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UW3 (04 ID) Flashcards

1
Q

TB
Transmission duration?
If ppd negative?

A

Transmission –> upto 3m

If PPD ⊝ –> repeat @ w8-10

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2
Q

Norovirus

Common symptom?
Risk factor? 3

A

Vomit&raquo_space; Diarrhea

Restaurant
Travel
Healthcare

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3
Q

Food disease (non GI)

  1. Descending paralysis
  2. Flush / Urtricaria
  3. Paresthesia
  4. Neurologic
  5. Meningitis
  6. Cellulitis / Sepsis
  7. Jaundice
  8. Fever / Arthralgia
A
  1. Botulism
  2. Scombroid
  3. Ciguatera
  4. Pufferfish
  5. Listeria
  6. Vibrio
  7. Hep A
  8. Brucellosis
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4
Q 
Flushing
Throbbing headache
Palpitation
Abdominal cramp
Diarrhea
Oral burning
Onset <30m after eating seafood

Diagnosis?
Treatment?

A

Scomboid

Self limit

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5
Q

Acute Rheumatic Fever

Symptoms / Manifest ? 7
EKG?
Lab? 2
Complication?
Prevention?
A 
Migratory Arthritis
Carditis
Subcutaneous Nodules
Erythema Marginatum
Sydenham Chorea
Fever
Arthralgia

Prolong QR

ESR / CRP

Mitral regurg/stenosis

Penicillin (Prevention @ GAS)

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6
Q

Labile emotion
Irregular rapid movement
Face / Hand / Feet
Onset after post infection

Diagnosis?
Cause?
Treatment?

A

Sydenham Chorea

Rheumatic fever

Penicillin

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7
Q

HIV

co-infection screen? 5

A 
TB
Hep B+C
Syphilis
Gonorrhea
Chlamydia
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8
Q

Cryptococcus CNS infection

Rash description?
At what CD4 level infection occur?
CSF results? 4
Treatment 2
Follow up?
A

Molluscum like rash

Infection @ CD4 < 100

CSF
Open P > 280
Lymphocyte ↑
Leukocyte ↓
India Ink ⊕

Amphoteracin B + Flucytosine (2w)
Fluconazone (8w-1y)

Serial LP @ ↑ ICP

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9
Q

Marine / Oyster / Water wound
Rapid progression
Septicemia / Shock
Hemorrhagic bullae / Nec fasc

Diagnosis / Microbe?
Risk? 2
Treatment? 3

A

Vibrio Vulnificus

DM / Liver disease

Ceftriaxone / Doxycycline / FQ

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10
Q

Painless pustule @ distal extremities
Pain + Swelling @ passive extension

Diagnosis?
Lab test?

A

Gonorrhea Arthritis

Gonorrhea NAAT
HIV
Chlamydia

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11
Q

Constipation in children

Treatment? 4

A

Fiber
Water
Laxatives
Suppository / Enema

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12
Q

Syphilis @ pregnancy

Maternal effects? 2
Fetal effects? 6

A

IUFD
Preterm

Hepatomegaly / Jaundice
Hemolytic Anemia
Thrombocytopenia
Long bone
FTT
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13
Q

Necrosis @ palate / orbit / brain

Diagnosis?
Risk? 3
Diagnostic? 3
Treatment? 2

A

MucorMycosis

DM / DKA / Transplant

Sinus endoscopy + biopsy + culture

Debridement
Amphotericin B lipid

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14
Q

Toxic Shock syndrome

Common microbe?
Mechanism?
Treatment?

A

S. Aureus + foreign object

ExoToxin –> T-cell activation –> Cytokine ↑

IVF + Oxacillin / Nafcillin / Vancomycin

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15
Q

Latent TB (treatment)

Typical?
If requries supvervision?
If resistant?
If non indication of infiltration?

A

Isoniazid: 6-9m

Isoniazid + Rifampin: 3m supervised

If resistant –> Rifampin 4-6m

No Infiltration –> No work restriction

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16
Q

Chagas disease

Cardiac problems? 4
GI problems?

A

R > L HF
Cardiomegaly
Ventricular apical aneurysm
Conduction anomaly

Dilation @ esophagus / colon

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17
Q 
Decaying plant/soil / Gardner / Landscaper
Papule
Ulceration
drain (nonpurulent / odorless)
Proximal lymphatic

Diagnosis?
Diagnostic?
Treatment?

