Podcast
Questions and Answers
What is the most common causative organism in malignant otitis externa?
What is the most common causative organism in malignant otitis externa?
- Streptococcus
- Staphylococcus
- Escherichia coli
- Pseudomonas (correct)
What is the recommended first-line intravenous antibiotic treatment for malignant otitis externa?
What is the recommended first-line intravenous antibiotic treatment for malignant otitis externa?
- Amoxicillin and clavulanic acid
- Vancomycin and gentamicin
- Azithromycin and ciprofloxacin
- Ceftazidime and piperacillin-tazobactam (correct)
What is the most common predisposing factor for otitis externa infection?
What is the most common predisposing factor for otitis externa infection?
- Underlying diabetes mellitus
- Exposure to loud noises
- Exposure to water (correct)
- Trauma to the ear canal
Which of the following is NOT a typical clinical presentation of otitis externa?
Which of the following is NOT a typical clinical presentation of otitis externa?
What is the recommended empiric topical treatment for uncomplicated otitis externa?
What is the recommended empiric topical treatment for uncomplicated otitis externa?
Which of the following is the most accurate test for diagnosing brain abscess?
Which of the following is the most accurate test for diagnosing brain abscess?
According to the passage, which of the following statements about brain abscess is true?
According to the passage, which of the following statements about brain abscess is true?
Which of the following is the recommended empiric treatment for brain abscess?
Which of the following is the recommended empiric treatment for brain abscess?
According to the passage, which of the following statements about otitis media is incorrect?
According to the passage, which of the following statements about otitis media is incorrect?
Which of the following is a contraindication for performing a lumbar puncture (LP) in the context of brain abscess?
Which of the following is a contraindication for performing a lumbar puncture (LP) in the context of brain abscess?
What additional measures should be taken for the 19-year-old male patient experiencing seizures, severe headache, confusion, fever, stiff neck, and petechial rash?
What additional measures should be taken for the 19-year-old male patient experiencing seizures, severe headache, confusion, fever, stiff neck, and petechial rash?
If the 19-year-old male patient's girlfriend is pregnant, how should the management of the case be modified?
If the 19-year-old male patient's girlfriend is pregnant, how should the management of the case be modified?
In the case of the 54-year-old man with HIV, diagnosed 20 years ago, presenting with fever, stiff neck, and photophobia, what is the best next step in management after empiric treatment with vancomycin, ceftriaxone, and steroids is started?
In the case of the 54-year-old man with HIV, diagnosed 20 years ago, presenting with fever, stiff neck, and photophobia, what is the best next step in management after empiric treatment with vancomycin, ceftriaxone, and steroids is started?
What is the significance of the patient's irregular respiratory rate in the first case?
What is the significance of the patient's irregular respiratory rate in the first case?
In the second case, what is the most likely underlying cause of the 54-year-old man's presentation with fever, stiff neck, and photophobia?
In the second case, what is the most likely underlying cause of the 54-year-old man's presentation with fever, stiff neck, and photophobia?
Based on the patient's presentation and the CSF results, which of the following is the most likely diagnosis?
Based on the patient's presentation and the CSF results, which of the following is the most likely diagnosis?
What is the rationale for starting empiric treatment with vancomycin and ceftriaxone in this case?
What is the rationale for starting empiric treatment with vancomycin and ceftriaxone in this case?
Why is the addition of steroids to the empiric treatment regimen important in this case?
Why is the addition of steroids to the empiric treatment regimen important in this case?
Why is the best next step in management to switch to acyclovir?
Why is the best next step in management to switch to acyclovir?
What is the significance of the patient's CD4 count of 770 cells/cc in this case?
What is the significance of the patient's CD4 count of 770 cells/cc in this case?
Based on the clinical presentation, what is the most likely diagnosis?
Based on the clinical presentation, what is the most likely diagnosis?
Which of the following is the most appropriate next step in management?
Which of the following is the most appropriate next step in management?
Which of the following findings is most concerning for a potentially life-threatening complication of meningitis?
Which of the following findings is most concerning for a potentially life-threatening complication of meningitis?
If the patient is diagnosed with bacterial meningitis, which type of isolation precautions should be implemented?
If the patient is diagnosed with bacterial meningitis, which type of isolation precautions should be implemented?
Which of the following findings is least suggestive of meningitis in this case?
Which of the following findings is least suggestive of meningitis in this case?
