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PNCB ID – Questions With Complete Solutions (Pass!)
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PNCB ID – Questions With Complete Solutions (Pass!)
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PNCB ID – Questions With Complete Solutions (Pass!)Wound/Bite: Cat and Dog: Common Bacteria Right Ans - Pasteurella canis
(dog), Pasteurella multocida (cat), Streptococci, S. aureus, Moraxella spp,
Neisseria spp, and anaerobes
Human bites: Common Bacteria Right Ans - S. aureus, viridans group Strep,
Strep pyogenes, and more
Wound/Bite: Diagnostics Right Ans - - Gram stain and culture wound if >8
hours or s/s of infection.
- Send blood cxs if + fever
- XR- indicated if penetrating injuries over bone or joints, suspected foreign
body/fracture
Wound/Bite: Mangement Right Ans - - ≤ 2 vaccines -->Tetanus toxoid and
tetanus immune globulin
- Completed immunizations, but no booster in 5 years -->Tetanus toxoid
- Rabies immune globulin only if dog develops s/s of rabies (bats, skunks,
raccoons, foxes, and woodchucks)
Wound/Bite: Antibiotic preventative treatment and Infection Tx Right Ans
- - Dog/cat/human bites: augmentin (if PCN allergy= Bactrim + Clinda)
3-5 days for PPX and 10-14 days for infection
Bronchiolitis - Most common infectious agents Right Ans - - RSV,
parainfluenza 1-3, adenovirus, influenza, rhinovirus
Bronchiolitis Diagnostics: Right Ans - - RSV panel
- XR= hyperinflation, peribronchial cuffing, patchy atelectasis
RSV Preventative Tx Right Ans - - <24 months with CLD requiring medical
therapy (ie. supplemental O2, diuretics, corticosteroids) within 6 months of
RSV season
- Infants < 6 months at start of season and born at <32 weeks gestation OR
born at 32-35 weeks with other risk factors (ie. neuro dz, smoke exposure,
daycare)
, - <24 months with cyanotic or hemodynamically significant acyanotic CHD
Encephalitis - Most Common virus/bacteria Right Ans - - Viruses (most
common cause)-
arboviruses (West Nile, St. Louis, East & West equine...),enteroviruses, herpes,
varicella-zoster, influenza A & B, parainfluenza 1-3, etc
- Bacteria- Haemophilus influenzae, Neisseria mening, S. pneumonia,
Mycobacterium TB, bartonella hensalae
Encephalitis - Management: Right Ans - - if associated with meningitis-->
treat per meningitis guidelines
- HSV encephalitis = acyclovir
- Viral = mostly only supportive care
Encephalitis - Complications Right Ans - - cerebral edema, long-term neuro
dysfunction, seizure d/o, death
Gastroenteritis - Common causes Right Ans - Viral- Rotavirus, adenovirus,
calicivirus, astrovirus
Bacterial- Camphylobacter, E. coli (multiple species), Salmonella, Shigella, C.
Diff, and more
Parasitic/Protozoan- Giardia, Cryptosporidium, Entamoeba, Cyclospora,
Isospora
Gastroenteritis - Bloody diarrhea Right Ans - Rare
- Rotavirus, Calciviruses, Giardia, Cryptosporidium, C. Diff, Vibrio cholera
Often bloody diarrhea Salmonella, Shigella, Camphylobacter, E. coli
Gastroenteritis - Management Right Ans - Mild- Moderate dehydration --
>Start with PO hydration
Mastoiditis: Acute/Chronic Right Ans - Acute mastoiditis: S. pneumonia, S.
pyogenes, S. aureus
Chronic: P. aeruginosa, S. aureus, S. pneumoniae
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