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Multisystem 1 > Infectious dz > Flashcards

Infectious dz Flashcards

1
Q

nonproductive cough, low grade fever, malaise

diffuse crackles, patchy interstitial infiltrates

PNA caused by

A

mycoplasma PNA

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2
Q

Nasal congestion for 7-10 days, fever

getting worse, does not improve w decongestants

dx is ____
most common bacteria (3)
these also seen in ___

A

acute sinusitis
S pneumo, H flu, moraxella catarrhalis
OM

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3
Q

tonsillar exudates, tender anterior cervical LAD, fevr, no cough

dx is ___
bacteria is __

if strep is negative, young pt, persistent, splenomegaly think ___

A

strep throat
Group A strep, strep pyo

mono/EBV

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4
Q

dysuria, urinary freq, urinalisys w positive LE and nitrites, no discharge

dx is ____
most common bacteria

A

cystitis

E coli

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5
Q

UTI w struvite stone and staghorn calculus, alkaline pH

bacteria is

A

proteus mirabilis

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6
Q

PNA in pt w CF/bronchiectasis

bacteria is

A

P aeruginosa

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7
Q

Feeding tube/post stroke/alcoholic/post seizure

leads to ___ PNA
bacteria are ___

A

aspiration

anaerobes

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8
Q

Newborn, septic PNA

bacteria is __, comes from ___

A

Group B strep from moms vaginba

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9
Q

Post influenza necrotizing pNA

bacteria is ___

A

staph aureus

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10
Q

older person, hypoNa, GI sx, inc LFTs

bacteria is

A

legionella

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11
Q

HIV pt, low CD4 count, cachexia

lesions on MRI, spinal tap w WBC, neurologic sx

virus is ___
dx is ____

acquired in __, remains ___ until low ___

A

poylomavirus JC
progressive multifocal leukoencephalopathy

childhood
latent, CD4

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12
Q

crytpococcal meningitis should not have ___

high ___

A

diffuse Neuro sx

opening pressure

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13
Q

HIV pt w thrush, dysphagia, odynophagia

dx is ___

A

candidal esophagitis

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14
Q

CD4 <200, interstitial PNA, high LDH/hypoxemic

bacteria is ___

A

pneumocystis jirovicii

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15
Q

HIV pt w purplish/red blue lesions

dx is __
virus is ____

A

Kaposi’s sarcoma

HHV8

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16
Q

HIV pt, chronic diarrhea

common causes (3)

A

cryptosporidium, Isospora, CMV if CD4 <50

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17
Q

headache, ring enhancing lesion on MRI in pt w HIV

dx is

A

toxoplasmosis

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18
Q

cotton wool spots on fundoscopic exam, CD4 < 50

hiv pt
dx is ___

A

cmv retinitis

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19
Q

white, corrugated, painless plaques on lateral part of tongue in HIV pt

dx is ___ assc w ___

A

oral hairy leukoplakia, EBV

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20
Q

infant, fever for several days
suddenly goes away, in comes macular rash

dx is ___
virus is -__

A

roseola

HHV6

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21
Q

kid w slapped cheek rash on face

dx is ___
caused by ___
causes __ and __ in pregnant woman

A

erythema infectiosum
parvovirus B19
hydrops fetalis, aplastic anemia

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22
Q

kid w fever, sore throat, sandpaper rash

dx is ___
caused by ___

A

scarlet fever

strep pyo

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23
Q

vesicular rash on kid w palms/soles, and ulcers in mouth

dx is ___
assc w __

A

hand foot mouth dz

coxsackievurus a

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24
Q

pink maculopapules, head moving down, postauricular LAN

dx is ___

congenital w __ and __ and __

A

rubella

cataracts, deafess, cardiac defects

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25
Q

coryza, cough, kopliks spots, rash face to trunk

dx is ___
caused by

A

measles

rubeola

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26
Q

DM/leukemia pt, rapid sinusitis w bone/orbit destructon, black eschar

dx is ____
caused by __/___

A

mucormycosis

mucor/rhizopus

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27
Q

PNA, travel to Ohio valley, bird droppings/bats/caves

dx is

A

histoplasmosis

28
Q

SW, flu, meningitis sx, persisting

dx is

A

coccidioidomycosis

29
Q

PNA, GU tract involement, skin lesion

dx is

A

blastomycosis

30
Q

IC, large cavitary lesion

allergic bronchopulmonary aspergillosis in __/__ pt w high __ and bronchiectasis

A

aspergilloma

CF/asmtha
eosinophils

31
Q

gardner, pustules along draining lymphatics, ascending lymphangitis

dx is

A

sporothrix schenckii

32
Q

pt presents w malaria and neurologic sx

strain is

A

plasmodium falciparum

33
Q

Hep C pt, cuts hand w shell
presents w fever, redness, swelling, cellulitis and hemorrhagic bullae