A

SporoTrichosis
Dimorphic fungus

Fluid aspiration / Skin biopsy & culture

Itraconazole PO 3-6m

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18
Q

Pneumonia (differential)

  1. Verucus + Heaped up border
  2. Abscess
  3. Nodular / Papular / Plaque
    Fever / Fatigue / Weight ↓
A

BlastoMycosis

CoccidoMycosis

Histoplasmosis

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19
Q

Jaw
Non-Tender mass
Abscess / Fistula
Discharge (yellow / serous / granule)

Diagnosis?

A

ActinoMycosis

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20
Q

Fever by duration

< 10d? 5
1-3w? 5
> 3w? 3

A 
Typhoid
Dengue
Chikugunya
Influenza
Legionella

Typhoid
Malaria
LeptoSpirosis
SchistoSomiasis
Rickettsia

TB
LeishManiasis
Enteric parasite

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21
Q

Thin
White
Fish odor

Diagnosis?
Vaginal inflammation?
labs?
Treatment?

A

Vaginosis

No

Clue Cells
Whiff KOH

Metronidazole (chlamydia co infection)

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22
Q

Yellow Gray
Frothy
Malodorous

Diagnosis?
Vaginal inflammation?
labs?
Treatment?

A

Trichomoniasis

Yes

Motile
Flagellated

Metronidazole + Treat Partner

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23
Q

Thick
White
Cheesy

Diagnosis?
Vaginal inflammation?
labs?
Treatment?

A

Candidiasis

Yes

PseudoHyphae

Fluconazole

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24
Q

Necrotizing Fasciitis

Common microbes? 3
Medications? 3

A

StreptoPyogenes
S. Aureus
C. Perferingens

1) Zosyn / Imipenem / Meropenem
2) Vancomycin
3) Clindamycin

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25
Q

Neisseria Meningitis (exposure)

Treatment indication? 4
Medication? 3

A

Household
Daycare
Resp / Oral Exposure
Exposure > 8h

1) Rifampin PO
2) Ciprofloxacin IM
3) Ceftriaxone

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26
Q

C-diff diarrhea

Recurrent prevention

A

Vancomycin

Monoclonal Ab

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27
Q

Human Bite

Microbe?
Treatment?

A

Eikenella Corrodens

Augmentin (Amoxicillin+Clabulanate)

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28
Q

RMSF

Labs? 4
Treatment?

A

Plt ↓
Na ↓
AST ↑ / ALT ↑

Doxycycline

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29
Q

Urethritis
Watery / Scant

Common microbe/cause? 4
Treatment?

A

Chlamydia
Ureplasma
Myoplasma
Trichomonas

Azithromycin

30
Q

Urethritis
Purulent

Common microbe/cause?
Treatment?

A

Gonorrhea

Ceftriaxone + Azithromycin

31
Q

Oral Lesion (differential)

Anterior
No systemic

Vesicular / Ulcer
Posterior
Fever

Vesicular / Ulcer
Anterior / Mouth
Fever

Tonsillar exudate
Fever
Ant Cerv Lymph

Tonsillar exudate
Fever
Post Cerv Lymph
HepatoSplenomegaly

A

Apthous

HerpAngina

Herpes GingivoStomatitis

GAS / Strep

Inf Mono

32
Q

Breast mass
Fluctuating & tender

Diagnosis?
Diagnostic?

A

Breast abscess

US –> FNA

33
Q 
Rash
Posterior OP
Painful
Vesicle
Summer
Age 3-10

Diagnosis?
Microbe?

A

HerpAngina

Coxsackie A

34
Q

HookWorm

Lab?
Treatment?

A

Hb ↓
Eosinophilia

Albendazole
Nitrazoxanide

35
Q

Acute OM

Treatment?

A

Amoxicillin
Augmentin

Azithromycin
Clindamycin

36
Q

C-diff diarrhea (treatment)

Initial?
Recurrence?
Multiple recurrence? 2
Fulminant (shock / ileus)? 3

A

Vancomycin / Fidaxomicin

Repeat treatment

Vancomycin + Rifaximin
Fecal transplant

Metronidazole IV
Vancomycin PO
Surgery

37
Q

Congenital infection

Hearing loss
Cataract
PDA
Purple non-blaching nodule

Hydrops / IUFD
Vesicles
Meningitis

Hepatomegaly
Jaundice
Rhinitis
MaculoPapular rash

Hepatosplenomegaly
Hearing loss
Purpura
PeriVentricular calcification

Hepatosplenomegaly
Hearing loss
Purpura
IntraCerebral calcification

A

Rubella

HSV

Syphilis

CMV

Toxo

38
Q

HIV screening

Age group?
Tests?

