Infectious Disease Flashcards

1
Q

3 most common causes of fever of unknown origin (FUO)

A

Infection
Cancer
Autoimmune Disease

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2
Q

4 signs and symptoms of streptococcal pharyngitis

A

Fever
Pharyngeal Erythemia
Tonsillar exudate
Lack of Cough

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3
Q

Non-suppurative complication of strep infection that is not altered by tx of 1 infection

A

Post-Infectious glomerulonephritis

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4
Q

Asplenic pt are particularly susceptible to these organsism

A

Encapsulated organisms

  • Pneumococcus
  • Meningococcus
  • Haemophilus Influenzae
  • Klebsiella
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5
Q

Number of bacteria on a clean catch specimen to diagnose UTI

A

10^5 bacteria / mL

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6
Q

Which healthy population is susceptible to UTIs

A

Pregnant women

Tx aggressively because of potential complications

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7
Q

Pt from California or Arizona presents with fever, malaise, cough, and night sweats. Diagnosis? Tx?

A

Coccidioidomycosis

Tx with Amphotericin B.

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8
Q

Non-Painful Chancre

A

1 syphilis

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9
Q

Blueberry Muffin rash is characteristic of what congenital infection

A

Rubella

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10
Q

Meningitis in Neonates

Causes?
Tx?

A

Group B Step
E-Coli
Listeria

Tx with Gentamicin and Ampicillin

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11
Q

Meningitis in Infants

Cause?
Tx?

A

Pneumococcus
Meningococcus
H. Influenza

Tx with Cefotaxime and Vancomycin

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12
Q

What should always be done prior to LP?

A

Check for ICP; look for papilledema

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13
Q

CSF findings:

Low glucose
PMN Predominance

A

Bacterial Meningitis

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14
Q

CSF findings:

Normal glucose
Lymphocytic predominance

A

Aseptic (Viral) meningitis

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15
Q

CSF findings:

Numerous RBCs in serial CSF samples

A

Subarachnoid Hemorrhage (SAH)

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16
Q

CSF Findings:

Increase Gamma Globulins

A

MS

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17
Q

Initially presents with pruritic papule with regional lymphadenopathy; evolves into a black eschar after 7 - 10 days

Tx?

A

Cutaneous Anthrax

Tx
PCN G or Ciprofloxacin

18
Q

Finding in 3 Syphilis

A
Tabes Dorsalis
General Paresis
Gummas
Argyll Robertson Pupil
Aortitis 
Aortic Root Aneurysms
19
Q

Characteristic of 2 Lyme Disease

A

Arthralgias
Migratory Polyarthropathies
Bell’s Palsy
Myocarditis

20
Q

24 year old man pt with soft white plaques on his tongue and back of his throat.

Diagnosis?
Workup?
Tx?

A

Candidal Thrush

Workup- HIV test

Tx- Nystatin oral suspension

21
Q

Begin Pneumocystis Jiroveci Penumonia prophylaxis in an HIV pt at what CD count?

A

<200 for P. Jiroveci (with TMP-SMX)

22
Q

Risk factors for Pyelonephritis?

A
Pregnancy
Vesicoureteral Reflux
Anatomic Anomalies
Indwelling catheters
Kidney Stones
23
Q

Neutropenic Nadir Postchemotherpy

A

7 - 10 days

24
Q

Erythema Migrans

A

Lesion of Lyme Disease

25
Q

Classic Physical Findings for endocarditis

A
Fever
heart Murmur
Osler Nodes
Splinter Hemorrhages
Janeway Lesions
Roth's Spots
26
Q

Aplastic Crisis in Sickle Cell Disease

A

Parvovirus B19

27
Q

Ring Enhancing Brain Lesion on CT with Seizure

A

Taenia Solum (Cysticercosis)

28
Q

Name THAT organism:

Branching Rods in Oral Infection

A

Actinomyces Israelii

29
Q

Name THAT organism:

Painful Chancroid

A

Haemophilus Ducreyi

30
Q

Name THAT organism:

Dog or Cat Bite

A

Pasteurella Multocida

31
Q

Name THAT organism:

Gardener

A

Sporothrix Schenckii

32
Q

Name THAT organism:

Meningitis in Adults

A

Neisseria Meningitdis

33
Q

Name THAT organism:

Meningitis in Elderly

A

Strep Penumoniae

34
Q

Name THAT organism:

Alcoholic with Pneumonia

A

Klebsiella

35
Q

Name THAT organism:

Currant Jelly Sputum

A

Klebsiella

36
Q

Name THAT organism:

Infection in Burn Victims

A

Pseudomonas

37
Q

Name THAT organism:

Osteomyelitis from foot wound puncture

A

Pseudomonas

38
Q

Name THAT organism:

Osteomyelitis in sickle cell pt

A

Salmonella

39
Q

55 year old man who is a smoker and a heavy drinker pt with new cough and flulike symptoms. Gram stain shows no organisms; silver stain of sputum showes gram negative rods. What is the diagonsis?

A

Legionella Pneumonia

40
Q

Middle aged man presents with acute-onset monoarticular joint pain and bilateral Bell’s palsy. What is the likely diagnosis, and how did he get it?
Tx?

A

Lyme Disease

Ixodes Tick

Doxycycline

41
Q

Pt develops endocarditis 3 weeks after receiving a prosthetic heart valve.

What organism suspected

A

S. Aureus or S. Epidermidis