Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Step II CS > ID > Flashcards

ID Flashcards

1
Q

VERY ITCHY, elevated, serpiginous skin lesions. Contact with sand (dog/cat poop)

A

Cutaneous larva migrans

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Pneumonitis and colitis after bone marrow tplant?

A

Think CMV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Comm Acquired pneumonia tx

A

S Pneumo most common. No need for big guns/MRSA coverage. Levaquin has coverage. Cipro DOES NOT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Coccidio tx

A

fluconazole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Pneumonia in intubated pts

A

pseudamonas - tx with antipseudamonal penicllin or cefepime

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Immediate post op fever cause?

A

Think malignant hyperthermia, prior infection or blood products rxn

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Malaria-like infection in NE USA?

A

Babesia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Amoxicillin staph coverage?

A

NOPE - beta lactamase in staph

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

4D (days fever), cough, coryza conjunctivitis. Can have arthralgias in older patients. More mild fever

A

Rubella

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

VERY HIGH fever. Koplik spots. Rash

A

Measles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Tx for crypto meningitis

A

AmphoB and flucytosine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Hemochromatosis has increased risk for what infections?

A

Listeria (also yersina enterocolitica and vibrio vulnificus (iron loving))

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Tx for actinomyces

A

PCN sensitive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Tx for nocardia

A

Bactrim

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

G/C tx

A

Azithro (doxy) and ceftriaxone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Tx for Histo

A

itraconazole

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Step on a nail - get osteomyelitis

A

NOT tetanus - pseudamonas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Patients less than 20 y/o with CF and PNA

A

S Aureus more common in younger patients than pseudomonas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Treatment for post-exposure HIV for healthcare workers and stuff

A

Regular HAART - 2-3 drug tx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Cavitary lesion, destruction of underlying pulmonary parenchyma, Moves around with position change

A

aspergilloma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Air fluid level on CXR

A

Lung Abscess

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Splenic Abscess

A

Common in infective endocarditis. Tx splenectomy. Can also develop L sided pleural effusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

If patient is so nauseous he cannot tolerate PO, inpatient treatment with IV

A

If patient is so nauseous he cannot tolerate PO, inpatient treatment with IV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Acute bacterial sinusitis can be common post viral. no fever necessary. Tx w abx

A

Acute bacterial sinusitis can be common post viral. no fever necessary. Tx w abx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Tx for HIV/candiasis/esophagitis
can treat empirically before endoscopy. Only EGD if unresponsive to tx
26
CMV esophagitis
HIV - linear ulcers
27
HSV esophagitis
HIV - round/ovoid ulcers. concurrent herpes outbreak
28
Anerobes above the diaphragm
Clindamycin
29
UTI with basic pH > 7
Proteus Mirabilis
30
How to treat PCP
Treat PCP before starting HAART. It has a 100% mortality rate. Tx with IV bactrim and steroids
31
g(-) rod, intracellular. stains poorly.
Legionella, tx with levaqiun/azithro
32
AIDS. TM effusion without signs of inflammation
Serous OM
33
What virus is associated with primary CNS lymphoma?
EBV
34
Skin lesions, bony lytics involvement with pulm nodule/finding
Disseminated blasto
35
Rabies vector
Raccoons
36
Shaking Chills, cyclical fever in a patient with an endemic area. Anemia and splenomegaly
Malaria
37
Polyarthralgia, tenosynovitis, painless vesiculopapular skin lesions
Disseminated Gonococcal
38
Skin-colored, verrucous, papilliform lesions around anus and tx?
HPV - podophyllin
39
Ecthyma gangrenosum
from pseudomonas. in neutropenic patients. necrotic center and surrounding erythema.
40
When do you start HAART (Cd4 of ?)
350 or less. If greater make sure patient has pneumovax
41
Bacteremia in Sickle Cell?
from s pneumo (asplenia). Salmonella is only Osteomyelitis.
42
PPX for dental procedures in MVP/Bicuspid Aortic/unrepaired cong defects?
NOPE. only in high risk valvular defects such as bicuspid aortic vv and unrepaired defects and prosthetic valve
43
back pain, fever with nn findings. Acute onset
epidural abscess
44
You must have what kind of infection to get rheumatic fever?
GAS PHARYINGITIS - impetigo won't give you RF (but will give you psgn)
45
HIV drug with AE of wild, vivid dreams?
efavirenz
46
Kawasaki vs Scarlet fever
Kawasaki has eye and joint sxs. Tx kawasaki with asa and ivig
47
Very high fevers, followed by pink macules and papules on face and trunk? Fever so high may result in febrile sz
roseola HHV 6
48
History of drug use presents with fatigue, weight loss, cognitive impairment. Top of ddx?
HIV. HIV can cause cognitive impairment. With high risk history - likely dx
49
Chicken pox exposure in immunocompetent patient. How do you treat?
Just give vaccine. No reason to also give VZV Ig unless immunocompromised (then give within 10 d of exposure)
50
Immunocomp PNA with gram positive, crooked, beaded, branching, partially acid fast. What org?
Think Nocardia. Tx bactrim
51
treatment for cat scratch disease? (B henselae)
Azithro
52
suspected sepsis in baby. Whats the first thing you do?
LP. Unless fontanelles are mega super bulging, no CT is warranted first.
53
Cutaneous and visceral angioma-like blood vessel growths in immunocomp patients. Large pedunculated exophytic papule with a collarette of scale.
Bacillary angiomatosis. Bartonella species. Biopsies of these lesions are prone to hemorrhage.
54
Sepsis following nasal packing, tampon use, post surgery infections. Diffuse erythematous macular rash. Myalgias. dX?
Toxic shock syndrome
55
when do you give pneumovax earlier than 65?
Adults with COPD, CV, hepatic, renal, pulm, metabolic dz.
56
Adults need Td booster every 10 years. Also need TDaP once in place of Td
yes
57
Causes of epidydimitis in eldelry? In young?
Elderly: gram neg rods Young: GC
58
1) Bitten by wild animal - rabies ppx? | 2) Bitten by low risk animal - rabies ppx/tx?
1) ppx with IVIG and vaccine | 2) observe animal for 10 days, no ppx needed right now
59
What parts of the world is malaria resistant to primaquine?
Subsaharan Africa, southern and southeast asia, Amazon. So, only the carribbean you can use primaquine? Use mefloquine, atovaquone/proguanil, or doxy in these areas
60
Leukopenia/thrombocytopenia, elevated LFT, febrile illness, tick bite. Dx and tx?
erlichoisis and doxy

Step II CS (17 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions