Strep And Staph

Question 1

What causes scarlet fever?

Answer 1

Group A beta-hemolytic streptococcal infection, erythrogenic toxin

Question 2

Signs of early neonatal group B streP

Answer 2

Respiratory distress, lethargy, hypotension, pneumonia, Respirator distress, meningitis

Question 3

Fever chills, HA, vomiting, pharyngitis, tongue Dortmund with a white exudate, projecting edematous papillae

Answer 3

Scarlet fever

Question 4

What are the diagnostic criteria for TSS?

Answer 4

GI: vomiting or diarrhea
Mus: myalgia or CK elevation
Muc: vaginal, oropharyngeal, conjunctival erythema
Renal: BUN/ creatinine x2
Hepatic: bilirubin/ transaminase x2
Hematologist: platelets <100,000
CNS: AMS

Question 5

What causes toxic shock syndrome?

Answer 5

Staphylococcus a, or group a strep

Question 6

Signs of late onset group B strep?

Answer 6

1 wk and 3 months, from mother/nursery, bacteremia w/o source, osteomyelitis, septic arthritis, facial cellulitis

Question 7

What is the treatment for TSS?

Answer 7

Nafcillin or strep-pen G + clindamycin

Question 8

What is the treatment for MRSA carrier?

Answer 8

Bactrian nares and wounds, chlorhexidine baths, 5 days course

Question 9

Mental status changes occur with progression of infection, sepsis and organ failure, woody feel of sub q, crackles from air trapped in skin.

Answer 9

Necrotizing fasciitis

Question 10

Rash: fine popular or puncate lesions in axillae, groin and neck. Generalized in 24 hrs. Flushed forehead and cheeks, but circum oral pallor?

Answer 10

Scarlet fever

Question 11

What is the treatment for MRSA?

Answer 11

Outpatient treatment <5cm

1. Trimethoprim sulfamethoxazole
2. Doxycycline
3. Clindamycin

Inpatient
1. Vanc

Question 12

What is the treatment for group b strep infection?

Answer 12

Penicillin G

Question 13

What is the treatment for scalded skin syndrome?

Answer 13

Supportive, IV nafcillin

Question 14

What causes necrotizing fasciitis?

Answer 14

Group A hemolytic streptocci, staphylococcus, vibrio, aeromonas, bactericides, clostridium, peptostreptococcus

Question 15

What are the forms of tetanus?

Answer 15

Spore (dormant) soil, dust and animal waste

Vegetative (active)

Question 16

Fever, chills, anterior cervical lymphadenopathy, swollen tonsils +- exudate

Answer 16

Strep throat

Question 17

Acute exfoliation of oral/nasal cavities, throat, umbilicus. Diffuse eyrthematous rash, w/ nikolsky’s sign?

Answer 17

Staphylococcal scalded skin syndrome

Question 18

What is the treatment for necrotizing fasciitis?

Answer 18

Pen G and Clindamycin, HBO adjunct, early open and extensive debridement reduces moratlity, doripenem and vanc

Question 19

What causes strep throat?

Answer 19

Group A beta-hemolytic streptococcus

Question 20

Where is staph mostly?

Answer 20

Alaska, Ca, Georgia, TX

Question 21

What is the treatment for strep throat?

Answer 21

Benzanthine penicillin IM, pen V 10 days, alternative clindamycin

Question 22

What are the kinds of seizures?

Answer 22

Opisthotonos

2. Flexion and abduction of the arms
3. Clenching the fists
4. Extension of the lower extremities

Question 23

Looks like severe cellulitis w/ warmth, edema, erythema, but pain out of proportion.

Answer 23

Necrotizing fasciitis

Question 24

Cellulitis, abscesses, septic arthritis, bursitis, pneumonia, in incarcerated person, sports, and military training?

Answer 24

MRSA

Question 25

Pain, vomiting, N/V, influenza like, scarlet fever like rash. Desquamation on palms and soles. Hypotension<90, with orthostatic syncope

Answer 25

Toxic shock syndrome

Question 26

What is the treatment for tetanus?

Answer 26

Seizure: diazepam
Disease: tetanus immune globulins

Question 27

Peripartume fever in women and sepsis/meningitis in neonates.

Answer 27

Group B strep

Question 28

What is the treatment for scarlet fever?

Answer 28

Pen V, erythromycin

Question 29

What are some prolonged complications of TSS?

Answer 29

Refractory hypovolemia, bacteremia, DIC, ARDS

Question 30

What are the types of tetanus?

Answer 30

1. Generalized (all SKM)
2. Local
3. Cephalic (facial)
4. Neonatal (neonates)