpha
18. Salmonella typhi Chloramphenicol
19. Staphylococcus aureus Cloxacillin, Oxacillin
20. Mycoplasma pneumonia 3rd gen cephalosporin (ie Ceftriaxone)
21. Trichomonas vaginalis Metronidazole
22. Treponema pallidum Penicillin G
23. Bacteroides Ceftazidime
24. Vibrio cholera Tetracycline
25. MRSA Vancomycin
26. Mycobacterium avium complex (MAC) Azithromycin
27. Pediculosis capitis Permethrim
28. Sarcoptes scabei Permethrim
29. Neisseria menengitidis Penicillin G
30. Leptospira interrogans Penicillin G

II. Enumeration (DISCLAIMER: correct answers depend on the resident who will check the papers; Im not very sure about
the answers to #s 1-5, 10-12, 13-15, and 27-31, kasi ang gulo nila)

1-5 Warning signs for dengue: SEE BLUEBOOK

6-8 Signs of envenomation: myotoxicity, neurotoxicity, hemorrhage
6-9 Signs of meningitis (we were made to give just 1; there was something wrong with the numbering): headache, nuchal
rigidity (cant remember if they accepted Kernig and Brudzinski)
10-12 CSF analysis (bottles 1-3): CBC, culture and sensitivity, protein and sugar analysis
13-15 Pleural fluid analysis (bottles 1-4): AFB GS/CS, culture and sensitivity, cell cytology, protein and sugar analysis
16-18 Treatment for TB meningitis stage 1: ?
19-20 Creatinine clearance computation in male: SEE BLUEBOOK
21-23 Weils syndrome: kidney failure, liver failure, ___
24-26 Charcots triad: jaundice, fever, RUQ pain
27-31 CAP MR signs: (please SEE BLUEBOOK page 58)
32-33 Types of liver abscess: pyogenic, ameobic
34-45 MAP formula: (SBP + 2DBP)/3 [think: 1 plus 2 over 3]