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Step 2 CK for me > ID Rapid Review > Flashcards

ID Rapid Review Flashcards

1
Q

most common causes of FUO

A

infection, cancer, and autoimmune disease

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2
Q

signs/sx of streptococcal pharyngitis

A

fever, tender anterior cervical LN, tonsillar exudate, lack of cough

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3
Q

non suppurative complication of streptococcal infection that is NOT altered by treatment of primary infection

A

postinfectious glomerulonephritis

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4
Q

most common predisposing factor for acute sinusitis

A

viral URI

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5
Q

asplenic patients are particularly susceptible to these organisms

A

Encapsulated organisms!

strep pneumo, meningococcus (neisseria meningitidis), H flu, klebsiella

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6
Q

The number of bacteria needed on a clean catch specimen to dx a UTI

A

10^5 bacteria/mL

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7
Q

A patient from California or Arizona presents with fever, malaise, cough, and night sweats. Dx and treatment

A

Coccidiomycosis

ampho B

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8
Q

nonpainful chancre

A

primary syphilis

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9
Q

“blueberry muffin” rash is characteristic of what congenital infection

A

rubella

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10
Q

meningitis in neonates. causes and treatment

A

GBS, e coli, listeria. Treat with gentamiin and ampicillin

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11
Q

meningitis in infants. causes and treatment

A

pneumococcus, meningococcus, H flu. treat with cefotaxime and vancomycin

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12
Q

What does this mean in the CSF?
low glucose
PMN predominance

A

bacterial meningitis

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13
Q

What does this mean in the CSF?
normal glucose
lymphocytic predominance

A

“aseptic meningitis”

viral meningitis

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14
Q

What does this mean in the CSF?

numerous RBC’s in serial CSF samples

A

subarachnoid hemorrhage

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15
Q

What does this mean in the CSF?

high gamma globulins

A

MS

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16
Q

Initially presents with a pruritic papule with regional LN, evolves into a black eschar after 7-10 days. Treatment?

A

cutaneous anthrax. Treat with penicillin G or ciprofloxacin

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17
Q

findings in tertiary syphilis

A

tabes dorsalis, general paresis, gummas, argyll robertson pupil, aortitis, aortic root aneurysm

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18
Q

findings of secondary lyme disease

A

arthralgias, migratory polyarthropathies, Bell palsy, myocarditis

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19
Q

cold agglutinins

A

mycoplasma

20
Q

how do you treat thrush

A

nystatin oral suspension

21
Q

At what CD4 count should PCP PPx be started in an HIV positive patient

A

CD4 count less than or equal to 200

TMPSMX

22
Q

At what CD4 count should MAC PPx be started

A

at around less than or equal to 50-100.

clarithromycin/azithromycin

23
Q

risk factors for pyelo

A

pregnancy, VUR, indwelling catheters, kidneystones

24
Q

when is the neutropenic nadir post chemo?

A

7-10 days

25
Q

what should erythema migrans make you think

A

primary lyme disease

26
Q

Classic findings of endocarditis

A 
fever and heart murmur
osler nodes
splinter hemorrhages
janeway lesions
roth spots
27
Q

what causes aplastic crisis in sickle cell disease

A

parvovirus B19

28
Q

branching rods in an oral infection

A

actinomyces israelii

29
Q

weakly gram positive, partially acid fast lung infection

A

nocardia asteroides

30
Q

painful chancroid

A

haemophilus ducreyi

31
Q

dog or cat bite

A

pasteurella multocida

32
Q

gardener

A

sporothrix schenckii

33
Q

raw pork and skeletal muscle cysts

A

trichinella spiralis

34
Q

sheepherders with liver cysts

A

echinococcus granulosus

35
Q

perianal itching

A

enterobus vermicularis

36
Q

meningitis in adults

A

neisseria meningitidis

37
Q

meningitis in elderly

A

strep pneumo

38
Q

meningoencephalitis in AIDS

A

cryptococcus neoformans

39
Q

PNA in an alcoholic, currant jelly sputum

A

klebsiella

40
Q

malignant external otitis

A

pseudomonas

41
Q

infection in burn victims

A

pseudomonas

42
Q

OM from a foot wound puncture

A

pseudomonas

43
Q

OM in a sickle cell patient

A

salmonella

44
Q

55 yo M who is a smoker, heavy drinker, presents with new cough and flulike sx. gram stain sh ows no organisms, silver stain of sputum shows gram negative rods.

A

legionella PNA

45
Q

middle aged man presents with acute onset monoarticular joint pain and b/l Bell palsy.

A

Lyme disease! from Ixodes tick. give doxcycyline

46
Q

patient develops endocarditis 3 weeks after receiving prosthetic heart valve. what organism?

A

staph aureus or staph epidermidis

47
Q

pt develops endocarditis in a native heart valve after having a dental cleaning

A

strep viridans

Step 2 CK for me (4 decks)

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