A

Age 15-36

P24 antigen + HIV Ab

39
Q

Cystitis treatment @ pregnancy? 4

Medications to avoid? 2

A

Nitrofurantoin
Cephalexin
Fosfomycin
Augmentin

Floroquinolone
Bactrim @ T1

40
Q

Pyelonephritis @ pregnancy

Common microbe? 2
Fetal complications? 3
Management?

A

E. coli
Klebsiella

reterm
SGA
ARDS

Admit
IVF
Ceftriaxone/Cefepime

41
Q

Hepatitis B

Typical course?
Admission criteria? 4

A

Clear within 6m
OP FU monitor

Age > 50
Poor Po intake
Unstable / Ill
Coag ↓

42
Q

Congenital Toxoplamosis

Important findings? 3
Other findings?
Treatment?

A

ChorioRetinitis
Diffuse IC calcification
Hydrocephalus

Microcephaly 
Macrocephaly
Seizure
Jaundice
Hepato/Spleo-megaly
Rash
IUGR

Pyrimethamine (deplete FA)
+ Sulfadiazine
+ Folinic acid

43
Q

Bacterial Sinusitis (medication)

Treatment? 3
Avoid? 4

A

1) Augmentin
2) Doxycycline
3) Fluoroquinolone

Amoxicillin
Macrolides
Bactrim
Cephalosporin 2/3

44
Q

Hep B

High risk = need vaccine? 8

A 
Multiple sexual partner
History of STD
Homosexual
IVDU
CKD
Hep C
HIV
Hep B contact
45
Q

Lactational mastitis (treatment)

MSSA? 4
MRSA? 3

A

1) Dicloxacillin
2) Cephalexin
3) Erythromycin
4) Clindamycin

1) Bactrim
2) Clindamycin
3) Vancomycin

46
Q

NeoNatal Sepsis

2 Common microbe?
2 treatment?

Age < 28d
Age > 28d

A

E. Coli
GBS
Ampicillin + Gentamicin
Cefotaxime

S. Pneumoniae
N. Meningitidis
Ceftriaxone
Cefotoxime + Vancomycin

47
Q

Infectious Mono

Steroid indication? 4

A

Airway obstruction
Overwhelming infection
Aplastic anemia
Plt ↓

48
Q

HIV @ pregnancy

Lab checks? 2
Start what medication?
Avoid what procedures? 3
Delivery?

A

RNA q2-4w
CD4 q4-6m

Start: HAART

Avoid amniocentesis / AROM / FSE

Typical: Vaginal delivery
CS if Viral load > 1k

49
Q

Syphilis treatment

Primary / Secondary / Latent < 12m ?
Latent > 12m / Gumma / CV?
Neuro?
Congenital?

A

Penicillin G IM x1

Penicillin G IM q1w x3

Penicillin G IV q4h x14d

Penicillin G IV q6-8h x10d

50
Q

Fever
Systemic illness

Rash Progression

1) Painless / Red macule
2) Pustule / Bullae
3) Gangrene ulcer

Diagnosis?
Risk factors?
Common microbe?
Treatment?

A

Erythema Gangrenosum

Immunocompromised
Central venous cathether

Pseudomonas infection

Zosyn + Gentamicin

51
Q

Pharyngitis: Gray & Pseudomembrane
Cervical Lymph

Diagnosis?
Complication? 3
Tests? 2
Treatment? 3

A

Diphtheria

MyoCarditis
Neuritis
Kidney disease

Resp Culture
Toxin Assay

1) Erythromycin
2) Penicillin
3) Anti-Toxin

52
Q

Hep B (PEP)

Vaccinated?
No vaccine + source has Hep B?
No vaccine + source has no hep B?

