Peds Microbiology Flashcards

1
Q

Bullous Myrigitis

A

Mycoplasma

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2
Q

High fever and low neutrophils may lead to what

A

fungal infection

Amphotericin B is active against a broad array of fungi, including Candida, Aspergillus,
Zygomycetes, Histoplasma, and Coccoides immitis.

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3
Q

mcc newborn sepsis

A

GBS

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4
Q

sepsis in preterm infant

A

enterococcus

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5
Q

infants with indwelling catheters

A

Coag neg. staph

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6
Q

late onset sepsis in ICU

A

Klebsiella,
Enterobacter
Pseudomonas

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7
Q

sepsis protocol antibiotics

A

Ampicillin-Gent for Gram +

cefetaxime for uti?

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8
Q

newborns with seizures

A

think HSV encephalitis

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9
Q

listeriosis mother

A

flu-like sx such as fever, body aches, and fatigue causes neonatal meningitis (3rd most common)

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10
Q

petechial rash on axilla, wrists, flanks, ankles ages 3-14

A

meningococcal meningitis

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11
Q
maculopapular rash
hepatospleenomegally
microcephaly
chorioretinitis
hydrocephalus
intracranial calcifications
A

congenital toxoplasmosis

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12
Q

mcc neonatal sepsis

A

1 GBS
2 e coli
3 listeriosis

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13
Q

MCC osteomylitis

A

Staph Aureus

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14
Q

Hemolytic Uremia caused by what bacteria

A

E. Coli

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15
Q

Triad of HUS

A

uremia,
thrombocytopenia,
hemolytic anemia

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16
Q

watery painless diarrhea

A

cholera

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17
Q

Salmonella

A

Rose spots on abdomen
weeks of diarrhea

may progress to bone kidney and joint

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18
Q

Trachoma

A

Chlamydia trachmatis characterized by follicular conjunctivitis and neovascularization in cornea

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19
Q

follicular conjunctivitis and neovascularization in cornea

A

Trachoma

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20
Q

what follows untreated strep infection

A

Rheumatic Fever

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21
Q

what may indicate serum sickness

A

fever,
urticaria (hives)
polyarthralgia

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22
Q

fever,
arthralgia,
palpable purpura

after a viral infection… mediated by what

A

IgA mediated

Henoch-Schonlein

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23
Q

vermicularis tx

A

Albendazole or

Pyrantel Pamoate

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24
Q

chagas dz

A

RBBB and megacolon

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25
Q

dry cough/wheezing
abdominal pain
urticaria

A

Strongyloidiasis

26
Q

Strongyloidiasis tx

A

Ivermectin

27
Q

Ocular lesions

dermatitis

A

Onchoceriasis

28
Q

Onchoceriasis tx

A

Ivermectin

29
Q

Protazoan liver abcess tx

A

Metronidazole

30
Q

Impetigo tx

A

topical mupriocin

31
Q

HIV testing from birth to 18 months

A

PCR = gold standard

32
Q

Congenital Toxoplasmosis symptomatic or no?

A

asymptomatic until adulthood then develop chorioretinitis

33
Q

Congenital Toxoplasmosis constellation of findings

A
maculopapular rash
hepatospleenomegally
microcephaly
chorioretinitis
hydrocephalus
intracranial calcifications
34
Q

failure to thrive
lymphadenopathy
thrush

A

HIV in infant

35
Q

Headache
GI symptoms
Rash on palms and soles

A

RMSF

Tx.: Doxy

36
Q

Tinea Capitus cause

How to dx

A

Trichopyton Tonsurans or

Microsporum

Dx: KOH prep (spaghetti and meatballs?)

37
Q

Head Lice

A

Pediculosis Capitis

38
Q

acyclovir and chicken pox… when

A

only during active infection

39
Q

umbilical cord infection organism

A

Clostridium Tentani

spasms and opisthotonus (spasm of the muscles causing backward arching of the head, neck, and spine)

40
Q

scarlet fever tx

A

Penicillin V

41
Q

Herpangina caused by

A

Coxsackie A

High fever,
severe sore throat with inability to swallow
Ulcerative lesions on palate, tonsils, pharynx

If lesions on Palms and Soles too = Hand, foot, mouth

42
Q

High fever,
severe sore throat with inability to swallow
Ulcerative lesions on palate, tonsils, pharynx

A

Herpangina is a throat infection (Coxsackie A)

43
Q

cystic fibrosis infx

A

Gram - is Pseudomonas

Gram + is Staph aureus

44
Q

Scabies location

A

where its warm

between fingers, toes, groin

45
Q

tinea versicolor what organism

what it look like

tx?

A

malassezia furfur

spaghetti and meatballs

Lotrimine or selson blue

46
Q

impetigo tx

A

penicllin / clindamycin

47
Q

scarlet fever

A

starts under arms
strawberry tongue
sandpaper rash

48
Q

Rash on face clears then moves to legs

A

what exanthem

49
Q

spiked fever
trunk to fase
almond shaped macules

A

Roseola

50
Q

Roseola what virus

A

HSV 5-6

51
Q

encapsulated organisms

A

S. Pneumo
H Flu
N. Meningitides

52
Q

pertussis tx

A

macrolides

53
Q

Borrelia burgdorferi tx

what coexisting infx

what tick

A

Lyme Amoxicillin (only use doxy if suspect Anaplasma Phagocytohila)

Ixodes tick

54
Q

when useIV ceftriaxone for Lyme

A

if concerned for meningitis or heart block

55
Q

measles does what to a CBC

A

leukopenia (T-Cell cytopenia)

thrombocytopenia

56
Q

what vitamin to give measles

A

Vitamin A

57
Q

HUS vs. HSP

A

HUS has diarrhea

58
Q

membranous croup

A

diphtheria that may present similar to croup

59
Q

California dust has

A

Botulism spores (watch out for raw honey!)

60
Q

what infx causes lymphocyte predominant leukocytosis

A

Pertussis

61
Q

Pertussis phases

A

1st two weeks = rhinorrhea
next 4 weeks = whoop with posttussive emesis
next 4 weeks = resolution

62
Q

Pertussis tx

A

macrolides