ID

Question 1

miliary tB signs

Answer 1

adrenal insufficiency – orthostasis

hypoglycemia, hypokalemia, eosinphilia

Question 2

histoplasmosis, diagnostic test, origin

Answer 2

-bird bat droppings,

bilateral reticulonodular pulmonary infiltrates with hisar /mediastinal lymph adenopathy, fatigue wt loss, elevates ESR/SRP, hepatosplenomegaly, lymphadenopathy, pancytopenia

Question 3

what STI s should you test for in everyone

Answer 3

gonorrhea (NAAT)
chlamydia (NAAT)
HIV
syphillis

Question 4

pathogens associated with colon cancer

Answer 4

clostridium sepitcum

strep bovis bacteremia

Question 5

treatment of toxoplasma

Answer 5

sulfadiazine and pyrimethamine

Question 6

bacterrial causes of culture negative endocarditis

Answer 6

brucella , bartonella, mycoplasma, coxiella

Bruce blocked myc’s cox

Question 7

trichomonas– do you treat male partner? and tx?

Answer 7

yes, metronidazole

Question 8

monospot test is used to detect

Answer 8

EBV
infectious monoucleosis, can cause splenic infarctions but no murmur

Question 9

cryoglobulinemia triad and associated rf/ kidney complications

Answer 9

IG precipitate out of serum due to a trigger ie hep C

triad: arthralgia, palpable purpura, fatigue

Question 10

Symptoms of Lyme disease

-pathogen?

Answer 10

-borrellia burgdorferi

make a FACE when you bite a lime

Facial nerve palsy
Arthralgia
carditis (AV- block arrthymmia)
erythema migraines ( bulls eye rash)

would also seee weakness poly neuropathy

common in northwest– west coast grows lime4

Question 11

Rocky Mountain spotted fever, sx, organism, source, tx?

Answer 11

triad: headache, fever, rash
-rash spreads inward- petecchia hemorrhagic

source: dog tick Midwest, north east south
tx: doxycycline, give with in 5 days or can death 2/2 DIC