1/26 Durrant SSTI

Question 1

What is the body’s first line of defense?

Answer 1

Intact skin

Question 2

Folliculitis Def

Answer 2

Infection associated with sweat glands

Question 3

WHat causes folliculitis

2

Answer 3

S. Aureus

Pseudomonas Aeruginosa

Question 4

Folliculitis treatment

Answer 4

Soap & Water

Topical antibiotics

Question 5

Acne def

Answer 5

Inflammation of hair follicle and sebaceous gland

Question 6

What causes acne?

Answer 6

Proprionibacterium acnes

Question 7

Whats the most common pathogen of soft tissue abscesses?

Answer 7

S. Auereus

Question 8

Treatment for Soft tissue abscesses

Answer 8

Incission & Drainage

Systemic Antibiotics

Question 9

Types of Soft Tissue abcesses

Answer 9

Furuncle

Carbuncle

Question 10

Furuncle def

Answer 10

Abscess in area of hair follicle

Question 11

Carbuncle def

Answer 11

Multiloculated abcess with spread to subcutaneous tissue

Question 12

Necrotizing Fasciitis Def

Answer 12

Enzyme producing bacteria digest fascial barriers

Question 13

Necrotizing fasciitis causeng pathogens?

Answer 13

Group A Strep
Staph Aureus
Clostridium perfringens

Question 14

What is fournier’s Gangrene?

Answer 14

Polymicrobial infection of the genitals involving necrotizing fasciitis

Question 15

Biggest symptom of necrotizing faciitis

Answer 15

Pain is out of proportion compared to exam findings

Question 16

Mosto common pathogen in surgical wounds

Answer 16

S. Aureus

Question 17

Best way to prevent surgical wound infections?

Answer 17

Perioperative antibiotics

Question 18

Fungal infections are scientifically called

Answer 18

Dermatophyte fungi

Question 19

Fungal nail infections are called

Answer 19

Onychomycosis

Question 20

What genres cause fungal infections

Answer 20

1) Trichophyton
2) Microsporum
3) Epidermophyton

Question 21

Most common yeast pathogen

Answer 21

Candida albicans

Question 22

Treatment against fungal infections

Answer 22

Topical antifungals

Systemic antifungals if severe

Question 23

Diaper rash casued by?

Answer 23

yeast

Question 24

intertrigo casued by

Answer 24

Fungus

Question 25

Thrush casued by?

Answer 25

Yeast

Question 26

Impetigo infects what layer of skin?

Answer 26

Epidermis

Question 27

Impetigo definition

Answer 27

Honey Crust

Question 28

What pathogens casue Impetigo?

Answer 28

Group A Strep | S. Aureus

Question 29

Treatment of impetigo

Answer 29

Penicillin | Topical antibiotic

Question 30

Erysipelas infects what layer of skin?

Answer 30

Deep layers of dermis

Question 31

What pathogen causes erysipelas?

Answer 31

Group A Strep

Question 32

Treatment for Erysipelas

Answer 32

Penicillin

Question 33

Cellulitis infects what layer of skin

Answer 33

Subcutaneous

Question 34

What pathogen causes Cellulitis

Answer 34

Group A Strep | S. Aureus

Question 35

Treatment for cellulitis

Answer 35

Systemic antibiotics

Question 36

What factors increase risk of wound infections | 4

Answer 36

- Higher num of organisms - Higher virulence - Poor circulation near wound - Poor overall health

Question 37

What type of lesions does staphylococcus aureus create

Answer 37

purulent lesions

Question 38

Staphylococcal Toxins | 4

Answer 38

1) Alpha toxin 2) Exfoliatin 3) TSST -1 4) Enterotoxn

Question 39

Enterotoxin effect

Answer 39

Staphylococcal food poinoning

Question 40

TSST - 1 Effect

Answer 40

Toxic shock syndrome

Question 41

Exfoliatin effect

Answer 41

bullous impetigo

Question 42

alpha -toxin effect

Answer 42

Scalded skin syndrome

Question 43

What do beta lactams target on S. Aureus?

Answer 43

Peniccilin binding proteins (PBP)

Question 44

MRSA has what gene that makes new PBP with less affinity for beta lactams?

Answer 44

mecA Gene

Question 45

MRSA is resistant to what beta lactams?

Answer 45

All of them!

Question 46

Treatment for MRSA

Answer 46

DOxycycline, Vancomyacin, trimethoprim-sulfa

Question 47

Risk factors for MRSA

Answer 47

Skin-skin contact IV drug use Crowded living conditions

Question 48

Other name for GRoup A Strep

Answer 48

Strep Pyogenes

Question 49

Post strep sequelae | 3

Answer 49

1) Pharyngitis 2) Rheymatic fever 3) Glomerulonephritis

Question 50

Strep Toxins | 2

Answer 50

- Steptolysins O and S | - Pyrogenic exotoxins A and B

Question 51

Strep Inflammatory ENzymes | 3

Answer 51

1) Streptokinase 2) Hyaluronidase 3) DNAse

Question 52

Clostridium Perfringens Gram Stain

Answer 52

Gram Positive

Question 53

C. Perfringens oxygen use

Answer 53

anaerobic

Question 54

C. perfringens shape

Answer 54

rods

Question 55

C. Perfringens produces what in tissue?

Answer 55

Hydrogen and CO2 gas

Question 56

Soft tissue infection caused by C. Perfringens

Answer 56

Gas gangrene

Question 57

Pasteurella Multocida gram stain

Answer 57

GN Rod

Question 58

Where do you get Pasteurella Multocida?

Answer 58

Animal Bites

Question 59

Pseudomonas aeruginosa gram stain

Answer 59

GN Rod

Question 60

P. aeruginosa is found where?

Answer 60

Environment, Water & hospital rooms

Question 61

What causes hot tub folliculitis?

Answer 61

P. Aeruginosa

Question 62

Vibrio vulnificus gram stain

Answer 62

GN Rod

Question 63

What disease is associated with an iron overload and cirrhosis?

Answer 63

Vibrio vulnificus

Question 64

What casues Mycetoma?

Answer 64

Bacterial: actinomyces nocardia Fungal: many molds

Question 65

What casues sporotrichosis?

Answer 65

Sporotrhrix Schenckii

Question 66

What is sporotrichosis common name?

Answer 66

Rose gardner's thumb (bc patches in a row like a garden)

Question 67

How to get a microbiologic diagnosis?

Answer 67

Often clinical | Pus!

Question 68

Abscess of skin - think?

Answer 68

S. aureus

Question 69

Abscess in mouth, rectum, vagina think?

Answer 69

polymicrobial

Question 70

Cellulitis think?

Answer 70

S. pyogenes

Question 71

Erysipelas think?

Answer 71

S. pyogenes

Question 72

exposure to IV in drug user think?

Answer 72

pseudomonas