P2: Inflammatory Conditions and Communicable Diseases

Question 1

Varicella Zoster virus is what type of HHV?

Answer 1

HHV 3

Question 2

Esptein Barr virus is what type of HHV?

Answer 2

HHV 4

Question 3

CMV is what type of HHV?

Answer 3

HHV 5

Question 4

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

Answer 4

• Acute Retinal Necrosis

- PORN - progressive outer retinal necrosis

Question 5

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

Answer 5

Oral Acyclovir

- by 41%

Question 6

How will chlamydia present ocularly?

Answer 6

Acute follicular conjunctivitis

Question 7

What % of women have chlamydia with no symptoms?

Answer 7

75%

Question 8

What’s the most common STD in the US?

Answer 8

Chlamydia

Question 9

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

Answer 9

4 million

Question 10

Chlamydia can lead to what other disease?

Answer 10

Reiter’s syndrome (i.e. Reactive Arthritis

Question 11

What is the most common tx for chlamydia?

Answer 11

Azithromycin 1000 mg single dose

Question 12

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

Answer 12

Gonorrhea

Question 13

Do people with gonorrhea have chlamydia?

Answer 13

yes

Question 14

Does chlamydia/gonorrhea affect the back of the eye?

Answer 14

NO

- unless they’re severely immunocompromised

Question 15

What is the main tx for Gonorrhea?

Answer 15

Suprax (cefixime)

- no longer use FQs

Question 16

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

Answer 16

Syphillis

Question 17

What’s the most common ocular finding of syphillis?

Answer 17

Uveitis

Question 18

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

Answer 18

3 months

Question 19

Syphillis is cased by what bacterium?

Answer 19

Treponema Pallidum

Question 20

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

Answer 20

Secondary

Question 21

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

Answer 21

tertiary

Question 22

Ocular findings present in what % of syphillis patients?

Answer 22

10%

Question 23

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

Answer 23

VDRL

RPR

Question 24

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

Answer 24

FTA-ABS

MHA-TP

Question 25

What is the tx for syphilis?

Answer 25

- IV/IM PCN G | - Oral Tetracycline/doxy, or azithromycin

Question 26

What diseases can cause Argyll-Robertoson Pupil?

Answer 26

1. Syphilis 2. MS 3. Lyme 4. Sarcoidosis

Question 27

Syphilis causes what type of optic neuritis?

Answer 27

Neuroretinitis

Question 28

What are the 5 causes of Neuroretinitis?

Answer 28

- Cat Scratch Disease - Syphilis - TB - Lyme disease - Toxoplasmosis

Question 29

Cat scratch fever is called by what 2 organisms?

Answer 29

- Bartonella Hensalae | - Bartonella Quintella

Question 30

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

Answer 30

Perinaud's Ocular Glandular

Question 31

How many types of HPVs may cause genital warts?

Answer 31

40 types

Question 32

What are the possible HPV sequalae later in life?

Answer 32

- Cervical Cancer | - Genital Warts

Question 33

Does HPV affect the back of the eye?

Answer 33

No, only causes follicular conjunctivitis

Question 34

Hep B virus can cause what 2 things?

Answer 34

- severe liver disease | - death

Question 35

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

Answer 35

90%

Question 36

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

Answer 36

Hep A

Question 37

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.

Answer 37

Hep B

Question 38

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.

Answer 38

Hep C

Question 39

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

Answer 39

Hep E

Question 40

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

Answer 40

- 3-4 months | - CWS

Question 41

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

Answer 41

170 million

Question 42

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

Answer 42

``` HA Fatigue Fever Malaise Chills ```