Micro 18 - MIcro By Systems Part 2

Question 1

What one thing do we see in primary syphilis? What 1 thing in secondary? What three things in tertiary?

Answer 1

Primary: Painless chancre, Secondary: Condylomata lata, More systemic symptoms. Tertiary: Gumman, Tabis dorsalis, aortitis.

Question 2

What are the features of early manifestations (first 5 weeks of life) of congenital symphilis?

Answer 2

Hepatosplenomegaly, elevated (LFTs), Hemolytic anemia, jaundice, Rash followed by desquamation of hands and feet, Snuffles (blood-tinged nasal secretions), Radiographic changes at birth: Metaphyseal dystrophy and periostitis).

Question 3

What are the features of late manifestations (if left untreated in the first three months of life) of congenital symphilis?

Answer 3

Hutchinson teeth (notching or blunting of the upper incisors), Saddle nose deformity, Frontal bossing, Saber shins.

Question 4

What does HSV-2 cause?

Answer 4

Painful ulcers in the groin area.

Question 5

What does HSV-1 cause?

Answer 5

Cold sores.

Question 6

What does Chlamydia cause?

Answer 6

Urethritis, more commonly asymptomatic, salpingitis, infertility.

Question 7

What are the symptoms of Lymphogranuloma venereum caused by the L1-L3 subtypes of Chlamydia trachomatis?

Answer 7

Genital ulcers, rectal strictures, can be mistaken for IBD.

Question 8

What are the symptoms of Condylomata acuminata? Which type of HPV causes it?

Answer 8

Genital warts, Koilocyte (squamous cells with perinuclear cytoplasmic clearing, fried egg appearance). Caused by HPV-6, HPV-11.

Question 9

How is the vaginal pH on Trichomonas infection?

Answer 9

The pH is high.

Question 10

What are the two organisms that cause Pelvic inflammatory disease (PID)?

Answer 10

Chlamydia trachomatis, Neisseria gonorrhoeae.

Question 11

What are the symptoms of Pelvic inflammatory disease (PID)?

Answer 11

Cervical motion tenderness, Chandelier sign, Purulent cervical discharge.

Question 12

What is the progression of Pelvic inflammatory disease (PID) if left unchecked?

Answer 12

Cervicitis/urethritis, endometritis, Salpingitis, Tubo-ovarian abscess, peritonitis, and lastly Fitz-Hugh-Curtis syndrome (Infection of liver capsule).

Question 13

What are two nosocomial disease in newborn nursery?

Answer 13

CMV, RSV.

Question 14

What bacteria are the most common cause urinary catheterization?

Answer 14

E.coli, Proteus mirabilis, Pseudomonas, MRSA.

Question 15

What bacteria is related to Respiratory therapy equipment?

Answer 15

Pseudomonas.

Question 16

What pathogen is related to Renal dialysis or needle sticks?

Answer 16

Hepatitis B virus.

Question 17

What pathogen is related to hyperalimentation (parenteral nutrition)?

Answer 17

Candida albicans.

Question 18

What pathogen is related to Burns?

Answer 18

Pseudomonas.

Question 19

What pathogen is related to water source?

Answer 19

Legionellae.

Question 20

What are the results of a TORCHeS infection?

Answer 20

They are infection that causes a congenital malformation, hepatosplenomegaly, jaundice, thrombocytopenia, growth retardation. Mild symptoms on the mother.

Question 21

What are the three symptoms of toxoplasmosis?

Answer 21

Transmitted by cat feces, causes chorioretinitis, hydrocephalus, intracranial calcifications.

Question 22

What are three symptoms of Congenital rubella?

Answer 22

PDA, cataracts, deafness. Sometimes the “Blueberry muffin rash” caused by thromobocytopenia.

Question 23

What is the most common of the TORCHeS infection?

Answer 23

CMV.

Question 24

What are the symptoms of congenital CMV infection?

Answer 24

Mostly asymptomatic by can cause unilateral hearing loss, seizures, chorioretinitis, hydrocephalus, and intracranial calcifications.

Question 25

How do we prevent vertical transmission of HIV?

Answer 25

Zidovudine monotherapy, HAART, C-section.

Question 26

What can HSV cause in newborns?

Answer 26

Temporal lobe encephalitis and vesicular lesions.

Question 27

What can Parvovirus B19 cause congenitally?

Answer 27

Hydrops fetalis in utero, causing generalized fetal edema.

Question 28

What are the TORCHeS infection?

Answer 28

Toxoplasma, Other (parvovirus B19), Rubella, CMV, HSV/HIV, Syphilis.

Question 29

Which STD has clue cells?

Answer 29

Bacterial vaginosis.

Question 30

Which STD has painless genital ulcers?

Answer 30

Chancre (syphilis).

Question 31

Which STD has flagellated cells?

Answer 31

Trichomonas.

Question 32

Which STD causes Strawberry cervix?

Answer 32

Trichomonas.

Question 33

RFF: Most common reportable STD.

Answer 33

Chlamydia.

Question 34

RFF: Non-painful, indurated, ulcerated, genital lesion.

Answer 34

Primary syphilis.

Question 35

RFF: Painful, indurated, ulcerated genital lesion, with exudate.

Answer 35

Chancroid.

Question 36

RFF: Stippled vaginal epithelial cells on a wet prep of vaginal discharge?

Answer 36

Clue cells in bacterial vaginosis.

Question 37

RFF: Common treatment for syphilis.

Answer 37

Penicillin.

Question 38

RFF: Common treatment for Trichomonas.

Answer 38

Metronidazole.

Question 39

RFF: Common treatment for Chlamydia.

Answer 39

Doxycline or azithromycin.

Question 40

RFF: Common treatment for gonorrhea?

Answer 40

Ceftriaxone.

Question 41

Which organisms cause Painless Genital Ulcers?

Answer 41

[Some Girls Love Licorice]

Syphilis, Granuloma inguinale, Lymphogranuloma venereum, painLEss.

Question 42

Which organism cause Painful Genital ulcers?

Answer 42

[Fellows Hate Candy]

painFul, Herpes Simplex, Chancroid.

Question 43

What three things can gonorrhea cause?

Answer 43

Urethritis, PID (women), Prostatitis and epididymitis (men).