Infectious Disease Etc. 1 Flashcards

1
Q

Serum cold agglutinins causes cells to do what?

What infection is it associated with?

A

RBCs to clump.

Mycoplasma

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2
Q

What is the most common cause of primary atypical pneumonia?

A

Mycoplasma

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3
Q

Indolent organisms generally:

A

Culture and stain poorly.

They are typically inactive.

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4
Q

Staph aureas generally manifests how in healthy people?

A

Skin and hair manifestations: boils, rashes, etc.

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5
Q

What test should be used to discern Staph vs. Strep infections?

A

Catalase.

Staph are catalase positive.
Strep are catalase negative.

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6
Q

Most common cause of bladder infections:

A

E. coli

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7
Q

Respiratory system bacterial infections (6)

A
S. pyogenes - pharyngitis
C. diphtheria - diphtheria
B. pertussis - pertussis
S. pneumonia - lobar pneumonia
TB - tuberculosis
L. pneumophila - Legionnaire's DZ
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8
Q

GI system bacterial infections (5)

A

H. pylori - peptic ulcers
V. cholerae - non-inflammatory gastroenteritis
Shigella spp., C. jejuni, EHEC - inflammatory gastroenteritis
S. typhi - enteric (typhoid) fever
C. difficile - pseudomembranous colitis

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9
Q

Overall major causes of bacterial meningitis (5)

A
N. meningitidis
S. agalactiae
S. pneumoniae
H. influenzae
L. monocytes
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10
Q

Overall UTI causes (4)

A

E. coli
P. aeruginosa
S. saprophyticus
Enterococcus

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11
Q

Most common infection in burns:

A

Pseudomonas aeruginosa

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12
Q

Overall disseminated infections (3)

A

Y. pestis - plague
B. burgdorfori - Lyme DZ
Brucella spp. - undulant fever

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13
Q

General pathogenesis of TB

Major mediator:

Which patients are at an increased risk for TB infection?

A

Initial infection of Mo by binding MBL/CR3, then response of Th1 that causes tissue damage and significant granulomas and caseous necrosis.

IFN-y.

HIV pts.

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14
Q

M. leprae SX in tuberculoid and lepromatous Leprosy

A

Tuberculoid: dry, scaly skin lesions that lack sensation. ASX involvement of peripheral nerves.

Lepromatous: more severe. Symmetric skin thickening and nodules. There is widespread invasion into Schwann cells.

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15
Q

Infections common in immunocompromised patients

A
Mycobacterium
HIV-1
Candida albicans
Pneumocystis spp.
CMV
EBV
HHV-8
JC Polyomavirus
HPV
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16
Q

Ureaplasma urealyticum vs Proteus mirabilis

Classification:

Normal flora?

Clinical:

A

Ureaplasma: Mycoplasma (no cell wall)
Proteus: enteric

Ureaplasma: yes, in up to 60% of healthy women.
Proteus: No

Ureaplasma: serous/mucoid discharge, localized urethritis
Proteus: acute pyelonephritis, ureteritis, urethritis, cystitis. Seen in immunocompromised and nosocomial.

17
Q

Causes of GU urethritis (5)

A
Neisseria gonorrheae
Ureaplasma urealyticum
Chlamydia
Staphylococcus saprophyticus
Trichomonas vaginalis
18
Q

Associate elevated CRP w/:

A

Acute pyogenic infections

19
Q

Major cause of subacute bacterial endocarditis

A

Viridans Grp

20
Q

Main cause of myocarditis, pericarditis, pleurisy

A

RNA viruses - picornaviruses

21
Q

What are in the Picornavirus group?

A

Cardiovirus
Hepatovirus
Enterovirus (poliovirus, rhinovirus, coxsackies)

22
Q

Coxsackie A vs Coxsackie B

A

A - hand, foot and mouth DZ (fever with rash).

B - myocarditis, pericarditis.

23
Q

Most common cause of aseptic meningitis

A

Enteroviruses

24
Q

What is the main use of India ink stain for DX?

A

Cryptococcus

25
Most common etiology of ringworm
Fungal
26
Etiology of superficial fungal infections is...
Trichophyton
27
What does Chlamydia have tropism for? (what can it cause beyond the infection)
Fallopian tube -> PID, salpingitis*
28
What can work synergistically w/ Hep B to cause hepatocellular carcinoma?
Aspergillus -> aflatoxin
29
What tests (2) are used to detect RMSF? Results?
Weil-Felix Rxn, serology. WF/OX 19+ OX 2+
30
Weil-Felix results for: RR RP Rty Tsut
RR: WF/OX 19+ OX 2+ RP: OX-19+ Rty OX-19+ Tsut: OK-K+
31
Syphilis Common is US? Where is primary lesion? Regional lymph node involvement?
Common is US? Yes Where is primary lesion? Painless chancre Regional lymph node involvement? No
32
Chancroid (H. ducreyi) Common is US? Where is primary lesion? Regional lymph node involvement?
Common is US? Rare Where is primary lesion? Painful papule Regional lymph node involvement? 50% of time, they may drain
33
Granuloma inguinale Common is US? Where is primary lesion? Regional lymph node involvement? Other:
Common is US? Rare Where is primary lesion? Protuberant, soft, painless Regional lymph node involvement? Not usually Other: abundant granulation tissue
34
Lymphogranuloma venereum Common is US? Where is primary lesion? Regional lymph node involvement?
Common is US? Uncommon, but occurs Where is primary lesion? Small papule Regional lymph node involvement? Yes