ID

Question 1

Late onset GBS begins between

Answer 1

3-4 weeks

Question 2

Hemorrhagic cystitis is associated with what virus

Answer 2

Adenovirus

Question 3

What pathogens are concerns for breast feeding?

Answer 3

HIV, HTLV-1, HTLV-2 and untreated TB
HTLV = human T-Lymphotropic Virus

Question 4

What cancer can HTLV lead to.

Answer 4

adult T-cell leukaemia/lymphoma (ATL)

Question 5

What is lymphogranuloma vereneum caused by?

Answer 5

chlamydia trachomatis

Question 6

What is the treatment for lymphogranuloma vereneum?

Answer 6

doxycycline 100mg PO x21 days

Question 7

What are characteristics of lymphogranuloma vereneum?

Answer 7

asymptomatic genetical ulcer, spontaneously heals in a few days, followed by fever, chills, myalgias, and malaise with inflammatory reaction in inguinal lymph nodes

Question 8

swollen, tender lymph node with violaceous discoloration, no improvement from antibiotics. What organism?

Answer 8

mycobacterium avium-intracellular

Question 9

What is appropriate antimicrobial coverage for a neonate with bacterial meningitis?

Answer 9

Ampicillin and cefotax - cover for GBC, E. coli, and listeria

Question 10

Why do you not use gentamicin for neonatal meningitis?

Answer 10

Gentamicin does not have good blood brain barrier penetration

Question 11

What benign skin rash can be seen with viral and bacterial infections, described as symmetric distribution of firm erythematous papules of similar size on upper and lower extremities and face, sparing trunk/hands/feet?

Answer 11

Papular acrodermatitis of childhood

Question 12

What is the most common manifestation of early disseminated Lyme disease?

Answer 12

Facial nerve palsy 7 and multiple erythema migrans lesions

Question 13

Patients with IgA deficiency are at risk for what type of infection?

Answer 13

sinopulmonary and GI infections –> intestinal giardiasis is common!
Thinks IgA –> mucosal surfaces

Question 14

What are symptoms of rocky mountain spotted fever?

Answer 14

malaise, GI sx, myalgias, headache, erythematous blanching macules and papules

Question 15

What lab findings are associated with RMSF?

Answer 15

leukopenia followed by left-shift leukocytosis, anemia, thrombocytopenia, elevated serum transaminases, hyponatremia (early finding)

Question 16

findings on potassium hydroxide wet mount - spaghetti and meatball pattern

Answer 16

tinea versicolor, malassezia globosa

Question 17

What is responsible for chronic rhinosinusitis?

Answer 17

staph aureus

Question 18

What are the symptoms of mumps

Answer 18

parotid enlargement, fever, malaise, headache, myalgias, orchitis, epididymitis

Question 19

What is the most frequent complication of mumps?

Answer 19

meningoencephalomyelitis

Question 20

What are signs of congenital varicella-zoster?

Answer 20

microcephaly, hydrocephaly, microphthalmia, cataracts, extremity atrophy/malformations, skin scaring

Question 21

What are signs of congenital CMV?

Answer 21

IUGR, jaundice, purpura, hepatosplenomegaly, microcephaly, intracerebral calcifications

Question 22

What are findings of congenital syphilis?

Answer 22

fever, hepatomegaly, generalized lymphadenopathy, syphilitic rhinitis, maculopapular rash, jaundice

Question 23

What are findings of congenital rubella

Answer 23

cataracts, purpura, hepatomegaly, IUGR, PDA

Question 24

What is craniotabes and what infection is it associated with?

Answer 24

softened, thinned, flexible area of parietal or occipital bones, “ping-pong ball” effect –> syphilis

Question 25

What infection is associated with porphyria cutanea tarda?

Answer 25

hepatitis C

Question 26

What is the most common cause of viral meningitis in the US?

Answer 26

non-polio enteroviruses

Question 27

What are the MAJOR criteria of rheumatic fever?

Answer 27

Carditis (valve w/wo myocarditis/pericarditis), erythema marginatum (*serpiginous*), subcutaneous nodules, polyarthritis, chorea

Question 28

When does the rash arise in RMSF?

Answer 28

2nd-5th day blanching erythematous macules --> petechiae palms and soles if characteristic

Question 29

fever + rash + retroauricular/posterior cervical/posterior occipital lymphadenopathy +/- arthralgia =

Answer 29

rubella!!

Question 30

Treatment for RMSF

Answer 30

doxycycline

Question 31

What are findings of congenital varicella syndrome?

Answer 31

cutaneous scarring in dermatomal pattern, limb hypoplasia, blindness/microphthalmia

Question 32

What virus is associated with DRESS syndrome?

Answer 32

HHV-6

Question 33

What is a common cause of papular acrodermatitis of childhood?

Answer 33

hepatitis B

Question 34

The rash in Rubella typically starts where

Answer 34

face

Question 35

What are the difference in oral rashes between measles and rubella?

Answer 35

measles --> white macular lesions "Koplik spots" Rubella --> soft palate petechiae and/or larger reddish spots

Question 36

What is appropriate treatment for neonatal listeriosis?

Answer 36

IV ampicillin and gentamicin --> synergy from gentamicin

Question 37

fine, reddish-pink, pappular rash on face, trunk, upper extremities and thighs, spares palms and soles

Answer 37

"sandpaper-like rash" --> scarlet fever

Question 38

Doxycycline can be safely used in patients >/= what age?

Answer 38

8 years old

Question 39

In infants, what type of N. meningitidis is more common? A or B?

Answer 39

serotype B

Question 40

Spiral-shaped gram-negative bacteria

Answer 40

campy

Question 41

Patients with __ deficiency have increased susceptibility to severe infx w strep pneumo, N. men, H. flu...

Answer 41

C2 complement

Question 42

What infection typical precedes erythema multiforme?

Answer 42

HSV

Question 43

What viruses are the most common cause of myocarditis?

Answer 43

coxsackie and adeno

Question 44

Arthritis, macular/utricarial rash, and thrombocytopenia are more common in what type of infectious hepatitis?

Answer 44

Hep B

Question 45

What is miliary tuberculosis?

Answer 45

disseminated disease due to hematogenous spread of bacteria to lungs and other organs

Question 46

What is the best antibody titer to prove APSGN

Answer 46

anti-DNase B

Question 47

ASO titers are elevated following

Answer 47

pharyngeal strep infection, NOT skin infection

Question 48

Define EBV titer testing: IgM-viral capsid IgG-VCA IgG-nuclear antigen IgG-early antigen

Answer 48

acute EBV infection 1-2 weeks after acute infection convalescence from EBV not much help - goes away in convalescence or after EBV infection