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2nd Time Through > Micro Dzs > Flashcards

Micro Dzs Flashcards

1
Q

Pt with severe diarrhea, pneumonia and fever? Tx?

A

Legionairre’s disease. Macrolide, quinolone

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2
Q

pt with Joint pain with skin nodules and involuntary movements. Also notice red patches?

A

Streptococcus pneumo. Rheumatic Fever criteria

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3
Q

Pt has meningococci. Give contacts what? Treat pt with?

A

rifampin, ciproflocacin, ceftriaxone

ceftriaxone or penicillin G

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4
Q

Diabetic with cavitary lesion in lung?

A

Klebsiella

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5
Q

May occur after campylobactor infection?

A

Reactive arthritis or Guillain-Barre

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6
Q

Pt after eating shellfish has vesicular lesions on legs, diarrhea. Progresses to muscle necrosis, hypotension, death

A

Vibrio Vulnificus

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7
Q

Pt with bacterial infection that mimics appendicitis. Could have gotten it from?

A

Yersinia enterocolitica. Puppies (feces), milk, pork

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8
Q

Tx for H pylori?

A

triple therapy: PPI, clarithromycin, amoxicillian/metronidazole

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9
Q

Flu-like symptoms with jaundice and photophobia?

A

Leptospira

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10
Q

Jaundice, azotemia, fever, hemorrhage and anemia?

A

Weil’s disease/ (icterohemorrhagic leptospirosis)

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11
Q

Condylomata lata vs acuminata

A

syphilis (Lata for syphiLis) vs HPV

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12
Q

Rash starting from wrist and spreading to palms, trunk and soles. Bitten by?

vs

Rash starts centrally and spreads out, sparing palms and feet. Bitten by?

A 
Rickettsia rickettsii (tick) 
(rickettsia on the wRist)

vs

typhus - R. porwazekii (louse)
(typus on the Trunk)

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13
Q

Rash on palms/soles?

A

CARS
Coxasakie A
Rickettsia
Secondary Syphilis

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14
Q

tick bite:

No rash monocytes with inclusions

vs

No rash and granulocytes

A

Ehrlichia vs Anaplasma

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15
Q

Mycoplasma - cannot treat with?

Tx with?

A

Anything that targets cell wall.

Macrolide or fluoroquinolone.

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16
Q

Pt with inflammatory lung disease that disseminates to bone/skin?

A

Blastomycosis

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17
Q

Fungi inside macrophages

A

Histoplasmosis

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18
Q

Pt with CF, more likely to get what fungal infection?

A

Aspergillus

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19
Q

Pt after TB, cavities may get filled with?

A

aspergillus

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20
Q

Pt asymptomatic but passing cysts of entamoeba. Tx? (tx if symptomatic)

A

Iodoquinol (metronidazole if symptomatic)

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21
Q

Pt with AIDs get severe watery diarrhea. Tx?

A

Cryptosporidium. Nitazoxanide

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22
Q

Chorioretinitis, hydrocephalus and intracranial opacities? Tx?

A

Toxoplasmosis triad. Dulfadizine and prymethamine

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23
Q

Pt who went swimming in lake. Rapidly progressing meningitis. Tx

A

Naegleria fowleri. Amphotericin

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24
Q

Pt with enlarged lymph nodes, recurring fever. Goes into coma. Bite mark on face. Tx?

A

Trypanosome brucei (all except Cruzi). Suramin and Melasoprol

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25
Q

Pt with fever, headache and splenomegaly. Fever comes every 48 hours? Tx.

A

Plasmodium Vivax in western hemisphere
P. Ovale in east
Chloroquine and primaquine. Add quinidine is life-threatening.

26
Q

Pt with fever, headache and splenomegaly. Fevers every 72 hours. Tx?

A

Malariae. Chloroquine. Use Mefloquine in resistant. Add quinidine is life-threatening.

27
Q

Pt with fever, headache, splenomegaly. Irregular fever patterns? Kidney and lung involvement? Tx?

A

P Falciparum. Chloroquine. Use Mefloquine in resistant. Add quinidine is life-threatening.

28
Q

Maltese cross on slide. Tx?

A

Baberiosis. Atovaquone and azithromycin

29
Q

Dz from Refuviid? Tx?

A

Traypanosoma cruzi. Chaga’s disease. Nifurtimox

30
Q

pt with spiking fevers, hepatosplenomegaly, pancytopenia. Macrophages contain organisms. Tx?

A

Leishmanina donovani (from sandfly). Stibogluconate. Macrophages contain amastigotes

31
Q

Pt with pain in bones, rash, headache?

