Sterile/STI

Question 1

Choroid Plexus

Answer 1

CSF formed, glucose homeostasis

Question 2

Astrocyte

Answer 2

blood-brain barrier

Question 3

Meningitis

Answer 3

meninges inflammation, older -Neisseria meningitidis/S pneumoniae common, H influ (babies/young children) worldwide

Question 4

Neonate meninges

Answer 4

GBS, E. coli, Listeria monocytogenes

Question 5

Tube 3

Answer 5

BAP/CHOC, GS, >1ml centrifuge, latex (ecoli, nmen, GBS)

Question 6

1. Neisseria meningitidis

Answer 6

glucose/maltose, GN diplococci/intracellular, NF nasal, prophylactic antibiotics

Question 7

Meningococcemia

Answer 7

petechial rash, bloodstream sepsis, dry gangrene, to DIC/septic shock

Question 8

Waterhouse-Friderichsen Syndrome

Answer 8

adrenal gland hemorrhage, complication of meningococcemia

Question 9

2. Elizabethkingia meningoseptica (yellow)

Answer 9

GN nonmotile rod, oxidase/indole/gelatinase, DNase+, NG MAC, col(R)/van(s)

Question 10

3. Listeria monocytogenes

Answer 10

P coccobacilli, listeriosis, gastroenteritis, GBS-like symptom and plate (small/translucent/beta), umbrella/tumbling, CAMP, HH+, esculin

Question 11

4. Rabies

Answer 11

bullet shape, Negri body, dystonia (contraction), dyphagia (no swallow), rabies immune globulin

Question 12

5. Polio Virus

Answer 12

fecal-oral, crippling, Salk (inactivated IPV)/Sabin (live oral OPV), poliomyelitis

Question 13

Fluid culture

Answer 13

BAP (CO2), CHOC (CO2), CDC (Anaerobic), MAC, Thio

Question 14

Pericardial

Answer 14

cardiac tamponade, pericardiocentesis

Question 15

Peritoneal fluid

Answer 15

liver disease, ascitic fluid/ascites, mesentery (supporting membrane)

Question 16

Pleural

Answer 16

between visceral pleura and parietal pleura, transudate (filtered), exudate (serum, fibrin, wbc), empyema (pus in thoracic cavity), thoracentesis

Question 17

Synovial

Answer 17

egg white, gonorrhea, cutibacterium, kingella

Question 18

STD media

Answer 18

Cervix (BAP, TM), urethra (choc, TM), prostate (BAP, MAC, TM)

Question 19

1 HSV II

Answer 19

Viral culture CPE 24 hr, ancyclovir/vancyclovir, neonatal viral encephalitis, lumbosacral ganglion nerves

Question 20

2 Genital warts, HPV

Answer 20

PAP - double nucleus, red cells, tonsil/tongue cancer

Question 21

3 HIV

Answer 21

N >300 cell/uL, AIDS <200 cells/uL, T4 lymphs, diagnose by immunoassay, western blot,

Question 22

Neisseria gonorrhoeae :3

Answer 22

septic arthritis, NAATs, TM (van, col, nystatin, trimethoprim), NYC, JEMBEC transport, ceftriaxone treat

Question 23

Chlamydia trachomatis

Answer 23

lymphogranuloma venereum (groin lymph nodes inflamed), McCoy cell line, trachoma, trichiasis

Question 24

1. Haemophishlius ducreyi

Answer 24

chancroid, gray yellow exudate, fish GS

Question 25

2. Klebsiella granulomatis

Answer 25

donovanosis/granuloma inguinale - neoplasm, safety pin bodies

Question 26

Gramdnerella vaginalis

Answer 26

BV, discharge, >4.5 pH, clue cells (gram variable rods), NG BAP/MAC, human blood bilayer with tween 80 (HBT/V agar)