Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Infectious > MTB 3 > Flashcards

MTB 3 Flashcards

1
Q

Painless genital ulcer w heaped-up indurated edges and Painless adenopathy

A

Primary Syphilis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Rash in palms and soles, alopecia areata, mucous patches, condylomata lata

A

Secondary Syphilis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is condylomata lata

A

Wart like lesions on genitals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

When do we see false positive VDRL/RPR

A 
Infxn
Older age
IVDA
AIDS
Malaria
Antiphospholipid syndrome
Endocarditits
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

When do we desensitize pts to PCN

A

Tertiary Syphilis

Pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is jarisch-Herxheimer RXn

A

Fever and worse sx’s after TX

Give ASA and antipyretic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is condylomata Acuminata?

DX?

A

Genital warts caused by papillomavirus

DX based on visual appearance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

TX for condylomata Acuminata?

A

Cryotherapy w liquid Nitrogen
Surgery
Podophyllin
Imiquimod

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

TX for pediculosis

A

Permethrin

- found on hair bearing areas, itching

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

TX for Scabies

A

Permethrin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Presentation of Interstitial Cystitis

A

Urinary urgency, frequency, chronic pelvic pain
Worse w sex, bladder filling, exercise, spicy food
Relieved by voiding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Management of Interstitial Cystitis

A

Cytoscopy - submucosal petechia,

ulcerations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Pt presents w dysuria and WBCs elevated, next step?

A

TX TMP SMX for 3 days - uncomplicated, 7 days for complicated
Don’t need to culture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Best initial test in cystitis

A

UA w more than 10 WBCs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Most accurate test cystitis

A

Urine culture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

TX options for cystitis

A

TMP/SMX
Cipro
Cephalexin
Nitrofuantoin - pregnant women

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

TX for pyelonephritis

A

Amp and Gent
Cipro
Aztreonam
Ceftriaxone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Pt that is unresponsive for 72 hours to Abx - next step?

A

Renal US

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Presentation of acute prostatitis

A

Dysuria
Perineal Pain
Tender prostate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Presentation of perinephric abscess

A

Pyelonephritis that does not respond to tx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What bugs cause perinephric abscess

A

E.Coli
Klebsiella
Proteus

22
Q

Management of perinephric abscess

A

Drainage of fluid

Culture to guide tx

23
Q

What is a perinephric abscess

A

collection of infected material around kidney

24
Q

Presentation of Infective endocarditis

A

Fever + Murmur
Splinter hemorrhages
Janeaway lesions = flat and painless
Osler nodes = raised and painful

25
Q

Best initial test for IE

A

Blood culture + TTE

26
Q

Best initial tX for IE

A

Vanco + Gent

27
Q

TX for viridans strep IE

A

Ceftriaxone 4 weeks

28
Q

TX for staph auereus IE

A

Oxacillin
Nafcillin
Cefazolin

29
Q

TX for fungal IE

A

Amphotericin

Valve replacement

30
Q

TX for staph epidermidis or resistant staph

A

Vanco + Gent

31
Q

Tx for enterococci IE

A

Amp + Gent

32
Q

What is MCC of IE w nosocomial infxn

A

Enterococci

33
Q

What is MCC IE w IV catheters

A

Staph Epidermidis

34
Q

When is Surgery answer for IE

A

CHF
Ruptured valve
Chordae tendineae
Prosthetic valves

35
Q

What TX do we add for prosthetics

A

Rifampin for staph

36
Q

What are the culture negative organisms for IE

A 
HACEK
Haemophilis athrophilis/parainfluenza
Actinobacilis
Cardiobacteriium
Eikenella
KIngella
37
Q

TX for HACEK IE

A

Ceftriaxone

38
Q

What are the MCC of culture negative endocarditis

A

Coxiella

Bartonella

39
Q

WHen is PPX needed for IE

A

Significant cardiac defect + Risk of bacteremia

Cardiac defect - VSD, MS, AR, MR

40
Q

Risk of bacteremia?

A

Dental work w blood

Resp tract surgery

41
Q

Best initial management for PPX for IE

A

Amoxicillin 1 hour before surgery

If allergic - Clindaycin, Azithromycin, Clarithromycin

42
Q

Lyme Dz Rash Presentation

A

5 - 14 days after

Erythema migrans = round red lesion with pale center

43
Q

Joint pain in Lyme Dz

A

Oligoarthritis = few joints

Knee - MC affected

44
Q

Most common cardiac manifestation in Lyme

A

Transient AV block

45
Q

When do we do serological testing for Lyme

A

Joint
Neuro
Cardiac
NOT for rash

46
Q

TX for Lyme Rash

A

Doxycycline

Amoxicillin = pregnant and children

47
Q

TX for Lyme Joint or CN (7) palsy

A

Doxycycline

Amoxicillin = pregnant and children

48
Q

TX for Cardiac and neuro - Lyme Dz

A

IV Ceftriaxone

Can use transcutaneous pacemaker

49
Q

When do we send tick for routine analysis

A

Never.

50
Q

PPX Doxycycline in aysmptomatic tick bite

A

Ixodes scapularis Id’d

Tick attached for > 24 hours

Infectious (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions