AANP Infectious Disease 2

Question 1

A 34-year-old nonpregnant woman presents with a 7-cm expanding annular erythematous lesion on her thigh after hiking in Connecticut. What is the first-line treatment?

Accepted Answer

Doxycycline 100 mg twice daily for 10 days

Answer

Doxycycline for 10 days is first-line for erythema migrans in early localized Lyme disease.

Question 2

A 5-year-old presents with fever, headache, and a petechial rash starting on the wrists and ankles after a tick bite in North Carolina. What is the treatment of choice?

Accepted Answer

Doxycycline

Answer

Doxycycline is the drug of choice for suspected Rocky Mountain spotted fever at any age because delayed treatment increases mortality.

Question 3

Which regimen for latent tuberculosis infection consists of once-weekly dosing for 12 weeks?

Accepted Answer

Isoniazid plus rifapentine

Answer

The 3HP regimen is isoniazid plus rifapentine given once weekly for 12 doses.

Question 4

A 28-year-old man has a painless, indurated genital ulcer and a reactive RPR confirmed by treponemal testing. He has no drug allergies. What is the recommended treatment?

Accepted Answer

Benzathine penicillin G 2.4 million units IM once

Answer

Primary syphilis is treated with a single IM dose of benzathine penicillin G 2.4 million units.

Question 5

A pregnant patient at 20 weeks is diagnosed with secondary syphilis and reports a history of penicillin anaphylaxis. What is the appropriate management?

Accepted Answer

Penicillin desensitization followed by benzathine penicillin G

Answer

Penicillin is the only proven therapy to prevent congenital syphilis, so allergic pregnant patients should be desensitized.

AANP - American Association of Nurse Practitioners Practice Test

AANP - American Association of Nurse Practitioners Practice Test

AANP Infectious Disease 2