A

Dengue fever

32
Q

Fusion protein F?

A

on RSV. Causes repiratory epithelial cells to fuse and from multinuclearted giant cells

33
Q

RSV - treatment that prevents pneumoina?

A

Palivizumab

34
Q

AIDS pt with low-grade fevers, cough, hepatosplenomegaly and a tongue ulcer. CD<100. Organism in macrophages?

A

Histoplasmosis

35
Q

AIDS pt with cottage cheese like lesions?

A

candida

36
Q

AIDS pt with superfical vascular proliferation with lympcytes?

A

bacillary angiomatosis

37
Q

AIDS pt with encephalopathy?

A

JC virus

38
Q

AIDS pt with tongue lesion that cannot be scraped off?

A

EBV

39
Q

AIDS pt with squamous cell CA in anus?

A

HPV

40
Q

AIDS pt with pluritic pain, hemoptysis and infiltrates on imagine?

A

aspergillus

41
Q

Pt with suspected UTI. Positve leukocyte esterase test?

Pt with positive nitrite test?

A

bacterial UTI

Gram neg bacterial UTI

42
Q

Burning with urination? WBCs in urine?

A

Urethritis. gonorrhea or chalmydia

43
Q

Increased urination and suprapubic pain? +urease test?

A

Cystitis. Proteus, klebsiella

44
Q

Increased urination and suprapubic pain? negative urease test?

A

E coli, enterococcus

45
Q

Works in dialysis unit?

A

HBV

46
Q

Pt with adhesions of parietal peritoneum to liver?

A

Fitz-Hugh-curtis syndrome.

47
Q

Pt doesn’t take out contact lenses. Eyes feel dry and painful, feels like there are foreign bodies in them. Red and tear up frequently. Dx? How to Dx? Tx?

A

Acanthamoeba. Slit-lamp for ring on cornea. Miconazole and neomycin

48
Q

Pt doesn’t take out contact lenses. Eyes feel dry and painful, feels like there are foreign bodies in them. Becomes photophobic and cannot see as well.

A

HSV keratitis.

49
Q

Pt with diffuse crampy abdominal pain over past 4 days. Weight loss of 10 lbs over past month. Inflammed gallbladder, Irregular mass in second portion of duodenum. Stool sample shows rough surfaced eggs. Tx?

A

Acscaris lumbricoides. Mebendazole.

50
Q

Pt comes in with sudden onset of weakness, nausea, vomiting, and blurred vision. Fixed, dilated pupils. If pt got it from ingesting a microbe? Progression of symptoms?

A

Bolutlinum. GI distress, cranial nerves are the first affected. Then descending paralysis

51
Q

Pt comes in with white flakyy adherent substance under skin of left breast. Microbe can also cause yeast infections. How to Dx?

A

Candida. KOH mount

52
Q

Non-immunocompromised pts who are at risk for candida?

A

IV drug users can get endocarditis from candida.

53
Q

Pt presents with difficulty swallowing and abdominal bloating. Unilateral periorbital edema. Tx?

A

Chagas.Nifurtimox.

54
Q

Pt with rusty sputum. History of recurrent lung and skin infections. Cousin dies at 5 from severe pneumonia and uncle has had 2 surgeries for intracranial fungi. Thymic shadow is normal. Test for Dx?

A

CGD. Nitroblue tetrazolium

55
Q

50 year old pt who 1 year ago presented with symptoms of psychosis. Progressed to ataxia and involuntary movements to death.

A

Prions

56
Q

Newborn with petechiae, jaundice, microcepahly, retinitis, and deafness?

A

Congenital CMV

57
Q

Pt returns from southeast asia with fever, severe muscle pain and knee pain. Erythematous rash covering her face and body with generalized lymphadenopathy. Most severe complication?

A

Dengue Fever. Dengue hemorrhagic fever and dengue shock syndrome.

58
Q

Elephantitis? Transmission? Tx?

A

Wuchereria bancrofti. From mosquito. Diethylcarbamazine for larvae.

59
Q

Pt with hemorragic destruction of adrenals. Microbe usually causes?

A

N. Meningitidis (not gonorrhea). Causes meningitis

60
Q

Pt with cryptococcus. Most common disesases?

A

1) Meningitis (infects lung first, but usually asymptomatic)
2) granuloma formation in lungs (not pneumonia)

61
Q

Pt with posterauricular lympadenopathy andpolyarthralgia?

A

Rubella

2nd Time Through (23 decks)

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