A

Nothing

Vaccine + IVIG

Vaccine

53
Q

Dengue
Symptoms? 4
Hemorrhagic indication? 4

A

Flulike
Myalgia
Joint pain
Retro-Orbital pain

Plt ↓
Spontaneous bleed
Shock
Petechia @ BP cuff

54
Q

Strep Throat

Treatment? 3
Compmlications? 4

A

1) Penicillin / Amoxicillin
2) Cephalexin / Cefadroxil
3) Azithromycin / Clindamycin

Peri-Tonsillar abscess
Cerv Lymph Adenitis
Glomerulo Nephritis
Rheumatic Fever

55
Q

HIV infection
Skeletal like appearance
Abdominal fat

Diagnosis?
Risk/cause?
Complication?
Treatment?

A

HIV LipoDystrophy

NRTI
Stavudine
Zidovudine

Insulin resistance
Dyslipidemia
CV disease

Statin

56
Q

High infection risk wound? 5

A 
Crush
Hand / Feet
Cat bite
Human bite
ImmunoCompromised
57
Q

Cutaneous Cryptococcus

Skin manifest?
Diagnostic?

A

Mollescum like
Papule
Central umblication
Central hemorrhage / necrosis

Biopsy
Granuloma
Encapsulated yeast

58
Q

Chlamydia

Treatment? 4

A

Azithromycin
Doxycycline
Ceftriaxone
Gentamicin

59
Q

Pneumonia

Microbe & Treatment?

Preschool?
Older?

A

S. pneumoniae
Amoxicillin

Mycoplasma
Azithromycin

60
Q

Salmonella Enteritis (treatment)

Age < 12m? 4
Adults? 5

A

Ciprofloxacin
Bactrim
Azithromycin
Ceftriaxone

Levofloxacin
Bactrim
Azithromycin
Ceftriaxone

61
Q

TB

Initial tests? 2
Latency indication? Treatment?
Active indication? Treatment?

A

PPD / Ig ⊕
CXR

CXR ⊕
Symptoms ⊝
Isoniazid 9m
Rifampin 4m

CXR ⊕
Symptoms ⊕
Sputum ⊕
Rifampin
Isoniazid
Pyridimine
Ethambutol
62
Q

Symptom > 3m
Recurrent UTI
Pain @ penis / groin

Diagnosis?
Treatment?

A

Prostatitis

FQ
Bactrim

63
Q

SchistoSomiasis

Labs & Tests? 2
Treatment?

A

Eosinophil ↑
Urine: Sediment & Eggs

Praziquantel

64
Q

CAP (empiric treatment)

OP? 3
IP? 2
ICU? 2

A

Macrolide / Doxycyline
FQ
Ceftriaxone + Azithromycin

FQ
Ceftriaxone + Azithromycin

Ceftriaxone + Azithromycin
Ceftriaxone + FQ

65
Q

PCP @ HIV

Steroid use indication? 2
BAL indication? 2

A

A-a > 35
PaO2 < 70

Worsening symptom
Confirm PCP

66
Q

Serous OM

Treatment?

A

After AOM, Persist > 3m

Observation

67
Q

Diarrhea (differential / microbee?)

Short duration < 2w

  • Short / Vomit? (2)
  • Contamination?
  • Bloody / Pseudo-Appenditis
  • Fever
  • Fever / Bloody

Long duration > 2w

  • Chronic / Immune ↓ (3)
  • Prolong / Relapse
  • Wild / Rural
A

Short duration < 2w

  • Rota / Noro
  • E. coli
  • CampyloBacter
  • Salmonella
  • Shigella

Long duration > 2w

  • CryptoSporidia / ystoSporidia / MicroSporidia
  • CycloSpora
  • Giardia
68
Q

Anti-Retroviral treatment @ HIV
Initial improvement
Subsequent (weeks) paradoxical worsening

Diagnosis?
Management?

A

Immune Reconstitution Inflammatory Syndrome

Continue medical treatment

69
Q

Aspergillosis

3 common symptoms?
CT chest findings? 3
2 Additional testing?
Treatment?

A

Cough
Pleurisy
Hemoptysis

CT chest
Ground glass opacitiy / Halo
Cavitations
Pulmonary nodules

Serum: GalactoMannan / Beta-D-Glucan

Sputum: Fungal stain & culture

Treatment = VoriConazole

70
Q

Cat scratch

Treatment?

A

Azithromycin

UW3 (2020) (19 decks)

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