6.1 Subcutaneous Flashcards

1
Q

Majority of the causative agents of mycoses are

a. Endosaprophyts
b. Exosaprophytes

A

b

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2
Q

Most common site for chromoblastomycosis?

a. Lower limb
b. Upper limb
c. Any area

A

a

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3
Q

In Chromoblastomycosis, secondary infection is common

T or F

A

T

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4
Q

Also called as copper pennies, this indicates chromoblastomycosis without indicating which fungus is the etiologic agent of the infection

a. Sclerotic bodies
b. Puffer bodies
c. Chromo bodies
d. None of the above

A

a

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5
Q

This caracterized as Verruoid crusted lesions and is not treated it resembles cauliflower

a. Chromoblastomyces
b. Mycetoma
c. Sporotrichosis
d. Phaeohyphomycosis

A

a. Chromoblastomyces

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6
Q

Phialophora verrucosa

a. Chromoblastomyces
b. Mycetoma
c. Sporotrichosis
d. Phaeohyphomycosis

A

a

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7
Q

Fonsecaea pedrosi and compacta

a. Chromoblastomyces
b. Mycetoma
c. Sporotrichosis
d. Phaeohyphomycosis

A

a

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8
Q

Cladophialophora carrionii

a. Chromoblastomyces
b. Mycetoma
c. Sporotrichosis
d. Phaeohyphomycosis

A

a

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9
Q

Most commonly observed in humid climates

a. F. pedrosoi
b. C. carrionii
c. F. monophora

A

a

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10
Q

Infection is normally found in dry areas
a. F. pedrosi
b. C. carrionii
c. F. monophora

A

b

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11
Q

Most common occupation in patients with chromobalstomycosis

a. farmers
b. Medtech
c. Factory workers
d. Fisherman

A

a

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12
Q

The predominant etiologic agent of chromoblastomycosis in southern China

a. F. pedrosoi
b. C. carrionii
c. F. monophora

A

c

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13
Q

Both Cladosporium carrionii and Fonsecaea pedrosoi causes dark olive-green/gray-green to grayish lavender with jet black reverse

T or F

A

T

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14
Q

Specimen for Chromoblastomycosis are skin scapins and aspirates

T or F

A

T

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15
Q

Stains used for Chromoblastomycosis are H&E, PAS digest, GMS

T or F

A

T

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16
Q

Primary isolation media in Chromoblastmycosis

a. SDA
b. BAP
c. PTA

A

a

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17
Q

Swollen tumor-like areas with sunuses that dran through multiple sinus tracts

a. Chromoblastomyces
b. Mycetoma
c. Sporotrichosis
d. Phaeohyphomycosis

A

b

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18
Q

Chronic granulomatous infection
a. Chromoblastomyces
b. Mycetoma
c. Sporotrichosis
d. Phaeohyphomycosis

A

b

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19
Q

Most common site for mycetoma?
a. Lower limb
b. Upper limb
c. Any area

A

a

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20
Q

Watering can foot / Madura foot

a. Chromoblastomyces
b. Mycetoma
c. Sporotrichosis
d. Phaeohyphomycosis

A

b

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21
Q

White to yellow grains are indicative of Pseudallescheria boydii

T or F

A

T

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22
Q

Secondary bacterial infection is common in mycetoma

T or F

A

t

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23
Q

Only surgical removal is successful
a. Chromoblastomyces
b. Mycetoma
c. Sporotrichosis
d. Phaeohyphomycosis

