Tick borne

Question 1

RMSF- Ricketsia Ricketsia bug?

Answer 1

Gram negative coccobacillus

Question 2

RMSF rash type?

Answer 2

ankles and wrists and moves inward

Question 3

RMSF location?

Answer 3

South or SE

Question 4

RMSF diagnosis?

Answer 4

indirect fluorescent ab present 14-21 days post sx. skin biopsy with direct immunofluorescence is definitive

Question 5

RMSF tx?

Answer 5

doxycycline

Question 6

Erlichiosis bug?

Answer 6

gram negative

Question 7

Erlichiosis other name?

Answer 7

spotless RMSF

Question 8

Babesiosis- protozoan mechanism?

Answer 8

lysis of red cells

Question 9

Babesiosis location? timing?

Answer 9

North America, May-october

Question 10

Babesiosis symptom onset? sx?

Answer 10

1-6 wk after tick bite/HSM,hemolytic anemia, thrombocytopenia

Question 11

Babesiosis treatment?

Answer 11

atovaquone plus azithro/quinidine plus clinda. Can use red cell exchange

Question 12

Strongiloydes RF?

Answer 12

renal tx, CD4<200, HTLV-1

Question 13

strongiloydies smear

Answer 13

eosinophils

Question 14

Strongiloydes tx?

Answer 14

ivermectin

Question 15

what patient population is more at risk for babesiosis?

Answer 15

asplenia

Question 16

Strongiloydes sx

Answer 16

Pulmonary wheezing, rash, Gi symptoms