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Medicine > Uworld ID > Flashcards

Uworld ID Flashcards

0
Q

Lyme tx?

A

Doxycycline

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1
Q

Prophylaxis For TB?

A

Chloroquine for most

Mefloquine for sub-Saharan Africa and Indian subcontinent (chloroquine-resistant)

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2
Q

Nocardia tx?

A

Bactrim

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4
Q

Tx for dog/human bite?

A

Amoxicillin-clavulanate

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5
Q

Immunocompromised pt with pulmonary nodule with halo sign?

A

aspergillosis

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6
Q

hemochromatosis predisposes to what infections?

A

Lysteria, Yersinia enterocolitica, Vibrio vulnificus

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7
Q

Causal drug in pt with HIV who presents with crystal-induced nephropathy? pancreatitis? liver failure? hypersensitivity?

A

indinavir (protease-inhibitor)
didanosine
nivirapine
abacavir

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8
Q

Class of HIV drugs that cause lactic acidosis? SJS?

A

NRTI (nucleoside reverse transcriptase inhibitor)

NNRTI

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9
Q

Most common cause of pneumonia in nursing home pts?

A

Strep pneumonia

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10
Q

pt with syphilis who is allergic to penicillin?

A

give doxycycline

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11
Q

pt with with skin-colored, verrucous, papilliform lesions. Tx?

A

HPV

  1. chemical agents (trichloroacetic acid, 5FU epinephrine cream, podophyllin)
  2. Immune therapy (imiquimod, alpha-interferon)
  3. Surgery
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12
Q

pt with HIV who presents with CD4 count<50. In addition to HAART, add?

A

Bactrim for PCP prophylaxis

Azithromycin for MAI prophylaxis

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13
Q

tx of pt with severe PCP?

A

bactrim and steroids

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14
Q

Diagnose leprosy with?

A

Acid-fast stain of skin biopsy

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15
Q

Measles vs Rubella?

A

koplik spots vs arthritis

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16
Q

Signs of Malignant Otitis externa? Cause? Common in pts with history of?

A
  1. granulation tissue on external ear canal
  2. otorrhea
  3. severe ear pain radiating to TMJ

Psudomonas

Diabetes

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17
Q

Pt with puncture wound who gets osteomyelitis. Organism?

A

Pseudomonas

18
Q

AIDS pt with palatal ulcers, hepatosplenomegaly, pancytopenia?

A

histoplasmosis

19
Q

Pt with PID should be tested for?

A

HIV, RPR (syphilis), hep B, pap smear

20
Q

Pt with anemia and periodic fevers. Look for?

A

Malaria. Hepatosplenomegaly

21
Q

Atypical lymphocytes are seen in what infections?

A

Mono, toxoplasmosis, rubella, roseola, viral hepatitis, mumps, CMV, HIV

22
Q

When to test for EBV-specific antibodies?

A

Pt with suspected mono with negative heterophile antibodies

23
Q

Post contact with sand in Southeast US - can get? findings?

A

Cutaneous larva migrans (Ancylostoma brasiliense)

Pt presents with puritic, erythematous papules that progressed to reddish-brown elevated lesions?

24
Q

Blastomyosis skin lesions?

A

violet, verrucous or ulcerative/crusting lesions with sharp border

25
Q

Tx options for influenza?

A

Oseltamivir and Zanamivir

if influenza A can also use Rimantadine or Amantadine

26
Q

Pt post GI/viral infection can get this? Typical presentation?

A

Gullian-Barre. Numbness/tingling in fingers/toes that ascends

27
Q

Trichinella - transmitted via? symptoms?

A

undercooked pork

Triad:
1. periorbital swelling
2. myositis
3. Eosinophilia
Can also get splinter hemorrages, conjuntival hemorrhages
28
Q

Pt with sore throat, fever, malaise, exudative tonsilitis, and splenomegaly. May develop?

A

Mono. Autoimmune hemolysis

29
Q 
Empiric meningitis tx for pts age:
1. < 3 months
2. children and adults
3. elderly
4 post-neurosurgery
A
  1. cefotaxime (avoid ceftriaxone in neonates) and ampicillin
  2. Vanc and ceftrixaone
  3. Vanc, ceftriaxone and ampicillin
  4. Vanc and ceftazidime (anti-pseudomonal)
30
Q

Toxic shock syndrome. Caused by? Signs?

A

Staph. Erythema that starts on trunk, strawberry tongue, conjunctival hyperemia

31
Q

Pathogenesis of giardia? Pt typically returns from?

A

Trophozoites adhere to mucosal surface by adhesive disks and produce malabsorption.

3rd world or rocky mountains

32
Q

Only give anti-influenza drugs if?

A

Within 2 days of symptom onset

33
Q

Most common cause of osteomyelitis? Osteomyelitis after nail puncture wound?

A

Staph aureus. Pseudomonas

34
Q

Pt with idiopathic thrombocytopenia - test for?

A

HIV and Hep C

35
Q

Signs of erlichiosis?

A 
#flulike symptoms (high fever, myalgias)
#confusion
#No rash
Labs:
#Leukopenia and thrombocytopenia
#elevated LFTs
36
Q

Toxoplasmosis tx? Ppx?

A

Sulfadiazine and pryimethamine

Bactrim

37
Q

Diagnose histoplasmosis with?

Treatments?

A

Urine test

#itraconazole
#Amphotericin and itraconazole if fever over 103 or fungemia
38
Q

Leprosy presents as?

A 
#Hyperpigmented plaque that does not have sensation
#progresses to muscle atrophy and distal deformities
39
Q

HIV pt with large red nodules?

A

Bacillary angiomatosis

40
Q

Pnemonia and GI (diarrhea) in transplant patient - suspected diagnosis?

A

CMV

Medicine (106 decks)

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