infectious disease incorrects Flashcards

1
Q

positive IGRA means?

A

new TB infection

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2
Q

Fever of unknown origin can be due to what?

A

malignancy
infection
rheumatic disease

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3
Q

workup of FUO?

A

blood cultures
chest radiograph
urinalysis
LFT

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4
Q

best treatment for community acquired lobar pneumonia with recent antibiotic use?

A

fluoroquinolones such as levofloxacin

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5
Q

best treatment for lobar pneumonia in regular patients?

A

azithro

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6
Q

how pinworm infections occur?

A

inhaling

ingestion

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7
Q

whats most likely to cause perianal itching in kids?

A

pinworm

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8
Q

what is tubeculin skin test positive?

A

more than 15 cm induration in anybody
more than 10cm in thse with exposure risk
more than 5cm in immuno compromised

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9
Q

neurosyphilis presents as

A
anytime during infection
symptoms of meningitis
chancre
rash
can cause personality changes
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10
Q

how does rabies travel?

A
sensory nerve to
posterior root ganglion to
spinal cord to
ascending neurons to
CNS to
sensory nerves
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11
Q

whats moa of penicillin?

A

binds to transpeptidase

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12
Q

what antibiotics bind to 30s subunit?

A

aminoglycosides

tetrascyclines

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13
Q

what antibiotics bind to d alanine?

A

vanco

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14
Q

what antibiotics bind to dna gyrase

A

quinolones

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15
Q

symptoms of flu?

A

severe fatigue
headache
myalgias
sudden onset of fever

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16
Q

first thing to do when bacterial meningitis suspected?

A

2 blood cultures

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17
Q

order of meningitis treatmetn?

A

2 blood cultures
lumbar puncture if not contraindicated
dexamethasone and antibiotics

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18
Q

most common cause of viral pharyngitis?

A

adenovirus

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19
Q

acute otitis media in kids often presents as

A

otalgia, fever, bulging TM

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20
Q

hallmark of cutaneous anthracis?

A

lymphangitis

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21
Q

diphteria can lead to

A

neuropathy
myocarditis
paralysis

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22
Q

treatment for aom?

A

amoxicillin oral

23
Q

treatmetn for otitis externa?

A

otic cipro

24
Q

what does JC virus cause in HIV patients

A

PML
usually tcells under 50
demyelinating lesions, ataxia, visual symptoms, weekness

25
Q

in hiv, toxoplasma causes

A

ring enhancing lesions, seizures, headaches

tcell under 100

26
Q

histoplasma presentation?

A

budding yeast on silver stain
pulmonary infiltartes, hilar lymphadenopathy
in midwest, near a chicken coup
fever, cough, dysypnea

27
Q

rota viruses are

A

non enveloped

28
Q

symptoms of allergy?

A

itchy eyes
coughing
sneezing
nasal congestion

29
Q

sumptoms of viral uri?

A

nasal congestion
inflammation
headache, sneezing, malaise

30
Q

treatmetn for taenia solium?

A

praziquantel

31
Q

what is mebendazole used for?

A

roundworms

32
Q

what is ivermectin used for?

A

strongyloides

onchocerciasis

33
Q

bacillus cereus infection, what happens?

A

vomiting 1-6 hours after eating

diarrhea too

34
Q

MAC presents with

A

dyspnea chest discomfort, fever, weight loss, fatigue

chest cavitations

35
Q

treatment of MAC

A

azithro
rifampin
etham
amikacin

36
Q

west nile virus symptoms

A

fever, malaise, myalgias, anoroexia, self limiting

western us

37
Q

ssalmonella enterica typhi symptoms?

A

stomach and fever pain 1-2 weeks after travelling to area

rash too

38
Q

what does cryptosporiasis look like?

A

7 day incubation period
diarrhea, fever, nausea,
spores 8-10 mcm diameter
LA, Asia, AIDS

39
Q

treatment salmonella enterica?

A

fluoroquinolones or azithro

40
Q

salmonella enterica symptoms?

A

1 week incubation
9-10 stools per day
fever, headache, abdominal pain, diarrhea
salmon colored macules, south asia

41
Q

what causes vibrio parahaemoliticus? what happens

A

seafood

watery diarrhea, cramps, nausea

42
Q

shigella sonnei causes enteritis by

A

spreading through childcare facilities

43
Q

pain, shortness of breath, 48 hours after after hospitilzation, sputum, whats the infecion?

A

s. aureus

44
Q

most common hospital acquired pneumonia infections?

A

pseudomonas

s aureus

45
Q

ate wheat, got necrosis of fingers, what is associated with it and how does it happen?

A

claviceps purpurea,

through ergot alkaloids

46
Q

toxoplama goondi can present as

A

mono like syndrome
fever , cervical lymphadenopathy
follicular hyperplasia
no lymphocytosis

47
Q

most common cause of bacterial sinusitis?

A

strep pneumoniae then

h flu

48
Q

less than 2 weeks of symptoms for osteomyelitis?

A

MRI

49
Q

10-14 days of osteomyelitis?

A

CT

50
Q

how does rubella present?

A

starts with mild fever, lymphadenopathy, conjunctivitis

after 24 hours maculopapular rash appears on face then spreads, lasts 3 days

51
Q

roseola presentation?

A

high fever of 3-5 days, goes away

then rash comes, starts at neck and moves down

52
Q

treatment for chronic rhinusitis?

A

oral glucocorticoid

53
Q

symptoms of chronic rhiusitis?

A

symptoms more than 12 weeks

mucopurulent discharge
nasal obstruction
facial pain/pressure
decreased sense of smell