Infectious Diseases Flashcards

1
Q

red eye with purulent discharge, tense edema of eyelids with marked chemosis; incubation period 2-5 days

A

Neisseria gonorrhea

DOC: Ceftriaxone 50mkday for 1 dose

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2
Q

mild to severe swelling of eyelids with copious purulent discharge; incubation period 5-14 days

A

Chalmydia trachomatis

DOC: Erythromycin 50 mkday every 6 hours for 14 days

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3
Q

Days 5-18: edema and erythema of eyelids, purulent discharge, pannus formation, endophthalmitis

A

Pseudomonas aeruginosa

DOC: systemic antibiotics; Gentamicin eye ointment

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4
Q

red itchy eyes, thin exudate, pain and photophobia, +/- cough and colds

A

Adenovirus

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5
Q

red eyes, (+) pus

A

staphylococcus

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6
Q

red eyes, (+) pus, inculsion bodies in scrapings

A

Chlamydia

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7
Q

inturned eye lashes, corneal scarring and blindness

A

Chlamydia

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8
Q

Stye

A

Staphylococcus

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9
Q

Bilatera eyelid swelling, eosinophils, muscle pain, hx of infection

A

Trichinella

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10
Q

unilateral inflammation at bite site around eye or mouth, hx of travel to Mexico or south america

A

t. cruzi

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11
Q

All cestodes are treated with Praziquantel except

A

Echinococcus granulosus (Albendazole)

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12
Q

All trematodes are treated with

A

praziquantel

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13
Q

Tx for Ascaris, Necator, Capillaria

A

Albendazole

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14
Q

Tx for Trichuris

A

Mebendazole

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15
Q

Tx for Enterobius

A

Pyrantel pamoate

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16
Q

Tx for Strongyloides

A

Ivermectin

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17
Q

Tx for Wuchereria and Brugia

A

DEC

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18
Q

Tx for Trichinella

A

Thiabendazole

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19
Q

Retinopathy with keratitis in a newborn or a young child; mother has hx of drug abuse

A

CMV

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20
Q

DOC for Ritter disease

A

Oxacillin

If MRSA, start Vanco

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21
Q

Red, raised butterfly rash, in appearance with derma pain and rapid spread

A

Erysipelas

GAS- Strep pyogenes

22
Q

malignant pustule

  • pustule to dark red fluid filled to necrosis of black eschar
  • Dx and Tx?
A

Bacillus anthracis

anthrax
- Ciprofloxacin + Clindamycin

23
Q

Target eye lesion
Bull’s eye
-fever, headache, rash border, bite site
-Dx and Tx?

A

Borrelia burgdorferi
(Lyme disease)
-one of the ff: Doxycycline (best CNS penetration), Amoxicillin or Cefuroxime

24
Q

Tx of M. marinum

A

Clarithromycin + Ethambutol

25
Q

Tx of Actinomyces

A

high-dose IV Penicillin

26
Q

Nocardiosis

A

Trimethoprim sulfa

-first line tx

27
Q

Hemorrhagic mediastinitis associated with

A

Bacillus anthracis

28
Q

Hx of animal bite; cellulitis with lymphadenitis

-Dx and tx?

A

Pasteurella

-Tx: amoxicillin/clavulanic acid

29
Q

Hx of cat bite or cat scratches or no hx of bite but with pet kitty; lymohadenopathy with stellate granulomas; causes cat scratch dse
-dx and tx?

A

Bartonella hensae

-self-limited but may give azithromycin

30
Q

Hx of shallow puncture wound through tsinelas or rubber shoes

A

Pesudomonas

31
Q

How is diphtheria diff from strep throat?

A

relative lack of fever, non-exudative throat

32
Q

inflamed tonsils or pharynx, purulent, fever

A

Strep tonsillopharyngitis

33
Q

white papules with red base on posterior palate & pharynx

A

Herpangina

Coxsackie viruses

34
Q

purulent tonsils, fatigue, LN

A

infectious mononucleosis

EBV

35
Q

low-grade fever with gradual onset of membranous nasopharyngitis; bull-neck LN

A

Diphtheria

36
Q

finely popular, eryhtematous eruption producing a bright red discoloration of the skin, which blanches on pressure, more intense along the creases of the elbows, axillae and groin; skin has goose pimple appearance and feels rough. After 4 days, rash begins to fade, and followed by desquamation

A

scarlet fever

GAB-S

37
Q

causes infectious arthritis in all ages except between 15-40

A

S. aureus

38
Q

causes infectious arthritis in 15-40 yo, sexually active and promiscuous

A

N. gonorrhea

39
Q

causes infectious arthritis in prosthetic joint

A

S. epidermidis

40
Q

causes infectious arthritis among px following GIT infection few weeks ago

A

Reiter’s syndrome

41
Q

causes osteomyelitis among adults, children, infants without major trauma or special conditions

A

Staphylococcus

42
Q

causes osteomyelitis among neonates < 1yo

A

Staphylococcus

43
Q

causes osteomyelitis in sickle cell anemia patients

A

Salmonella cholerasuis or enteritica

44
Q

causes osteomyelitis in px with hx of trauma

A

Pseudomonas

45
Q

diff rash of rickettsia ricketsii vs prowazekii

A

ricketsii: includes palms and soles
prowazekii: spares palms and soles

46
Q

maculopapular rash + cough, coryza, and fever

A

Measles/ Rubeola

47
Q

maculopapular rash + posterior cervical, cervical or auricular nodes

A

German measles or rubella

48
Q

maculopapular rash + slapped cheek looking then spread to trunk with central clearing

A

erythema infectiosum or 5th disease

parvovirus B19

49
Q

maculopapular rash + abrupt onset of fever with URTI for 3-4 days, fever disapperans and rashes appears on trunk and spread

A

Roseola or 6th disease

50
Q

preceded by rapid onset of fever, myalgia, ocular pain, hypesthesia; rashes blanch on pressure

A

Dengue fever

51
Q

Nagayama spot

A

roseola