Gastroenterology& ID Flashcards

1
Q

HBsA- negative
Anti-HBc- negative
Anti-HBs- negative

A

susceptible

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2
Q

HBsAg - negative
Anti-HBc- positive
Anti-HBs- positive

A

immune due to natural infection

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3
Q

HBsAg- negative
Anti-HBc- negative
Anti-HBs- positive

A

immune due to Hep B vaccination

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4
Q

HBsAg- positive
IgM anti-HBc- positive
Anti-HBc- positve
anti-HBs- negative

A

acutely infected

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5
Q

HBsAg- positive
Anti-HBc- positive
IgM anti-HBc- negative
Anti-HBs- negative

A

chronically infected

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6
Q

increased Alk Phos, normal GGT, Normal Ca2+

A

paget biliary cirrhosis

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7
Q

direct bilirubinemia

A

obstruction
Dubin-Johnson
Rotor

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8
Q

indirect bilirubinemia

A

hemolysis
Gilbert
Crigler-Najjar

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9
Q

Post exposure prophylaxis for HIV

A

Tenofovir- emtricifabine+ dolutegavir

OR

Tenofovir- embricitabine and raltegravir

Within 72 hours for 4 weeks

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10
Q

Pt with AIDS with neurologic symptoms…….what is the best 1st tests

A

MRI brain

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11
Q

AIDS+ neurologic symptoms + multiple ring enhancing lesions. Diagnosis?

A

Toxoplasmosis

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12
Q

AIDS+ neurologic symptoms + multiple ring enhancing lesions. Empiric tx?

A

Pyrimethamine+ sulfadiazine+ leucovorin

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13
Q

AIDS+ neurologic symptoms + one ring enhancing lesion

A

CNS lymphoma

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14
Q

AIDS pt with neurologic SXS + seizure with CSF that is lymphocytes predominant, bloody, high protein

A

HSV encephalitis, temporal lobes

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15
Q

AIDS pt with neurologic SXS + seizure with CSF that is lymphocytes predominant, bloody, high protein. Treatment?

A

Acyclovir

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16
Q

AIDS pt with neurologic SXS + meningitis with + India ink

A

Cryptococcus

17
Q

AIDS pt with neurologic SXS +hemiparesis, visual disturbance, AMS

A

PML

18
Q

AIDS pt with neurologic SXS + memory loss and gait disturbance

A

HIV-associated neurocognitive disorder (HAND)