Infectious Disease

Question 1

Distinguishing central, and peripheral causes of facial nerve palsy

Answer 1

Forehead, sparing, a facial weakness, suggest peripheral facial palsy

Question 2

Testing for Lyme disease

Answer 2

Two-tier testing with Eliza followed by western blot

Question 3

Ramsey hunt syndrome

Answer 3

Preceded by pain and associated with vesicular lesions of the ear canal or pharynx, varicella zoster virus reactivation

Question 4

Guillain barre syndrome

Answer 4

Asending weakness or paralysis and bilateral facial palsy, diminished, or absent reflexes

Question 5

Distinguishing features of Lyme disease

Answer 5

Tick exposure in high endemic area, unilateral, weakness or paralysis of the facial nerve involving for head rash arthralgia systemic symptoms, carditis

Question 6

Features of mumps

Answer 6

Parotitis (94%) myalgia, anorexia, malaise, orchitis, headaches

Question 7

Bartonella (cat scratch)

Answer 7

Presents with regional lymphadenopathy treatment is azithromycin

Question 8

Complications of Bartonella infection

Answer 8

Dissemination to liver spleen eye or CNS
Add rifampin for disseminated infection

Question 9

Disseminated gonnococcal infection

Answer 9

Pharyngitis
Skin lesions
Joint complaints

Treatment is ceftriaxone and azithromycin

Question 10

Most common cause of culture positive septic arthritis

Answer 10

Staph aureus

Question 11

Treatment of bacterial meningitis in children, one month of age and older

Answer 11

Vancomycin and ceftriaxone or cefotaxime

Question 12

Causes of bacterial meningitis one month and older

Answer 12

Strap pneumo-
Neisseria meningitis
Group B strep

Question 13

Bacterial meningitis in neonates causes

Answer 13

Group B strep
E. coli
Listeria

Question 14

Chemoprophylaxis for close contacts of meningitis

Answer 14

Rifampin

Question 15

Complications of EBV infection

Answer 15

Peritonsillar abscess
Sinusitis
Mastoiditis
Sialadenitis
Myocarditis
Pancreatitis
Pneumonia
Interstitial, lung disease

Question 16

Common causes of osteomyelitis in children

Answer 16

MSsa
Kingella
Group a strep

Question 17

Common bacterial source of UTI and children with catheters

Answer 17

Enterococcus

Question 18

Treatment for uncomplicated erythema migrans

Answer 18

Empiric amoxicillin or doxycycline for 10 to 14 days

Question 19

Symptoms of early localized Lyme disease

Answer 19

Erythema migrans
Malaise
Headache
Fever
Myalgias
Arthralgias

Question 20

Symptoms of early disseminated, Lyme

Answer 20

Multiple erythema migrans lesions
Fatigue
Myalgia
Fever
Cranial nerve palsy’s
Headache
Meningitis
Myocarditis

Question 21

Late symptoms of Lyme disease

Answer 21

Arthritis mono articular, and large joint
Central nervous system involvement

Question 22

Leukocyte adhesion deficiency

Answer 22

Delayed separation of cord
Recurrent bacterial, Sino, pulmonary infections, skin infections, peridonitits, gingivitis, poor wound healing

Small stature
Abnormal face
Cognitive impairment