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Infectio > Pp > Flashcards

Pp Flashcards

1
Q

Antibodies are secreted by

a, macrophages
B, eosinophils
C, neutrophils
D, T-cells
E, b-cells

A

E

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2
Q

The common cold is not caused by

A, corona viruses
B, rhino
C, toga
D, adeno
E, coxsackie

A

C

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3
Q

Which is not a common target of adenovirus?
A, resp. Tract
B, bladder
C, eye
D, Brain,
E, liber.

A

D

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4
Q

Which organ system exhibits the greatestamount of pathology in a prion disease?
A, brain
B. Liver
C, kidney
D. Heart
E. Lungs

A

A

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5
Q

A 20 year old male who works in a day care center…. One week vomit and fatigue, no diarrhea, abd. Discomfort, pale stool

A
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6
Q

Which of the following is not characteristic of toxigenic/non-invasive diarrhea?

a, minimal or absent systemic symptoms
b, gradual onset ober 1-2days
c, Absence of blood and mucous
d, short, self-limited duration of illness
e, absence of white blood cells in stools on metgylene blue or wrights stain

A

e

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7
Q

Which of the following is not true regarding e.coli 0157:H7 gastroenteritis?

A, approx. 5% of cases will develop HUS
b, ATB treatment of therapy must be instituted early in the course of the disease
C, it is classified as an enterohemorrhagic e.coli
D, the toxic that is tested for is Shiga-toxin
E, the associated diarrhea is usually bloody and associated with severe cramping

A

B

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8
Q

Approx. what percentage of children with HUS recover with supportive care?

A, 10-20%
B, 40-60%
C, 50-60%
D, 60-70%
E, 80-90%

A

E

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9
Q

Those at statistically higher risk of acquiring bacterial meningitis include all of the following except:
A, neonates
B, deaf patients = otitis media?
C, groups of young adults living in closed quarters
D, elderly
E, sickle cell patients

A

D

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10
Q

A patient with the following clinical scenario: Prodrome of 1-2days of mild headaches and myalgias, followed by high fever, hills and multiple rigors. This is followed by a non-productive cough.this is a classic presentation of which pulmonary disease process?

A, staphylococcal pneumonia
B, hemophilus pneumonia
C, legionella pneumonia
D, viral pneumonia
E, none of the above

A

C

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11
Q

ATB therapy for Legionnaire’s disease includes which of the following:

A, Macrolides
B, penicillin, Beta lactams resistente
C, cephalosporin, 3rd generation
D, aminoglycosides
E, none of the above

A

A

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12
Q

In which of the following patients is P. Vivax infection more likely to cause severe malaria?

A, a non- immune child male
B, a 29 yr. Old non- immune, primigravid female
C, a 36 year old non-immune, non-gravid female
D, a 42 yr. Old non immune male
D, a 54 yr. Old immune male

A

A

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13
Q

Which lab study is the gold standard for the detection of malaria
A, microhematocrite
B, PCR
C, fluorescent dyes
D, Giemsa stained thick and thin peripheral blood smear
E, TaraSight F (Dipstick)

A

D

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14
Q

Which of the following agent(s) is the best for maintenance for young children with rotavirus infection?

A, commercial infant maintenance solution
B, sports drinks
C, Cola
D, gelatin
E, all of the above

A

C

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15
Q

A Nine month old presented 3 days ago with high fever and a brief generalized tonic-clinic seizure. He now returns a new rose link Macropapular rash which began on trunk and spread to his neck and extremities. He is a febrile and non-toxic in appearance. Which is the most likely diagnosis?

A, Meningococcemia
B, Rosella infantum
C, rubella
D, Mononucleosis
E, rubeola

A

B

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16
Q

of the following , which clinical finding is not associated with Roseola Infantum?

A, macropapular rash on trink
B, high fever
C, lymphadenopathy
D, bulging of Fontanelle
E, petechiae

A

E

17
Q

All of the following statements regarding Reyes Sy. Are true, except

A, the dg. should be confirmed in any child whith vomiting and altered mental Statur, specially with abrupt onset of pernicious vomiting and lethargy without fever
B, peak range is 5-14yrs., approx. 90% of Reyes are Caucasian and approx. 70%of African American with Reyes sy are <1year
C, Reyes disease is most likely a disease of mitochondrial dysfunction
D, liver Biopsy reveals a fatty metanorphosis of hepatic cells
E, Brain Biopsy reveals cerebral edema and inflammation

A

E

18
Q

All of the following are true regarding the treatment of Reyes sy. Except:

A, treatment is supportive, there is no specific treatment
B, the majority of pat. <1yr. of age are hypoglycemia, at presentation
C, hyperammonemka with ammonia < 500microg/mL should be treated with sodium phenylacetate and sodium Benzoate
D, phenytoin is indicated for seizures
E, steroids are indicated for evidence of increased ICP

A

E

19
Q

In the case of animal bite, what should be the first response?

A, wash wound with soap and water
B, wash wound with Zephiren chloride
C, coat wound with iodine
D, instill anti-rabies antiserum in the wound
E, vaccinate for tetanus

A

A

Infectio (1 decks)

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