Questions By Prof Codename:Obsessed.

Question 1

Endocarditis caused by…

Answer 1

Staphylococcus aureus, Streptococci and Brucella melitensis

Question 2

What kind of bacteria can cause CSF infection?

Answer 2

Neisseria meningitidis, Listeria monocytogenes, crytpococcus and Streptococcus agalactiae.(mainly in neonates).
Pneumococcus pneumonia in adults.

Question 3

Meningitis come from

Answer 3

Otitis media(middle ear infection)

Question 4

How you diagnose infections affecting pleura

Answer 4

33. Words full of consonants. Or auscultation

Question 5

Staphylococcus aureus can develop bone infection called

Answer 5

Osteomyelitis. Iatrogenic origin meaning caused by surgery

Question 6

Nosocomial infection is

Answer 6

Patient Infected in the hospital

Question 7

Nosocomial infections generally affecting

Answer 7

Muscles, skin and bones

Question 8

In which conditions Streptococcus pyogenes targeting skin

Answer 8

Erysipelas, cellulitis and Necrotizing fasciitis(zombi disease) and Scarlett fever.

Question 9

How does streptococcus pyogenes reach the deep tissues

Answer 9

Due to trauma or surgery.

Question 10

Who is at risk for sepsis and pericarditis?

Answer 10

Immunocompromised patients, elderly people and diabetic ones.

Question 11

What does helicobacter pylori do to the stomach?

Answer 11

Ulcerations. Duodenum or gastro ulcerations

Question 12

What can alter the iron absorption and causing anemia?

Answer 12

Sideropenic Low iron uptake with diet(vegetarians) or B12 deficiency called perniciosa

Question 13

Low iron but not anemia what can it be

Answer 13

Pancreas disease cancer or stone. No protease released.

Question 14

If pancreas is not functioning what else we can ask to the patient?

Answer 14

If the feces are oily. No lipase enzyme produced.

Question 15

What are the medications reducing the iron intake by duodenum?

Answer 15

Proton pump inhibitors such as Lansoprazoles.

Question 16

If the pH of the stomach increases what happens?

Answer 16

Food not getting digested and, no uptake of iron and vitamins. Flatulence, gas formation and pain.

Question 17

Imagine a 80yo patient who is hospitalized for last 6 months has a fever and diarrhea.

Answer 17

Clostridium difficile.

Question 18

In children diarrhea is mainly caused by

Answer 18

Viruses

Question 19

Second step of the Anamnesis is to ask about

Answer 19

Medications. Complications of patients can caused by side effects of medications.

Question 20

After a patient severely burned what happens?

Answer 20

Dehydration, infection of staphylococci and sepsis

Question 21

To relief muscle pain we use

Answer 21

Opioids, Oxycodone or morphine

Question 22

To relief nerve pain we use

Answer 22

Amitriptyline and phenytoin which is also used for antipsychotic.

Question 23

Second most important question in the anamnesis

Answer 23

How long it been the symptoms appeared?

Question 24

The Giordano maneuver

Answer 24

Used To diagnose kidney stones. Hit with your hands ulna.

Question 25

What is silicosis?

Answer 25

Silicosis caused by a particle that lodged to alveoli causing coughing

Question 26

Stroke

Answer 26

Coagulation blocks a small artery. Due to atrial fibrillation( arrhythmia causing blood clotting)

Question 27

Thrombus happen in the vein side

Answer 27

Deep vein in the legs blocked and they wear out very easily when they walk. Also called shopping walk.

Question 28

Thrombus from the leg come to the right ventricle and is pumped causing

Answer 28

Pulmonary embolism, the circulation in the lungs is stopped patient can’t breathe.

Question 29

Most used drugs for fungal infection is

Answer 29

Azoles. But they are hepatotoxic damage to liver.

Question 30

True or false azoles interact with other drugs

Answer 30

True, especially statins(cholesterol) benzodiazepines(for anxiety and mental health), warfarin(kan sulandırıcı), corticosteroids, calcineurin(immunosuppressants) and phenytoin.

Question 31

Phenytoin used for

Answer 31

Depression, neuropathic pain, shingles or herpes.

Question 32

Who is under risk for sepsis caused by fungi

Answer 32

Patients with central Venous catheters such as oncological patients.

Question 33

What is an example of a drug that can be prescribed to be used at the evening?

Answer 33

Fosfomycin to treat UTIs such as cystitis. It is targeting bacterial cell wall. It is a novel class of antibiotics not a macrolides.

Question 34

What is losartan used for?

Answer 34

To treat high blood pressure. They act on Angiotension Converting enzyme-2(ACE2) which is responsible for vasodilation in arteries. They are inhibitors of this enzyme. Such as ramipril and captopril but they cause dry cough.

Question 35

What is PMC?

Answer 35

Pseudomembranous Colitis, due to Clostridium difficile.

Question 36

High levels of creatinine in the blood indicates a problem in the

Answer 36

Kidneys. Anytime there is a problem with kidneys, the heart immediately follows.

Question 37

If you see a elderly patient with systemic infection markers and diarrhea it can be

Answer 37

Clostridium difficile because from colon bacteria can spread to the bloodstream.

Question 38

Elevated Troponin-1 levels in the blood indicates

Answer 38

Myocardial infarction.