U world IM- 55% Flashcards
purulent conjunctivitis and suppurative preauricular lymphadenitis should raise suspicion for infection with?
Francisella tularensis, bartonella henselae and herpes simplex virus
An 18-year-old man comes to the emergency department due to 3 days of fever, cough, and eye pain. The patient noticed his left eye was red a few days ago, and it has become progressively more painful. During this time, he also has had a persistent, nonproductive cough. The patient is an avid hunter of small game, including beavers, squirrels, and hares. He and his girlfriend returned from a hunting trip a week ago. Temperature is 38.3 C (100.9 F), blood pressure is 100/70 mm Hg, pulse is 92/min, and respirations are 20/min. The left eye is erythematous and has purulent drainage and a small corneal ulceration. The right eye is mildly injected but is otherwise normal. Lung sounds are diffusely coarse. Several tender and enlarged left anterior cervical lymph nodes are noted; a left preauricular lymph node is spontaneously draining malodorous fluid. Chest x-ray reveals peribronchial infiltrates and small, bilateral pleural effusions. Which of the following is the most likely cause of this patient’s presentation?
Options:
A. adenovirus
B. francisella tularensis
C. candida albicans
D. Leptospira
E. Yersinia Pestis
Franicsella Tularensis
-this is a gram negative coccobacillus that is transmitted through hunting wild animals or exposure to an infected tick bite. There will be a single ulcerative lesion at the site and cause ulceroglandular disease (regional lymphadenopathy_ but it can also cause oculoglandular disease if you contaminate your eyes)
A 56-year-old man comes to the office for a routine preventive visit. He works as a welder on an oil rig and currently feels well. The patient has a history of hypertension and hyperlipidemia, which are well controlled with oral medications. He has smoked a pack of cigarettes daily since age 14 and has been unable to quit despite repeated attempts. The patient drinks alcohol socially and does not use illicit drugs. His father died due to complications of Alzheimer disease, and his mother died from ovarian cancer. Screening colonoscopy at age 52 revealed a 0.5-cm hyperplastic polyp. Vital signs are within normal limits. Physical examination shows no abnormalities. Which of the following screening tests is recommended for this patient?
Low dose CT scan of the chest
low does CT scan of the chest is recommended for those who have smoked more than _ pack years
20
- screening should begin at age 50 and continue to age 80 or until greater than 15 years of smoking cessation is achieved
one time screening for abdominal aortic aneurysm with an abdominal ultrasound is recommended for men age _
65-75 who have ever smoked
bone mineral density screening for osteoporosis for women age _ and younger at increased risk
65
a _ year internal is generally recommended for screening colonoscopy.
10 year interval
the initial evalulation of anovulatory infertility includes
TSH and prolactin levels
high prolactin will suppress GnRH levels and therefore LH, estrogen.
what is a progesterone withdrawal test used for ?
to evaluate estrogen activity in patient with secondary amenorrhea
what is a progesterone withdrawal test used for ?
to evaluate estrogen activity in patient with secondary amenorrhea
the main measure of association in a case control study is
the exposure odds ratio
leading cause of blindness in industrialized countries
macular degeneration
what is the earliest finding in macular degeneration
distortion of straight lines that will appear wavy
risk factor for macular degeneration
increasing age, and smoking
symptoms of macular degeneration
drusen deposits in the macular
distortion of driving and reading
