Bronchitis, STIs, Joins and Bones infections

Question 1

Etiology based on age group for viral bronchitis

Answer 1

<1 year: RSV (respiratory Syncytial Virus), Parainfluenza, Corona virus 1-10yo: Parainfluenza, Enetrovirus RSV
>10 years: Influenza, RSV, Adenovirus

Question 2

Bracterial causes of Bronchitis

Answer 2

Chlamydia or Mycoplasma pneumoniae

Question 3

Tx for Bronchitis. Antibiotics, analgesics. antitussives. B agonists

Answer 3

Routine antibiotic is NOT RECOMMENDED
Antipyretic/analgesic: Acetaminophen Antitussives: Dextromethorphan
Beta-agonist: Salbutamol

Question 4

Common type of UTI?

Common type of cystits?

Answer 4

Cystitis

E. coli

Question 5

Cystitis drug tx

Answer 5

Cotrimoxazole 3d, Nitrofurontoin 5d, Trimethoprim 3 day or Cephalexin 7d. If ineffective or allergic use ciprofloxacin 3 d.

Question 6

Acute urethral syndrome (urea plasma and chlamydia infection). Tx and for pregnancy

Answer 6

Urethritis— Doxycycline.

During pregnancy used erythromycin.

Question 7

Bacterial infection of kidney substances.

Answer 7

Pyelonephritis— Ciprofloxacin 7-14 d, cephalosporin’s, cotrimoxazole or amino glycosides + ampicillin (for severe).

Question 8

Type of UTI inf. in which factors that aqcuire bacteria and decrease efficacy of therapy such as abnormal genitourinary tract (BPH, stone, bladder cancer, and multidrug resistance)

Answer 8

Complicated UTI

Question 9

Type of UTI Infection in healthy patient with normal GI Tract. and DOC

Answer 9

Uncomplicated UTI

Cotrimoxazole

Question 10

Complicated UTI DOCs

Answer 10

DOC ampicillin+aminoglycoside Ampicillin + vancomycin

-Blood in urine -turbid

Question 11

Causative agents for STI

Answer 11

Nisseria gonorrhea
Chlamydia (in children Chlamydia neonatrum) Syphilis
Lymphogranuloma
Trichomoniasis. vaginitis (colored discharge) Bacterial vaginosis. vaginitis (fishy smell) AIDS
Condylomata acuminate
Hepatitis B and C
Chancroid (syphilis)
Genital herpes
Genital warts (papilloma virus)

Question 12

Vaginal inf. that is not STI thereby sexual partner does not require treatment. Symptoms are WHITE CURDY discharge. If reoccur within 2 months, partner need treatment.

Answer 12

Candida infection— Vulvoginitis

Question 13

Tx for Candida infx

Answer 13

Miconazole, Clotrimazole, Nystatin

Question 14

What kind of ulcer is present in Syphilis?

Answer 14

Chancroid

Question 15

Protozoa infx vaginits. And discharge symptom

Answer 15

Trichomoniasis. Frothy wet discharge. STD

Question 16

Vaginal discharge, spotting and soreness, burning vaginitis. DOC and tx

Answer 16

Atrophy. Metronidazole

Question 17

Women may develop red sores on the hand feet, in addition to severe pain in the wrist and ankles. In men, the gonococcus will frequently attack only a single joint, most often the knee.

Answer 17

Infectious arthritis

Question 18

Inf. A tx, causative agent

Answer 18

Oral Ampicillin due to gonococcus

*surgery not nec. but particularly helpful

Question 19

Tick-borne infection can cause arthritis and, in severe cases, heart and/or CNS complications. Causative agents and DOC. Prevalent during Jul-Aug

Answer 19

Lyme disease— Spirochete (Borelia burgdorferi) is transmitted to humans via deer tick (a tiny insect found in squirrels, rabbits, other rodents, birds, and household pets. DOC: Doxy, Amoxi, Cefurox

Question 20

Bacterial infx of the bone and bone marrow. Causative agent

Answer 20

Osteomyelitis— S. aureus

Question 21

Stomach infection with this is common and is associated with peptic ulcer disease and gastric cancer.

Answer 21

Helicobacter pylori

Question 22

Large intestines bacterias an/aerobes?

Answer 22

predominantly anaerobes (99.9%) and an apparent negligible 0.1%) of aerobes

Question 23

An/aerobe GI bacteria examples

Answer 23

An: Bacteriosides, Bifidobacterium, Clostridium, anaerobic cocci

A: Enterobacteriaceae, E. coli, Klebsiella, Proteus, Enterococc

Question 24

What bacteria is not present in CAP infections?

Answer 24

P. aeruginosa

Question 25

Shigella- dysentery (trav’s bloody diarr)
Campylobacter jejuni- Trv dairr
Salmonella- eggs, poultry, meat
Clostridium difficile- P. colitis
Escherichia coli- meat poisoning and trav diarr
S. aureus- meat, mayo, custard

Answer 25

Clostridium perfringens- aq gastroenteritis, reheated dishes
Norwalk virus- diarr in hosp. pts
Entomoeba- amoebiasis
Bacillus cereus (B. cereus)- reheated rice
Vibrio parahaemolyticus- contaminated seafood
Listeria- meat

Question 26

Rash, skin peeling, and sores on the mucus membrane. In Steven Johnson’s syndrome, a person has blistering of mucus membrane, typically in mouth, eyes and vagina. Drugs of tx and that causes this desease.

Answer 26

Tx: Cortisone 
SJS may cause by: SASPAN
S = sulfonylureas
A = anticonvulstants 
S = sulfonamides
P = penicillin
A = Allopurinol
N = NSAIDs (pirox, nevirapine, and diclo)