Infectious Disease Flashcards

1
Q

Tx Pneumocystis Jiroveci

A

Septra

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2
Q

Major Jones criteria

A
Must have 2 major or 2 minor and 1 major to qualify as Rheumatic Fever
P ancarditis
A rthritis
N odules (SQ)
E rythema marginatum
S yndenham chorea
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3
Q

Minor Jones criteria

A

Prolonged PRI
ESR or CRP
Fever
Arthralgia

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4
Q

What does botulism bacteria look like?

A

Gram positive, Rod

Anaerobic

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5
Q

Sx botulism

A

Descending bilateral weakness and cranial nerve involvement.
NO fever
NO sensory disturbance

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6
Q

Tx wound botulism

A

PCN

PCN allergic: metronidazole

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7
Q

What does Diphtheria bacteria look like?

A

Gram positive bacillus

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8
Q

Tx Diptheria

A

Antitoxin + PCN or E-mycin

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9
Q

Incubation period for malaria?

A

2-4 weeks

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10
Q

Pt presents with large spleen and anemia suspect what?

A

Malaria

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11
Q

What is the most common pathogen causing chorioretinitis? (Posterior uveitis)

A

Toxoplasmosis

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12
Q

How to tx a pregnant woman with toxoplasmosis?

A

Spiramycin

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13
Q

Borrelia Burdogeri causes what disease?

A

Lyme

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14
Q

How soon does erythema migrans appear after tick bite?

A

2-4 weeks

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15
Q

Most common neuro manifestation of Lyme?

A

Bells’ Palsy

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16
Q

When is Lyme’s prophylaxis indicated?

A

Deer tick identified and present at least 36 hours. Can give doxy within 72 hours. Pt lives in endemic area.
Do not give doxy to pregnant women.

17
Q

What transmits Rocky Mountain Spotted Fever?

A

American dog tick: rickettsia rickettsi

Rash starts at ankles and wrists and moves centrally

18
Q

Tx Rocky Mountain spotted fever

A

Doxy

pregnant women= chloramphenicol

19
Q

Incubation period syphilis

20
Q

Sx primary syphilis

A

Painless genital ulcer, resolves in 3-6 weeks

21
Q

Sx secondary syphilis

A
Rash palms and soles
Condyloma lata
Fever
Malaise
LAD
22
Q

Sx tertiary syphilis

A

Neurosyphilis
Tabes Dorsalis
Aortitis

23
Q

Posterior vs anterior lymph nodes etio?

A

Posterior associated with mono

Anterior associated with strep

24
Q

Hutchinson’s sign

A

Grouped vesicles on the tip of the nose, is Zoster ophthalmicus until proven otherwise (emergency)

25
Etio Rubeola
Paramyxovirus
26
Sx Rubeola
Cough, coryza, conjunctivitis | Koplik spots
27
Forscheimer spots
Rubella: reddish spots on soft palate
28
Erythema infectiosum
Parvovirus B19 Slapped cheeks Lacy reticulated rash
29
Presentation Roseola
Very high fever x 3-5 days Fever breaks, mac pap rash on trunk and spreading to extremities Caused by HHSV 6 and 7
30
Tx needlestick from known HIV source
Offer 3 drug regimen x 4 weeks
31
Needlestick HIV testing intervals
6 weeks, 3 months, 6 months
32
What should always be given with INH?
B6 to prevent peripheral neuropathy
33
When is prophylaxis for pneumocystis jiroveci indicated?
When CD4 less than 200
34
Multiple ring enhancing lesions on CT
Toxoplasmosis
35
Rubeola
Cough Coryza Conjunctivitis Koplik Spots OOO