P2: Inflammatory Conditions and Communicable Diseases Flashcards

1
Q

Varicella Zoster virus is what type of HHV?

A

HHV 3

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2
Q

Esptein Barr virus is what type of HHV?

A

HHV 4

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3
Q

CMV is what type of HHV?

A

HHV 5

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4
Q

If someone presents with zoster, what ocular findings are you trying to rule out?

A
  • Acute Retinal Necrosis

- PORN - progressive outer retinal necrosis

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5
Q

After 2nd occurence of herpes zoster patients will be put on what medication for 12 months? This decreased the probability of recurrence by what %?

A

Oral Acyclovir

- by 41%

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6
Q

How will chlamydia present ocularly?

A

Acute follicular conjunctivitis

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7
Q

What % of women have chlamydia with no symptoms?

A

75%

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8
Q

What’s the most common STD in the US?

A

Chlamydia

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9
Q

How many ppl in the US get infected with chlamydia every year?

A

4 million

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10
Q

Chlamydia can lead to what other disease?

A

Reiter’s syndrome (i.e. Reactive Arthritis

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11
Q

What is the most common tx for chlamydia?

A

Azithromycin 1000 mg single dose

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12
Q

What is the 2nd most commonly reported infection in the US?

A

Gonorrhea

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13
Q

Do people with gonorrhea have chlamydia?

A

yes

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14
Q

Does chlamydia/gonorrhea affect the back of the eye?

A

NO

- unless they’re severely immunocompromised

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15
Q

What is the main tx for Gonorrhea?

A

Suprax (cefixime)

- no longer use FQs

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16
Q

What infection presents as a salt and pepper fundus with an active vitritis?

A

Syphillis

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17
Q

What’s the most common ocular finding of syphillis?

A

Uveitis

18
Q

If a pt has syphiis and tests negative for HIV, when should you retest?

A

3 months

19
Q

Syphillis is cased by what bacterium?

A

Treponema Pallidum

20
Q

Skin rashes and the majority of ocular issues are found in what stage of syphillis?

A

Secondary

21
Q

Cardiovascular and CNS problems (bad gait, argyll robertson pupil, tabes dorasalus) are found in what stage of syphillis?

A

tertiary

22
Q

Ocular findings present in what % of syphillis patients?

A

10%

23
Q

What workup tells if a patient has an active syphillis infection?

A

VDRL

RPR

24
Q

What workup tells if patient has a current or previous infection of syphillis?

A

FTA-ABS

MHA-TP

25
Q

What is the tx for syphilis?

A
  • IV/IM PCN G

- Oral Tetracycline/doxy, or azithromycin

26
Q

What diseases can cause Argyll-Robertoson Pupil?

A
  1. Syphilis
  2. MS
  3. Lyme
  4. Sarcoidosis
27
Q

Syphilis causes what type of optic neuritis?

A

Neuroretinitis

28
Q

What are the 5 causes of Neuroretinitis?

A
  • Cat Scratch Disease
  • Syphilis
  • TB
  • Lyme disease
  • Toxoplasmosis
29
Q

Cat scratch fever is called by what 2 organisms?

A
  • Bartonella Hensalae

- Bartonella Quintella

30
Q

What is the anterior segment disease found in cat scratch fever?

A

Perinaud’s Ocular Glandular

31
Q

How many types of HPVs may cause genital warts?

A

40 types

32
Q

What are the possible HPV sequalae later in life?

A
  • Cervical Cancer

- Genital Warts

33
Q

Does HPV affect the back of the eye?

A

No, only causes follicular conjunctivitis

34
Q

Hep B virus can cause what 2 things?

A
  • severe liver disease

- death

35
Q

What % of infants born to women with HSV will carry the virus unless they are treated within 1 hr of birth?

A

90%

36
Q

This type of hepatitis is an acute liver disease, does not lead to chronic infection.

A

Hep A

37
Q

This type of hepatitis is when one comes in contact with infectious blood, semen, and other body fluids from
having sex with an infected person, sharing contaminated needles to inject drugs,
or from an infected mother to her newborn.

A

Hep B

38
Q

This type of hepatitis is when one comes in contact with the blood of an infected person, primarily through sharing
contaminated needles to inject drugs.

A

Hep C

39
Q

This type of hepatitis is caused by the ingestion of fecal matter.

A

Hep E

40
Q

Interferon therapy is used for Hep B/C patients. How frequently should you see the patient? What ocular findings will present?

A
  • 3-4 months

- CWS

41
Q

Hep C virus affects how many ppl around the world, causing liver disease?

A

170 million

42
Q

What are the major flu-like side effects of interferon therapy?

A
HA
Fatigue
Fever
Malaise
Chills