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ABR > Infectious Disease > Flashcards

Infectious Disease Flashcards

1
Q

Empiric coverage for prosthetic valve endocarditis

A

Vancomycin
Rifampin
Gentamicin

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2
Q

Empiric coverage native valve endocarditis

A

Vancomycin

Gentamicin

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3
Q

Indications for surgical intervention for endocarditis

A 
New onset CHF (most important)
Persistent bacteremia 
Recurrent emboli
Valve abscess
Large fungal vegetation 
Multi drug resistant organisms
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4
Q

Clostridium septicum or strep bogus bacteremia

A

Colonoscopy

R/o malignancy

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5
Q

Endocarditis ppx

A

All prosthetic valves
Prior history
Post-transplant heart with valvular disorder
CHD: unrelated cyanotic CHD, repairs within 6mo, repaired with prosthesis

Dental or respiratory procedures

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6
Q

Antibiotic ppx for endocarditis

A

Amoxicillin 2g 1 hour prior

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7
Q

Benign. Recurrent lymphocytic meningitis caused by HSV2

Monocytes in CSF

A

Mollaret’s meningitis

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8
Q

Herpes encephalitis

A

HSV1

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9
Q

Herpes meningitis

A

HSV2

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10
Q

Neiseirria Meningitis precautions

A

Ppx for contacts
Ppx with rifampin 600mg BID x 2 days
Droplet precaution

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11
Q

Management for acute prostatitis

A

Bactrim or Cipro x 4-6 weeks

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12
Q

Management for chlamydia

A

Doxycycline + ceftriaxone (gonorrhea)
Treat partner
Repeat NAAT 3 weeks after treatment

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13
Q

Yellow/green discharge
Strawberry crevix
pH> 5

A

Trichomonas

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14
Q

Thin white/gray discharge
Fishy odor
Clue cells
pH > 5

A

Bacterial vaginosis

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15
Q

Burning. Itchy
Vulvovaginal erythema
Thick white discharge
pH< 4.5

A

Candidiasis

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16
Q

Painful genital ulcers
Gram neg bacillus
School of fish or box car appearance

A

H. Ducreyi

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17
Q

Painless genital ulcer

Buboes

A

Lymphogranuloma venereum

Chlamydia trachomatis

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18
Q

Painless ulcers
Looks like carcinoma of penis
Safety pin shaped intracytoplasmic inclusions

A

Granuloma inguinale
(Klebsiella granulomatis)

Doxycycline

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19
Q

Tick bite

No rash

A

Erlichia/anaplasmosis

Inclusion bodies

20
Q

New England
Tick
Hemolytic anemia
Maltese cross or tetrad

21
Q

Vesicular eruptions

Multinuclear giant cells

22
Q

Gulf coast
Cellulitis
Hemorrhagic bullae. Necrosis
LAD

A

Vibrio vulnificus

23
Q

Fish tank. Swim instructor.
Non healing skin ulcer.
AFB+

A

Mycobacterium marinum

24
Q

Florist. Gardner.
Tender papules
No LAD

A

Sporotrichosis

Itraconazole

25
Q

Neutropenia

Black lesion. Central ulceration

A 
Ecthyma gangrenosum
(Pseudomonas)
26
Q

Isolation for Herpes zoSter

A

1 dermatome: contact

> 2 dermatomes: contact + airborne

27
Q

Cat bite

A

Augmentin

Pasteurella

28
Q

Dog scratch
Asplenic
Shock

A

Capnocytophago canimorsus

29
Q

Cat scratch

A

Azithromycin

Bartonella

30
Q

Nodular lesions
Modified silver stain
Peliosis hepatis (cystic spaces with blood)

A

Bacillary angiomatosis

Batrtonella

31
Q

Dense core and rim of ground glass appearance

A

Aspergillosis

32
Q

+ serum galactomannan

A

Aspergillosis

33
Q

Post transplant

Ground glass intranuclear inculsions

34
Q

Post transplant

Intracytoplasmic inclusion bodies

35
Q

Ulcers. Fevers

LAD

36
Q

Africa
Fever
Dysuria. Hematuria

A

Schistosoma

37
Q

Airborne precautions

A

HZV > 2 dermatomes
Measles/varicella
Covid
MTB

38
Q

Droplet precautions

A

Neisseria
Influenza
Plague

39
Q

Narrow base budding

A

Cryptococcus

40
Q

HIV
Opportunistic infection
Tcell > 200

A

Strep pneumonia
Kaposi sarcoma
PPD + at 5mm

41
Q

HIV
Opportunistic infection
Tcell < 200

A

PJP

Candidiasis

42
Q

HIV
Opportunistic infection
Tcell < 100

A

Cryptococcal meningitis

Toxo

43
Q

HIV
Opportunistic infection
Tcell < 50

44
Q

HIV
Opportunistic infection
Tcell < 25

A

CMV retinitis

PML

45
Q

CT brain with multiple cystic lesions and calcifications. Mild hydrocephalus

A

Neurocysticercosis

46
Q

Side effect for protease inhibitors

A

Dyslipidemia

47
Q

Side effect for NRTI

A

Lactic acidosis

ABR (12 decks)

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