Infectious disease case studies Flashcards

1
Q

what is the leading cause of acute otitis media (viral, bacterial, fungal)?

A

viral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what is the protocol for treating acute otitis media?

A

wait 48 hours to initiate treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what test can differentiate between staph and strep?

A

catalase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what is the treatment of choice for strep pneumo (for ear infections)? what if it is contraindicated?

A

amoxicillin

TMP-SMX, azithromycin, cefuroxime

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

what are some complications associated with otitis media?

A
perforation of TM 
tympanosclerosis 
cholesteatome 
mastoiditis 
lateral sinus thrombosis 
meningitis / brain abscess
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is the treatment for acute bacterial sinusitis?

A

amoxicillin
decongestants (NO antihistamines)
mucolytics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

does salmonella ferment lactose?

A

NO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

entamoeba histolytica causes what type of diarrhea?

A

bloody

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

what is the most appropriate treatment for RSV?

A

watching waiting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

a positive Tzanck smear has what type of cells?

A

large (“giant”) multinucleated cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is the catalase test used for?

A

differentiating staph from strep

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what is the treatment for pseudomonas sinusitis?

A

IV fluoroquinolone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what are the complications of pseudomonas sinusitis?

A

meningitis
cavernous sinus thrombosis
bony invasion of orbit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

strep pyogenes has what hemolysis pattern?

A

beta

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

is s. pneumo optochin sensitive or resistant?

A

sensitive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

is s. pyogenes bacitracin sensitive or resistant?

A

sensitive

17
Q

s. pneumo is sensitive to which antimicrobial compound?

A

optochin

18
Q

s. pyogenes is sensitive to which antimicrobial compound?

A

bacitracin

19
Q

what is the gold standard for diagnosing strep throat?

A

throat culture

20
Q

why treat group A beta hemolytic strep?

A
  • prevention of rheumatic fever / cardiac disease
21
Q

does e. coli ferment lactose?

A

yes

22
Q

staph aureus vs. staph epi?

A

coagulase

23
Q

is staph aureus coagulase positive or negative?

A

POSITIVE