org is ___

A

vibrio vulnificus

34
Q

cattle sheep goats
PNA, culture neg endocarditis

dx is ____
caused by

A

q fever

coxiella burnettii

35
Q

ab distension, green diarrhea, splenomegaly, bradycardia
faint pink papule on trunk

dx is ___
caused by ___

A

typhoid fever

salmonella typhia

36
Q

cattle hog goat exposure
unpasterized milk/cheese
HA, persistent F, LAN, HSM

dx is ___

A

brucelloiss

37
Q

rabit/rodent/tick, fever, HA, draining LN

dx is ___
caused by ___

A

tulremia

francisella tularensis

38
Q

animal/rat urine, conjuncivitis, flu like
improves, then kidney/liver failure, hemorrhagic PNA, jaundice

dx is ___

A

leptospriossi

39
Q

cervical cancer caused by ___

inactives __ like __ and __

A

HPV

tumor suppressors, p53 and rb

40
Q

burkitt lymphoma/nasopharyngeal carcinoma caused by

translocations is ___

A

EBV

8, 14 cmyc

41
Q

Hepatocellular carcinoma caused by

A

Hep B and C

42
Q

MALT lymphoma caused by

A

helicobacter pylori

43
Q

staph PNA seen in

A

IV drug user

44
Q

otherwise healthy, group of indiidals sik at same time

must be due to

45
Q

febrile, flu like illness followed w severe distress

painless edematous necrotic papule

gram positive rod/bacillus

dx is ___
in ___ , can have cough, SOB chest pain, rapid deteriortaton
CXR shows ___ and ___ w maybe ___

A

anthrax
PNA
mediastinal widening, pleural effusion, infiltrates

46
Q

high fever, followed by vesicular/papular/pustular rash from face to trunk

dx is

47
Q

fulminant PNA 2-4 days aftr exposure, watery blood tinged sputum

closed __ gram neg coccobacilli

dx is ___

__ is bubonic plague

A

safety pin

pna plague

purulent lymphadenitis

48
Q

normal sensorium w descending flaccid paralysis, bulbar nerve palsies
diplopia, dysphonia, dysarthria, dysphagia

Dx ___

49
Q

febrile flu like sydrome 3-5 days after exposure, PNA

50
Q

multiorgan failure, DIC, hemorrhage

dx is ___ caused by __ or __

A

viral hemorrhagic fveer, Ebola/Marburg

51
Q

red rash, clear center, followed w bells palsy, heart block/arthritis

dx is ___
caused by

A

lyme disase

borrellia burgdorfi

52
Q

fever, hemolytic anemia, NE travel, asplenia

dx is ___

common finding of __
transmitted by ___

A

babesiosis

maltese cross
ixodese

53
Q

child w perianal itching

dx is ___

A

enterobius vermivularis pinworm

54
Q

dog bite bacteria __

human bite bacteria __

A

pasturella multicoda

eikenella

55
Q

kitten scratch, axillary LAN

bacteria is ___

also causes __ in HIV

A

bartonella henslae

bacillary angiomatosis

56
Q

nail penetrating through tennis shoes

bacteria is

A

P aeruginosa

57
Q

branching rods in oral infection w sulfur granules

bcteria is

A

actinomycese isrealii

58
Q

cough until vomit, high WBC, insidious ten paroxysmal

bacteria

A

bordetella pertussis

59
Q

osteomyelitis, sickle cell pt

top 3 bacteria

A

Salmonella, staph, strp

60
Q

relapsing malaria, after tx

strains are

___ released from liver cells

A

p vivax/ovale

hypnooites

61
Q

shock, erythroderma, menstruation

dx is ____, a __

can be __
also gram negs prodcue __ and __
bacteria such as __ in Ecoli HUS

A

TSST1, superantigen

group a strep
endotoxin, LPS
shiga like toxin

62
Q

vancomycin SE

aminoglycosides SE

A

nephrotoxicity, ototoxicity, red man

nephrotoxicity, ototoxicity

63
Q

sulfonamides can lead to __ w ___

NADPH protects against ___ and ___

sulfa drugs also cause __ and __

A

hemolytic anemia, G6PD def

oxidative injury, denaturation

neutropenia, drug rash

64
Q

Penicillins can casue

A

interstitial nephritis

65
Q

fluoroquinolones SE

A

achilles tendon rupture

66
Q

isoniazid SE

A

transaminitis

67
Q

worldwide epidemic of viruses caused by ___
__ two segments

drift is caused by

A

antigenic shift
recombining

mutations

Multisystem 1 (21 decks)

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