1. Which of the following properly describes the isolation requirements of a patient with pulmonary anthrax?
A) No isolation necessary. The patient may be in the same room with an uninfected patient.
B) Respiratory isolation only.
C) Respiratory and contact isolation.
D) Negative pressure room (such as with tuberculosis) + contact isolation.
Answer And Discussion
The correct answer is “A.” No isolation necessary. The patient may be in the same room with an uninfected patient.
Pulmonary anthrax is not transmitted person to person. Contact isolation is indicated in those with cutaneous anthrax and GI anthrax (where diarrhea may be infectious).
2. Which of the following drugs should be used as prophylaxis against inhaled anthrax should exposure to aerosolized spores be documented?
A) A first-generation cephalosporin.
B) Trimethoprim/sulfamethoxazole.
C) Ciprofloxacin.
D) A third-generation cephalosporin.
Answer And Discussion
The correct answer is “C.” Ciprofloxacin.
Fluoroquinolones are the drugs of choice when treating those exposed to anthrax.
Doxycycline may also be used.
Cephalosporins and TMP/SMX are not active against anthrax.
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