IDS Mix Random Wrong answers

Question 1

Poncet’s disease is associated with what condition?

a. Disseminated gonococcal infection

b. Mycobacterial arthritis

c. Lyme arthritis

d. Syphilitic arthritis

Answer 1

B. mycobacterial arthritis

Poncet’s disease is a reactive symmetric form of polyarthritis that affects persons with visceral or disseminated tuberculosis. No mycobacteria are found in the joints, and symptoms resolve with anti- tuberculous therapy.

Source: HPIM 21st ed, Ch 130, p. 1043

Question 2

What is the organism most frequently isolated in splenic abscesses?

Answer 2

Streptococcal species are the most common bacterial isolates from splenic abscesses, followed by S. aureus—presumably reflecting the associated endocarditis.
Experimental work has helped to define both the host cells and the bacterial virulence factors responsible—most notably in the case of B. fragilis. This organism, although accounting for only 0.5% of the normal colonic flora, is the anaerobe most frequently isolated from intraabdominal infections, is especially prominent in abscesses, and is the most common anaerobic bloodstream isolate.