Friday Wk 3 Infections Flashcards

1
Q

main SE of isoniazid is __
usually, mild but can lead to frank __ or severer liver dysfxn

C__ is gram pos, catalase pos, club shaped rod
grows on CT agar as black
also on Lofflers medium as stained __ w aniline dye

Bordet Gengo medium can grow __

A

hepatotoxicity
hepatitis

corynebacterium
Cysteine tellurite
granules

B pertussis

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2
Q

suspect __ poisoning w tinnitus, fever and tachypnea
in first 12h, __ alkalosis develops w inc ventilation
later, __ develops as salicylates inc lipolysis and stop OP
organic acids _ to inc AGAP

thus, after 12h should show __ ABG
bicarb and CO2 should be __ as a result

A

aspirin
resp
AGAP met acid
accumulate

mixed
low

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3
Q

Amatoxins of amanita phylloides are taken to __ via portal circ
concentrated in __ cells and bind DNA dep RNA poly __
stop __ synthesis
results in apoptosis, cell turnover and may damage _ tract
sx include ab pain, NV, severe, __ like diarrhea w blood/mucus
eventually, acute __/__ failure
urine testing for __ is dx

Ricin inhibits rRNA component of __s subunit

Euk RNA poly 1 is for __ RNA
Euk RNA poly 3 is for __ RNA

A

liver
hepatic, 2
mRNA
GI tract

cholera
hepatic/renal
a amantin
60

ribosomal
transfer

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4
Q

pt w AMS, seizure, LA, CV collapse, bright red venous blood has __ poisonin
can be due to therapy w N__ if its high dose/long duration

Nitroprusside is V__ used to control BP in HTN emergency
meabolized by R__ w sulfur molecule
forms thiocyanate, and excreted in __

w overdose, rhodense is overwhelmed, and cyanide __
tx w Sodium T__ to provide addtl sulfur
hydroxycobalamin aids in __ cyanide to excrete in urine
Sodium nitrite can induce M_ by forming cyanmethemoglobin

A

cyanide
nitroprusside

vasodilator
rhodanse
urine

accumulates
thiosulfate
binding
metheoglobinemia

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5
Q

Theophylline toxicity include NV, ab pain, diarrhea, cardaic __ and s__
major morbidity/mortality is S__

tx w Charcoal to stop GI __
BB can prevent __

bradycarida, hypoTN, hypoglycemia seen w __ overdose
tx w G__ to inc cAMP

A

arrhythmia, seizure
seizure

absorption
arrhythmia

BB
glucagon

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6
Q

most R__ have brodifacoum that acts like warfarin
causes bleeding abt __ hrs after ingestion
tx w __ and __

cryoprecipitate is factors / vWF and F

FFP is not useful for heparin overdose bc of __ enhancing heparin

A

rodenticides
48
FFP, VK

8, 13

AT3

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7
Q

Lead poisoning should be suspect in __ homes
may see neuro manifestations like regressed __, behavior probs, enceph
Gi Const, ab pain and dec __ metab
Renal w interstitial __
Hematologic w a__
screen by measuring blood __
ALA should be __ in urine

A
older
milestones
VD
nephritis
anemia
lead
inc
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8
Q

contact precautions for MRSA/VRE/C diff/Scabies need hand hygiene w __ as alcohol does not kill spores
Non__ gloves
G__ and private room

long duration of pain, itching, rectal bleeding indicates anal __
usually have large __ mass
assc w __ infection

HepB is a H__ virus
mature virion has hexagonal C__ covered w lipid bilayer envelope studded w proteins/carbs
partially ds __ DNA molecule
upon entry, capsid enters cytoplasm and goes to __
viral DNA then forms double stranded __ that becomes mRNA
RT has both __/__ dep DNA poly activity to create ssDNA intermediate
converts back to __ and enveloped by ER w viral proteins

A

soap/water
sterile
gowns

SCC
ulcerative
HPV

Hepadanaviridae
capsid
circular
nucleus
DNA

DNA/RNA
partial dsDNA

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9
Q

CMV/EBV are H__ family
isocahedral core w dsDNA and __ form
bud from __ membrane

HIV is a L__ retrovirus
bar shaped protein core w __ genome of 2+ ssRNA molecules

Coxsackie is P__ w isocahedral nucleocapsid and __ genome

A

Herpesviridae
linear
nuclear

lentivirus
diploid

picornavirus
ssRNA+

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10
Q

impoverished child is also at inc risk of __ poisoning
can be inhaled or __
incomplete __ allows lead to enter the CNS

lead inhibits ALAD and F__
protoporphyrin 9 cannot make heme, so __ is incorporated
inc Zn protoporphyin levels w high __

AIP does not have A__

uroporphyrinogen decarboxylase def leads to __
U__ is inc in urine

A

lead
ingested
BBB

ferrochelatase
Zn
ALA

anemia

PCT
uroporphyrinogen

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11
Q

K1 capsular polysaccharide in E coli prevents __ and complement mediated __
pathogenic for neonatal __

P fimbriae allows ascension to __
seen in __

E coli grows on EMB to ferment lactose as __ sheen
__ hemolysis on blood agar

A

phagocytosis
lysis
meningitis

urothelium
UTI

green
beta

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