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Integrative > Infectious Disease > Flashcards

Infectious Disease Flashcards

1
Q

Naslisal congestion for 7-10 days, fever, no better with decongestants

A

Acute Sinusitus

Strep pneumo, H. flu, Moraxella catarrha

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2
Q

Agents that cause OM

A

strep pneumo, H. flu, Moraxella catarrhalis

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3
Q

Tonsillar exudates
tender anterior LAN
Fever
No cough

A

Pharyngitis -> Strep pyrogenes (GAS)

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4
Q 
Tonsillar exudates
Tender anterior LAN
Fever
No cough
Strep negative
Teenager
Splenomegaly
A

Mono/ EBV

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5
Q

Dysuria
Urinary frequency
U/A with leukocyte esterase, nitrates
no discharge

A

Cystitis-> E. coli

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6
Q

UTI
Struvite stone/staghorn calculus
UA: alkaline pH

A

Proteus mirabilis

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7
Q

Pneumonia in pt with CF or bronchiectasis

A

Pseudomonas aeruginosa

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8
Q

Pneumonia in pt with:

Feeding tube/ post stroke/ alcoholic/ post seizure

A

Aspiration -> anaerobes

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9
Q

Pneumonia in septic newborn

A

Group B strep.

Vertical transmission during birth

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10
Q

Post-influenza necrotizing pneumonia

A

Staph aureus

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11
Q

Pneumonia in an older person
Hyponatremia
GI sx
increased LFTs

A

Legionella

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12
Q

HIV+
Thrush
dysphagia
odynophagia

A

Candidal esophagitis

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13
Q

HIV+
CD4 <200
Interstitial pneumonia
High LDH

A

Penumocystis jiroveci

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14
Q

HIV+

Purplish, red-blue skin lesions

A

Kaposi’s (HHV-8)

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15
Q

HIV+

Chronic diarrhea

A

Cryptosporidium

also: Isopora or CMV if CD4 is less than 50

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16
Q

HIV +
Headache
Ring enhancing lesions on MRI

A

Toxoplasmosis

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17
Q

HIV+
Cotton wool spots
CD4 < 50

A

CMV retinitis

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18
Q

HIV+

White corrugated painless plaques on lateral tongue that can’t be scraped off

A

Oral Hairy Leukoplakia -> EBV

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19
Q 
High risk behaviors
fever
headache
myalgias
only a few days
Fain rash on abdomen
HIV negative
A

acute HIV infection

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20
Q

Infant
fever for several days
Followed by macular rash

A

Roseoa -> HHV 6

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21
Q

Child

Infection followed by slapped cheek rash on face

A

Erythema infectiosum -> Parvovirus B19

Also: aplastic anemia

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22
Q

Hydrops fetalis in pregnant women

A

Parvovirus B19

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23
Q

Child

Fever, sore throat, sandpaper rash

A

Scarlet fever -> Strep pyrogenes

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24
Q

Child

Vesicular rash on palms, soles, ulcers in mouth

A

Hand-foot-mouth -> coxsackievirus A

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25
Q

Child
Pink maculopapules on head and moving down
Post auricular LAN

A

Rubella

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26
Q 
Infant
Pink maculopapules
cataracts 
deafness
cardiac defects
A

Congenital Rubella

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27
Q 
Child
Coryza
cough
Kopik's spots
rash on face to trunk
A

Measles

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28
Q

DM or leukemic pt
rapidly progressive sinusitis
bone/orbit destruction
black eschar

A

Mucromycosis

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29
Q

Pneumonia
Ohio Valley
bird droppings, bats
ground excavation

A

Histoplasmosis

30
Q

Southwest travel
flu
meningitis
symptoms for a long time

A

Cocciodiomycosis

31
Q

Pneumonia
GU involvement
skin
broad based budding yeast

A

Blastomycosis

32
Q

Immunocompromised

Large cavitary pneumonia

A

Aspergilloma

33
Q

Gerdener

pustules along draining lymph nodes

A

Sporothrix schenckii

34
Q

Malaria with cerebral involvement

A

Plasmodium falciparum

35
Q

Swimming if Gulf
pts with decreased liver function
cellulitis and hemorrhagic bullae

