Review Session (Bugs and Drugs)

Question 1

Sickle cell disease patient with a painful femur

Answer 1

Salmonella Typhi

Question 2

IV drug Junkie

Answer 2

Right sided endocarditis with S. aureus

Question 3

Dude who has a motorcycle accident

Answer 3

C. perfringens

Question 4

Tampons

Answer 4

Staphylococcus toxic shock syndrome

Question 5

Antibiotic use (esp. Clindamycin)

Answer 5

C. Difficile

Question 6

Teeth cleaning/Root canal

Answer 6

Viridans streptococci endocarditis

Question 7

Old patient/ Mentally retarded patient/ Homeless patient with pneumonia

Answer 7

Aspiration pneumonia (peptostreptococcus, fusobacterium)

Question 8

Contact lenses

Answer 8

P. aeruginosa, Acanthamoeba castellani

Question 9

20 year old with Cystic FibrosisBurn victims

Answer 9

P. aeruginosa

Question 10

Patient on a ventilator for a while

Answer 10

P. aeruginosa

Question 11

Patient who gets a catheter or orthopedic implant

Answer 11

Staphylococcus epidermidis

Question 12

Neurosurgery/Deep Brain Stim

Answer 12

Prions

Question 13

Urinary Catheter

Answer 13

E. coli

Question 14

Cattle

Answer 14

EHEC O7:H157  HUS
Prions  BSE
Brucella  Brucellosis (milk)
Listeria monocytogenes (cheese!)
Taenia saginata (Tapeworm)
M. bovis Intestinal tuberculosis (milk)

Question 15

Cats

Answer 15

Toxoplasma gondii (feces)
Pasturella multicoda (bite)
Bartonella Henselae (cat scratch disease)

Question 16

Dogs

Answer 16

Microsporum canis  Taenea corporis
Leptosira interrogans (urine)
Rhabdovirus (bite)
Echinococcus granulosus (feces)  Echinoccocosi (Hydatid cysts)
Capnocytophaga canimorsus (necrotizing fascitis in asplenic people)– WILL NOT BE ON STEP 1

Question 17

poultry

Answer 17

Campylobacter jejuni
Salmonella enterica

NOTE: Association between C. jejuni and Guillian-Barre is VERY testable!

Question 18

Sheep

Answer 18

Bacillus anthracis
Coxiella burnetti (amniotic fluid) Q fever

Question 19

Rats

Answer 19

Yerisina pestis (fleas), Leptospira interrogans (urine)

Question 20

Mice

Answer 20

Hanta virus (droppings)

Question 21

White tailed deer

Answer 21

Borrelia burgdorferi, Anaplasma spp. (Ixodes ticks)

Question 22

Rabbits

Answer 22

Francisella tularensis

Question 23

Parrots

Answer 23

Chlamydia psittaci

Question 24

Pigeons

Answer 24

Cryptococcus neoformans

Question 25

UTI (E. Coli)

Answer 25

O 157:H7 shuts down protein production in renal endothelial and colonic mucosal cells

Question 26

EHEC– HU(T)S

Answer 26

Inhibit ADP ribosylation of proteins by Elongation Factor 2(EF2)

Question 27

Corynebacterium and Pseudomonas

Answer 27

Activate Guanylate cyclase watery diarrhea

Question 28

B. anthracis

Answer 28

Edema Factor and lethal Factor. D-glutamate capsule

Question 29

C. perfringens

Answer 29

Lecithinase

Question 30

Pseudomonas

Answer 30

Exotoxin A, pyocyanin, elastase, Phospholipase C

Question 31

Ixodes (deer tick) 
Dermecantor (dog tick) 
Anopheles  
Culex 
Aedes

Answer 31

Borrelia burgdorferi, Babesia microti
Rickettsia ricketsii (RMSF)
Plasmodium falciparum, vivax, ovale, and malariae
West nile virus, Filariasis, Japanese Encephalitis
Dengue, Yellow fever

Question 32

Sandfly
Tse-tse fly
Reduviid bug
Blackfly

Answer 32

Leishmaniasis
Trypanosoma gambiense (sleeping sickness)
Trypanosoma cruzi (Chaga’s disease)
Onchocerca volvulus (onchocerciasis)

Question 33

Green Pus

Answer 33

Pseudomonas

Question 34

Orange tears

Answer 34

Rifampicin

Question 35

Red currant jelly sputum

Answer 35

Klebsiella

Question 36

Off-White Vaginal discharge

Answer 36

Gardanerella vaginosis

Question 37

Gray-green/yellow frothy vaginal discharge

Answer 37

Trichomonas vaginalis

Question 38

White curd-like discharge

Answer 38

Candida

Question 39

Strawberry tongue

Answer 39

Scarlet fever (also Kawasaki’s)

Question 40

Rose spots

Answer 40

Enteric Fever (S. typhi/paratyphi)