ALL THE COMSAE EXAM QUESTIONS AND ANSWERS
Giardia lamblia - Answertinidazole or nitazoxanide (alt: metronidazole)
/.Entamoeba histolytica - Answermetronidazole or tinidazole, then paromomycin or iodoquinol
/.Ascaris lumbricoides - Answeralbendazole or mebendazole
/.Necator americanus...
/.Influenza A (seasonal), Influenza B, adn avian flu (H5N1) - Answerzanamivir or
oseltamivir
/.Measles - Answer-Children: vitamin A
-Adults: ribavirin
/.Smallpox - Answersmallpox vaccine within 4 days of exposure + cidofovir +
probenecid
/.Osteomyelitis (<4 months old) - Answernafcillin or oxacillin + ceftazidime or cefepime
/.Osteomyelitis (4 months - adult) - Answernafcillin or oxacillin
/.Herpes Encephalitis - Answer-acyclovir
-if HSV (+): acyclovir
-If not HSV (+): DOC for specific etiologic agent
/.Encephalitis due to Rickettsia, Anaplasma, Ehrlichia, Bartonella, or Mycoplasma -
AnswerDoxycycline
, /.Encephalitis due to Borrelia burgdorferi - AnswerCeftriaxone
/.Meningitis in neonate, child, or adult - Answerampicillin + cefotaxime + gentamicin +
ceftriaxone or cefotaxime + dexamethasone + vacomycin
/.Meningitis in alcoholics, people >50, people with severe comorbid diseases, or anyone
who is immunocompromised - Answerceftriaxone or cefotaxime + dexamethasone +
vacomycin + ampcillin
/.Meningitis prophylaxis if hemophilus influenzae - Answerrifampin
/.Meningitis prophylaxis if neisseria meningitidis - Answerrifampin or ceftriaxone or
ciprofloxacin
/.Neonatal conjunctivitis with onset within 1st day of life - Answernothing
/.Neonatal conjunctivitis with onset within 2-4 days of life - AnswerIV ceftriaxone + PO
erythromycin
/.Neonatal conjunctivitis with onset within 3-10 days of life - AnswerPO erythromycin
/.Neonatal conjunctivitis with onset within 2-16 days of life - Answertopical antivirals + IV
acyclovir
/.Ophthalmia neonatorum prophylaxis - Answertetracycline ointment or erythromycin
ointment
/.Post-antibiotic diarrhea - AnswerMetronidazole
/.Travel associated diarrhea - Answerfluoroquinolone or rifaximin
-if a child or pregnant: azithromycin
/.Diarrhea prophylaxis during travel - Answerfluoroquinolone + loperamide with first
loose stool
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