A

Vibrio vulnificus

36
Q

Cattle, sheep, goats
pnemonia
culture negative endocarditis

A

Q fever -> Coxiella burnettii

37
Q

Abdominal distention
pea soup diarrhea
splenomegaly
relative bradycardia

A

Typhoid fever -> Salmonella typhi

38
Q 
Cattle, hog, goat exposure
Unpasteruized mild or cheese
headache
persistent fever 
LAN, hepatosplenomegaly
A

Burcellosis

39
Q

Rabbit, rodent, tick contact
fever
headache
draining lymph nodes

A

Tularemia -> Fancisella tularensis

40
Q 
Animal/rat urine
conjunctivitis
flu-like illness
--gets better--
Then: kidney/liver failure, hemorrhagic pneumonia, jaundice
A

Leptospirosis (Weil syndrome)

41
Q

Viral cause of Burkitt lymphoma

A

Epstein-Barr: c-myc 8:14 translocation

42
Q

Viral cause of cervical cancer

A

HPC 16 and 18: inactive tumor suppressive genes p53 and Rb

43
Q

Viral cause of hepatocellular carcinoma

A

Hepatitis B,C

44
Q

Bacterial cause of MALT lymphoma

A

Helicobacter pylori

45
Q

Bioterrorism
Flu-like
Followed by painless edematous necrotic papule
Gram positive rod/bacillus

A

Contact Anthrax

46
Q 
Bioterrorism
cough
SOA
chest pain
rapid deterioration
Widened mediastinum on CXR
pleural effusions
A

Pneumonic Anthrax

47
Q

Bioterrorism
High fever
vesicular/papular/pustular rash from face to trunk

48
Q

Bioterrorism
Fulminating pneumonia 2-4 days after exposure
Watery blood tinged sputum
“Closed safety pin” gram neg coccobacilli

A

Pneumonic plague

49
Q

Bioterrorism
Normal sensorium with descending flaccid paralysis
Bulbar nerve palsies (diploplia, dysphonia, dysarthria, dysphagia)

50
Q

Bioterrorism

Febrile flu-like syndrome 3-5 days after exposure, penumonia

51
Q

Bioterrorism
Multiorgan failure
DIC
Hemorrhage

A

Viral hemorrhagic fever (Ebola, Marburg)

52
Q

Red rash with clear center
Bell palsy
Heart block
arthritis

A

Lyme disease -> Borrelia burgdorferi

53
Q 
Fever
hemolytic anemia
post NE travel
asplenic pt
"maltese cross"
A

Babesiosis

54
Q

Child with perianal itching

A

Enterobius vermicularis (pin worm)

55
Q

Dog Bite

A

pasturella multilocida

56
Q

Human bite

57
Q

Kitten scratch

Axillary LAN

A

Bartonella henselae

58
Q

Nail penetrating through tennis shoes

A

Pseudomonas aeruginosa

59
Q

Branching rods in oral infection

sulfur granules

A

actinomyces israelii

60
Q

Kid
coughs til vomit
insidious onset then paroxysmal

A

Bordatella pertussis

61
Q

Osteomyelitis in sickle cell patient

A

Salmonella
strep
staph

62
Q

Relapsing maleria months after sucessful treatment

A

P. vivax and P. ovale, because they can hide in liver cells

63
Q

AE of Vancomycin and Aminogycosides

A

Nephrotoxicity
Ototoxicity
Vanc: “Red Man” syndrome

64
Q

AE of sulfonamides in G6PD deficiency

A

Hemolyic anemia
neutropenia
severe drug rash

65
Q

AE of penicillins

A

Interstitial Nephritis

66
Q

AE of Flouroquinolones

A

Achilles tendon rupture

67
Q

AE of INH

A

Transaminitis

68
Q

Vitamin that should be taken with INH

A

B6. If not -> neurotoxicity

69
Q

AE of Ethambutol

A

Optic neuritis (red green color blindness)

70
Q

Phenomenon that leads to flu epidemics

A

Antigenic shift

Integrative (15 decks)

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