Infectious Disease for the AANP FNP exam

Topics in this chapter

• STIs: the first-line treatments that win pointsMatch the bug to its first-line drug, doxy, ceftriaxone, or penicillin.
• STIs: viral, protozoan, and screening rulesHerpes, trichomonas, HPV, and HIV, control versus cure, and who to screen.
• Tuberculosis: latent vs active and the testing stepsPositive PPD or IGRA is just step one, the next move is always a chest x-ray.
• Influenza, mononucleosis, and Lyme diseaseThe 48-hour flu window, the amoxicillin-rash mono clue, and the bull's-eye rash.
• Viral hepatitis serologiesDecode the hep B panel and confirm hep C with RNA, not just the antibody.
• Sepsis recognition and antimicrobial stewardshipAct-now sepsis recognition and why viral illness never gets an antibiotic.
• Key immunization conceptsThe one safety rule that wins points: hold live vaccines in pregnancy.
• Pelvic Inflammatory Disease: low threshold, empiric coverageTreat on minimum clinical criteria alone, never wait for cultures, and start empiric outpatient therapy the same visit.
• Fitz-Hugh-Curtis and the long-term cost of PIDRight-upper-quadrant pain in a young woman with pelvic infection is perihepatitis, and the lasting damage is to fertility.
• HIV Prevention: PrEP, PEP, occupational PEP, and pregnancyPrEP is daily prevention before exposure, PEP is the 72-hour emergency window after, and treating the mother protects the baby.
• Disseminated Gonococcal Infection: the arthritis-dermatitis syndromeWhen gonorrhea spreads through the blood it shows up as sore tendons, scattered skin lesions, and migrating joint pain.