Paper 3 Flashcards
Infectious
Q.Atypical lymphocytes are found in -
A.Mumps
B.Rubella
C.Dangue
D.EBV
E.HIV
Immunology
Confirmatory diagnosis of anaphylaxis?
Serum mast cell tryptase
Infectious
Autoinfection caused by?
যাদের বুকের ভিতর আগুন💥💥 জ্বলে তাদের autoinfection হতে পারে।
parasite causes Autoinfection :
CHEST
C-Cryptosporidium
H-H.Nana
E-E.V
S-S.S
T-T.solium
এইগুলো দিয়ে ইনফেকশন হলে Auto বুকে আগুন 💥💥জ্বলবে।
infectious
Return traveller with Abdominal pain and gradual onset bloody diarrhoea with long incubation period highly suggestive of?
Amoebiasis
infectious
Overgrowth of which organism most likely to cause Bacterial vaginosis?
Gardenella
Infectious
#STI
What are the diseases and organisms causing those?
- Painless Ulcer + Painless Lymph Node….?
- Painless Ulcer + Painful Lymph Node?
- Painful Ulcer + Painful Lymph Node?
- Painful Ulcer+ Painless Lymph
Node?
- Syphillis
- LGV, Granuloma Inguinale(less involve LN)
- Chancroid, Genital Herpes
- Anal Chancre.
infectious
1.Commensals kf oral cavity?
AC তিনটা A, আর candida
-Alpha hemolytic streptococcus
-Actinomyces
-anerobic gm negative(fusobacterium,prevotella)
-Candida
★★★মুখে staphylo নাই
infectious
1.commensal of Nares
staphylococcus (সব)
infectious
Commensals of skin?
1.Staphylococcus
2.corynebacterium spp
3.prorionibacterium
4.Malassezia
infectious
Commensal of vagina
Bcg sle
Bacteroids
Candida,corynebacterium
GBS,gardenella
St,Aureus
Lactobacilus
Enterobacteriacea
Which PG is responsible for fever in preoptic nucleus of hypothalamus?
Pg E2
Infectious
1.What are normal human Immunoglobulins (pooled IGl & what are specific?
1.Normal:Measles,Hep A
2.Specific:Hep A,Rabies,Tetanus.c.pox
Infectious
1.Live vaccines?
Vari MORTal
Varicella zoster
MMR
OPV
ROTA
TYPHOID,TB
Infectious
What are killed vaccine?
RICH
Rabies,IPV,influenza,Cholera,Hepa A
Infectious
Viral vector vaccines?
1.Covid 19
2.Ebola
3.Dengue
Infectious
Nucleic acid vaccine?
1.Covid 19
2.Ebola
Infectious
What are 30S ribosome inhibitors?
1.Aminoglycosides
2.Tetracycline
Infectious
50s inhibitors?
1.Chloramphenicol
2.Macrolides(erythtomycin)
3.Lincosamines(clindamycin)
4.Linezolid
5.Fusidic Acid
Infectious
Nucleic Acid inhibitors?
- Nucleotides inhibitions :
★Sulphonamides:dihydropteroate inhibitions
★Trimethoprim:Dihydrofolate synthase inhibitions
2.RNA inhibitions : Rifampicin
3.DNA inhibition: Fluoroquinolones,Metronidazole
Infectious
M/A of quinolones?
DNA synthesis inhibitor
Infectious
Cell membrane inhibition?
Polymixin
Daptomycin
Infectious
M/A of anti TB?
1.Rifampicin-RNA synthesis inhibitor
2.Isoniazid-Inhibit mycolic acid synthesis
3.Pyrazinamide- inhibit fatty acid synthesis
4.Ethambutol-inhibit arabinogalactan synthesis
Infectious
Anti pseudomonal?
মনে রাখব ABC + Meropenem
1.Aztreonam
2.Brodactum(piperacillin Tazobactum)
3.Ciprofloxacin,cefepime,ceftazidime
4.Meropenem
Infectious
Anti MRSA?
1.Clindamycin
2.Linezolid
3.Co trimoxazole
4. Vancomycin
Tigecycline,rifampicin,tetracycline
Infectious
Resistence
1.By efflux pump:
★Tetracycline
★fluconazole
টেট্রা আর ফ্লুকোনাজল কে লাত্থি দিয়ে বের করব।
২.Impermeable:
★Carbapenem
★Aminoglycosides
কারবাপেনাম আর এমাইনোগ্লাইকোসাইড কে ঢুকতেই দিবে না।
আমিনের কার ঢুকতে দিবে না। আমিন-Amino,কার -Carbapenem
3.Enzymatic degradation:
★Penicillinase:Beta lactam
★NDM1:Enterobactetiacae
★CAT:Chloramphenicol in staphylococcus
4.Modification of target site (বাকী সব গুলা)
★MRSA- to Beta lactum Modification of PBP
★Glycoprotein(vancomycin) resistance in Enterococci-Altered peptidoglycan aminoacid sequence.
★Rifampicin in MTB: RNA polymerase mutation
★ciprofloxacin(quinolones) in Enterobactetiacae : DNA gyrase alteration
★Linezolid in staphylococcus & Enterococci- 23 S rRna methylation
★Macrolides: Bacterial ribosomal Methylation
★Vancomycin- D ala D Ala to D ala D Lac
Infectious
Which is the only indication of spectinomycin?
Gonococcal urethritis in PG
Infectious
Post transplan infection
★Solid organ
0-1 month: Bacteria,fungal infection related to underlying condition and surgery
1-6 month: CMV,PCP
> 6 month: বাকী সব
★Post stem cell:
0-4 wks: Bacterial,fungal HSV reactivation
Early <100 days :
CMV
PCP
late>100: বাকী গুলা
Infectious
Blood stream infections.
1.Predominant Community acquired:
Streptococcus গুলা (entero coccus বাদে)
2.Both:
E.COLI & st. aureus (including MRSA)
- Predominantly hospital acquired:
st epidermidis,pseduomonas,enterobacteriace (except E.coli) Enterococci,Candida
Infectious
কোন দুইটা colon ca এর সাথে রিলেটেড
S.galolyticus
Clostridium septicum
Which organisms are responsible for Necrotizing fascitis in Marine exposure & CLD?
1.Aeromonus Hydrophilia
2.vibrio vulnificus
★Necrotizing fascitis type 3 করবে।
★Type 2 - streptococcal toxic shock syndrome এর সাথে Association
Commonest regimen for HAART
ইফা র এম টেন
Efavirenz or Raltegravir plus Emtricitabine plus Tenofovir
দুইটা NRTI সাথে অন্য গ্রুপের একটা।
Efavirenz avoided in PG
Respiratory
Lung compliance : প্রতি ১ cm H20 transpulmonary pr বাড়লে লাং ২০০ ml এক্সপান্ড করে।
increase compliance?
1.AGe (OlD age>child)
2.Emphysema(obstructive disease)
3.Sranding
Respiratoty
Repeated sino Pulmonary infection + Bronchiectasis
Young syn.
Respiratory
Features of primary TB due to Hypersensitivity?
End diastolic pr is due to primary tb hypersensitivity
1.Erythema nodosum
2.Dactylitis
3.phlyctenular conjunctivitis
Non pulmonary complications of pulmonary TB?
1.Empyema Necessitans
2.Laryngitis
3.Enteritis,Anorectal disease
4.Amyloidosis
5.poncents arthropathy
