Listeriosis Dipth and Anthrax

Question 1

in whom does Listeria cause meningitis

Answer 1

elderly and neonates less than 2 months

Question 2

what is it called when Mom passes on Listerosis to baby

Answer 2

granulomatosis infantiseptica

Question 3

DOC for listeriosis

Answer 3

ampicillin IV +gentamycin

Question 4

2nd choice tx for Listeriosis

Answer 4

bactrim

Question 5

causitive org of diptheria

Answer 5

Corynebacterium diptheriae

Question 6

how is diptheria spread

Answer 6

resp secretions

Question 7

what condition causes tenacious grey membrane over the pharynx

Answer 7

diptheria (PANCE Q!)

Question 8

complication of diptheria

Answer 8

myocarditis and neuropathy

Question 9

Ddx for diptheria (4)

Answer 9

adenovirus, HSV, Vincent’s angina, candidiasis

Question 10

3 essential steps to diptheria tx

Answer 10

scrape off membrane, antitoxin, PCN or erythromycin

Question 11

the 3 types of Antrax inf’s

Answer 11

gastointestinal, inhalational, cutaneous

Question 12

what type of organism causes Antrax

Answer 12

GP spore-forming Bacillus anthracis

Question 13

how does cutaneous antrax present

Answer 13

erythematous papule that necroses into purple/black eschar. fever, fatigue.

Question 14

is cutaneous anthrax painful

Answer 14

eschar is not painful

Question 15

how long before onset of cutaneous anthrax

Answer 15

2 weeks

Question 16

how long before onset of inhalational anthrax

Answer 16

10 days

Question 17

what is the course of inhalational anthrax

Answer 17

2 stages: vague viral symptoms followed by FULMINANT stage (sepsis, kidney failure, death)

Question 18

what is the course of GI antrax

Answer 18

ULCERATIVE : fever, diffuse ABD pain with rebound, vomiting, diarrhea, hematemesis, hematochezia

Question 19

DOC for anthrax (2)

Answer 19

cipro and doxycycline until symptoms resolve

Question 20

2nd DOC (2)

Answer 20

amoxicillin, PenG until symptoms resolve