A

b

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24
Q

Yields the best result for the treatment of mycetomas

a. Itraconazole
b. Ketoconazole

A

a

b is alternative

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25
Telemorph: Same as the name Reservoir: Temperate and subtropical zones 2 asexual forms - Scedosporium aspiospermum - Graphium species a. Exophiala jeanselmei b. Pseudallescheria boydii
b
26
Cycloheximide is used in culture for Pseudallescheria boydii T or F
F Does not use it, other agents are
27
Oatmeal agar causes cleistothecia in pseudollascheria boydii (Mycetoma) T or F
T
28
Lollipop appearance in sexual state is observe in microscope a. Exophiala jeanselmei b. Pseudallescheria boydii
b
29
Teleomorph: None Reservoirs: Soil, on trees, rotting wood, decaying vegetation Direct examination: Granules resemble flecks of black pepper a. Exophiala jeanselmei b. Pseudallescheria boydii
a
30
Sporothrix schenckii a. Chromoblastomyces b. Mycetoma c. Sporotrichosis d. Phaeohyphomycosis
c
31
Chronic infection characterized by nodular lesions of cutaneous or subcutaneous tissues of adjacent that suppurate , ulcerate and drain a. Chromoblastomyces b. Mycetoma c. Sporotrichosis d. Phaeohyphomycosis
c
32
Most common site for Sporotrichosis a. Upper Limbs b. lower limbs c. Any area
a, b
33
Primary lesions develop at the site of implantation: - feet / legs - Hands / Arms Localized w/o fever or malaise Pathognomonic a. Lymphocutaneous sporotrichosis b. Fixed cutaneous sporotrichosis c. Pulmonary sporotrichosis
a
34
Primary lesions develop at the site of implantation: - Limbs, Hands, Fingers - Remains localized at entry point a. Lymphocutaneous sporotrichosis b. Fixed cutaneous sporotrichosis c. Pulmonary sporotrichosis
b
35
Inhalation of onidia Haematogenous dissemination Lung lesion: Gradual progression to death a. Lymphocutaneous sporotrichosis b. Fixed cutaneous sporotrichosis c. Pulmonary sporotrichosis
c
36
No telemorph "Rose gardener's disease a. Exophiala jeanselmei b. Pseudallescheria boydii c. Sporothrix schenckii
c
37
Clinical material for sporotrichosis a. Sputum b. Tissue biopsy c. Broncho aspirate d. Saliva
b
38
Asteroid bodies can only be seen in sporotrichosis T or F
T
39
Primary isolation media used in sporotrichosis is: a. SDA b. BHIA with 5% sheep blood agar c. All of the above
c
40
Thermal dimophism is characteristical feature for sporothrix T or F
T
41
At 25-30 Leathery black or mottled black At 35-37 Cream to tan yeastlike colony T or F
T
42
Serology used in sporotrix is indirect fluorescent antibody T or F
F Direct
43
Infections tend to be chronic and localized in hosts and spread rapidly in immunocompromised patients. The initial lesion is cystic (forms sac filled with fluid) followed by necrosis. Disease expands via satellite colonies a. Chromoblastomyces b. Mycetoma c. Sporotrichosis d. Phaeohyphomycosis
d
44
Exophiala jeanselmei and Wangiella dermatitidis is common in a. subcutaneous Phaeohyphomycosis b. Paranasal Sinus Phaeohyphomycosis d. Cerebral Phaeohyphomycosis
a
45
Allergic rhinitis (Sinusitis) + Immunesuppression a. subcutaneous Phaeohyphomycosis b. Paranasal Sinus Phaeohyphomycosis d. Cerebral Phaeohyphomycosi
b
46
Rare infection Immunosuppressed Fungus is neutropic a. subcutaneous Phaeohyphomycosis b. Paranasal Sinus Phaeohyphomycosis c. Cerebral Phaeohyphomycosi
c
47
Clinical material for Phaeohyphomycosis are: Skin biopsy Sputum CSF Indwelling catheter tips T or F
T
48
Primary isolation for Phaeohyphomycosis is SDA T or F
T
49
Serology used in Phaeohyphomycosis is ELISA T or F
F No serology
50
May also cause chromoblastomycosis Young black yeast colonies Dark olive-green to black colonies w/ black reverse Slow growth (2-3 weeks) Flask-shaped/cylindrical/vaseshaped phialides Pigmented brown-green hyphae & sclerotic bodies in specimens a. Phialophora Verrucosa b. Wangiella dermititidis
a
51
Young black yeast colonies (young cultures contain yeast cells that technically belong to the genus Phaecoccomyces, its anamorph) Mature olive-gray to black mould colonies w/ black reverse 10-25 days Pigmented hyphae & phialoconidia, w/ pale brown phialides Pigmented brown hyphal fragments- w/o granules or sclerotic bodies in specimens a. Phialophora Verrucosa b. Wangiella dermititidis
b
52
These are primitive, fast growing, terrestrial, largely, saprophytic fungi a. Zygomycosis b. Lobomycosis
a
53
The most acute and fulminae fungal infection known Typically involves rhino-facial-cranial area a. Zygomycosis b. Lobomycosis
a
54
It is often associated with acidotic diabetes, starvation, severe burns, intravenous drug abuse, and other diseases such as leukemia and lymphoma, immunosuppressive therapy, or the use of cytotoxins and corticosteroids, therapy with desferrioxamine Iron related problems a. Zygomycosis b. Lobomycosis
a
55
Mucorale - Causing subcutaneous and systemic zygomycosis Rhizopus T or F
T
56
is a slowly progressing tropical infection of the subcutaneous tissue or paranasal sinuses caused by Conidiobolus coronatus or related species a. Zygomycota b. Cunninghamella c. Rhino-entomophthotomycosis d. Rhizopus
c
57
Paranasal sinuses inhalation of sporangiospores a. Rhinocerebral zygomycosis b. Gastrointestinal zygomycosis
a
58
Associated with severe malnutrition, Gastrointestinal diseases Present in necrotic ulcers a. Rhinocerebral zygomycosis b. Gastrointestinal zygomycosis
b
59
Clinical material for zygomycetes are: Skin scraping Sputum Nasal discharge Aspirates from sinuses Tissue Biopsy T or F
T
60
In microscopy → Broad, infrequently septate, thin-walled hyphae → Show focal bulbous dilations and irregular branching a. zygomycetes b. lobomycetes
a
61
Zygomycosis has no serology test T or F
T
62
Lacazia loboi Also known as Lobo's disease or lacaziosis a. zygomycosis b. lobomycosis
b
63
This disease is usually found in humans and bottle-nosed DOLPHINS a. zygomycosis b. lobomycosis
b
64
Clinical material for lobomycosis is only surgical biopsy T or F
T
65
Direct microscopy: 10% KOH and Parker ink and Calcofluor white for Lobomycosis T or F
T