ID Formative 2

Question 1

An 8 yo male child with a history of frequent ear infecctions sees you in clinic in acute distress. He is febrile an dhis right ear is protruding. The area behind the right ear is red, swollen and painful. For what condition are you concerned for?

Answer 1

Mastoiditis

Question 2

An 8 yo male child presents to clinic with a chief complaint of a lacy red rash which appears on his body after taking a bath for the past two weeks. About three weeks ago, dad states it looked like i slapped him across the face for several days. What is it?

Answer 2

Parvovirus

Question 3

An 11 yo male missed his IgG infusion. Some dumbass gave him a live virus vaccine and now his balls are swollen and painful. What likely caused this?

Answer 3

Mumps virus

Question 4

A 36 year old male presents with loss of appetite, fever, upset stomach and fatigue. He has a somewhat yellow complexion an a urine specimen shows a very dark yellow color. You only get one diagnostic test. What do you want?

Answer 4

Hepatitis panel

Question 5

16 year old male has two-week history of fever, fatigue and sore throat. Physical exam reveals an exudative tonsillitis and an enlarged spleen. Strep is negative. What should you test him for?

Answer 5

EBV

Question 6

10 year old girl travels 80 miles to clinic from her rural home. She now has one week fever, chills and muscle aches. Now severe cough and resp distress. She likes to play in the desert areound her home. What rare disease does she have? (WWKP:what would Kathy pick)

Answer 6

Hantavirus

there is an assumption here that she couldn’t have plague. . . why not? could be pneumonic

Question 7

A 34 year old male has AIDS goes in Remy’s swimming pool. then gets a diarrheal illness. What are you most suspicious of?

Answer 7

Crytosporidum

Question 8

14 month old in February with a 3 day history of frequent diarrhea. His parents thought they have him is vaccines but can’t find the records. What does he likely have?
(I think this question is dumb)

Answer 8

Rotavirus

Question 9

7 year old child from a farming family just moved to NM from Kentucky during the summer. He’s otherwise healthy. He has an acute pneumonia but is afebrile and his WBCs are normal. What might you consider as the pathogen?

Answer 9

Histoplasma

Question 10

72 year old male with shingles and a Hutchinson’s sign comes in. What do you need to do with him?

Answer 10

Send him to ophthalmology! Duh

Question 11

A sick appearing 6 year old presents mid-January with cough, congestion, conjunctivitis, ST and diarrhea. What organism could cause this clinical pictures?

Answer 11

Adenovirus

Question 12

Which form of hepatitis is most common cause of chronic liver disease?

Answer 12

C

Question 13

12 year old female comes to clinic to be treated for “warts” She has a small cluster of four lesions of the right forearm. They are round and smooth with a central depression. What is it?

Answer 13

Molluscum contagiosum virus

Question 14

15 year old male has a rash on his feet. It itches and OTC athlete’s foot cream didn’t help. It’s red, scaly rash over the dorsae of both feet. What is the likely diagnosis?

Answer 14

Contact dermatitis (not sure how you determine this from the scenario but apparently it does)

Question 15

57 year old female presents with recurrent yeast vaginitis. She has been treated 3x in 4 months. Shes a little fat and had HTN. No recent abx use. What should we do next?

Answer 15

Obtain a fasting blood glucose.

Question 16

27 year old female patient seeks care requesting an acyclovir Rx for recurrent genital herpes. What site does the virus responsible for the recurrent vesicles originate?

Answer 16

A nerve root ganglion

is this true, I knew shingles but I didn’t know all herpes lived in the nerve root

Question 17

A patient presents with 2 weeks of intermittent otalgia and prutis of the left ear canal. When you look you see black-speckled debris. WTF is that?

Answer 17

Aspergillus

you pick the fungus answer because of the black spots

Question 18

What causes “blueberry muffin baby” syndrome?

Answer 18

Rubella

Question 19

13 month old male infant presents with fever 40.2 with a runny nose. 4 days later fever is gone but now has a rash all over his face, chest and legs. What is the likely infecting organism?

Answer 19

HHSV 6 (Roseola)

Question 20

Nasty domestic cats are the principle host for what organism?

Answer 20

toxoplama

Question 21

25 year old hiker noticed a tick on himself. Now have fever, chills, aches and a target lesion. What is the organism?

Answer 21

Borrelia burgdorferi (Lyme disease)

Question 22

What is Rocky Mountain spotted fever?

Answer 22

Rickettsia rickettsii

Question 23

3 year old with honey-crusted lesions around his mouth. What is the most appropriate treatment?

Answer 23

mupirocin ointment

Question 24

5 year old playing with toys suddenly started wheezing. The mother states the child seemed healthy. He has labored breathing, wheezing and absent right breath sound. What happen?

Answer 24

FB aspiration

why the fuck is this question on here? So we keep a broad differential??

Question 25

27 year old with HIV has visual disturbances. Optho says he has perivascular hemorrhage and bilateral retinal exudates. The virus responsible for the retinitis belongs to which of the following viral families?

Answer 25

Herpesvirus

Herpesviridae for SOM