Fungi (10%)

Question 1

superficial; hair; black piedra

Answer 1

piedraia hortae

Question 2

superficial; outer epidermis; pityriasis versicolor, spaghetti under microscope

Answer 2

malassezia furfur

Question 3

superficial; epidermis, hair and dermis may be attacked, dermatophytosis, aka tina or ringworm of scalp (capitis) body (corporus) hand (manuum) feet (athletes foot) legs (crura) toenails/fingernails (unguium) and beard (berber)

Answer 3

microsporum, trichophyton and epidermophyton

Question 4

superfiical; mucous membranes, skin nails; candidiasis yeast infection aka monoliasis in children - thrush; can cause browning of nails

Answer 4

candida albicans

Question 5

subcutaneous; nodules beneath skin; may invade lymphatics; sporotrichosis; pricked by a rose thorn

Answer 5

sporothrix schenkii

Question 6

subcutaneous; large fungal tumors of limbs and extremities; mycetoma, madura foot

Answer 6

pseudallescharia boydii, madurella mycetomatis

Question 7

systemic deep organism enters lungs; spore dust, coccidiomycosis, San Joaquin Valley Fever

Answer 7

coccidioides immitis

Question 8

systemic deep organism enters lungs; inhaled, north american blastomycosis, chicago disease

Answer 8

blastomyces dermatitidis

Question 9

systemic deep organism enters lungs; chicken coup cleaning, histoplasmosis, ohio valley fever

Answer 9

histoplasma capsulatum

Question 10

systemic deep organism enters lungs; pigeon roosts, cryptococcosis (torulosis)

Answer 10

cryptococcus neoformans

Question 11

systemic deep organism enters lungs; skin, paracoccidiodomycosis, South American blastomycosis

Answer 11

paracoccidioides brasilensis

Question 12

systemic deep organism enters lungs; “fungus balls” in lungs; necrotic pneumonia can affect systemic and cause death

Answer 12

aspergiullus fumigatus