23. RTI 9 Flashcards
A zookeeper works in the zoo’s aviary daily. She develops a fever, HA, chills and a non-productive cough. Which of the following might she develop if she is not treated for her infection?
A. Hepatosplenomegaly B. Skin ulcers C. Parotitis D. Endocarditis E. Osteoarthritis
SZ
Ans. A. Hepatosplenomegaly
The patient has Ornithosis (Chlamydophila psittaci.
Endocarditis is specific to Coxiella burnetti
A couple goes to Vietnam to adopt a child. The new father with DM returns and develops pneumonia like symptoms. A sputum culture is plated and is “cornflower head appearing.” Which of the following agars was used to grow the bacteria?
A. MacConkey B. Tinsdale C. Ashdown's D. Bordet-Gengou E. Chocolate
SZ
Ans. C Ashdown’s agar
The patient has Meliodosis (Burkholderia pseudomallei)
A cattle farmer comes to the doctor with flu like symptoms. Lab test is done showing a gram negative obligate intracellular parasite. What is a possible complication of chronic case of this infection?
A. Endocarditis B. Hemorrhagic cystitis C. Encephalopathy D. SLE E. Amblyopia
RFA
ANS. A- Endocarditis- the patient has Q fever cases by Coxiella burnetii likely given to him by his cattle. Chronic infection of this disease can lead to Endocarditis
A mining engineer has returned home to Spain after a 8 month project in Vietnam. He has been home for a week and has had a chronic cough with production of sputum and pleuritic chest pain. Culture is done showing a cornflower head morphology of colony growth. What risk factor may have increased the chance of infection in this patient?
A.Exposure to Rodents B. Exposure to Bird C. Turner Syndrome D. Diabetes E. Tourrettes
RFA
Ans. D Diabetes- the patient has Melioidosis note by region of travel: South East Asia, Soil exposure as a mining engineer, Labs: cornflower head morphology other risk factors are: Excessive alcohol use Chronic Renal Disease Chronic lung disease Cystic Fibrosis and Thalassemia
A. Exposure to rodents- Hantavirus
B.Exposure to Birds- Chlamydophila psittaci
