Viruses

Question 1

West Nile virus
1. Time of year
2. Symptoms
3. Test to confirm

Answer 1

Culex mosquito. Between June-October. Meningitis, encephalitis. Flaccid paralysis like polio w respiratory failure. Confirmed by IgM antibody on CSF

Question 2

Zica virus
1. Transmission
2. Symptoms
3. Treatment

Answer 2

1. Aedes mosquitoes or sexual contact.
2. Fever, rash, headaches, arthralgia, conjunctivitis.
3. Self limited one week.

Question 3

Dengue
1. Symptoms
2. Test

Answer 3

Fevers travelers from South America but in anywhere warm.
Retro oral pain, abrupt high fevers, myalgia, low back pain. Petiquea in positive tourniquet test.

Question 4

Babesiosis
1. Symptoms
2. Location
3. Peripheral smear

Answer 4

1. transfusión hemolysis, fever.
2. From New England, the mid-Atlantic, and the upper Midwest.
3. intraerythrocytic rings are seen on a peripheral blood smear.

Question 5

Cytomegalovirus
1. Lab findings
2. Treatment

Answer 5

1. thrombocytopenia, ADRENALITIS, bone marrow suppression.
   Owls eye.
2. Tx: valganciclovir

Question 6

Ehrlichiosis
Lab findings
And treatment

Answer 6

aminotransferases, thrombocytopenia, leukopenia.
Treatment: Doxycycline.
Transferred by ticks
Dog related

Question 7

Chikungunya
1. Symptoms
2. Lab findings

Answer 7

symmetric poly arthralgias, fevers, conjuntivitis.
Hands and feet common
From American continent
Transamininitis, lymphopenia, thrombocytopenia
Symptomatic treatment

Question 8

RTA TYPE 1
1. Chloride
2. Potassium
3. Risk of what

Answer 8

1. High chloride
2. Low potassium
3. Risk of calcium phosphate stones

Question 9

RTA type 2
1. Potassium
2. Phosphorus
3.urine finding

Answer 9

1. Low potassium
2. Low phosphorus
3. Glucose in urine

Question 10

Liddle syndrome

Answer 10

Hypertension
Metabolic acidosis
Hypokalemia

Question 11

Enterovirus
Common symptoms

Answer 11

Most common viral meningitis
Between may and November
Pharyngitis, maculopapular rash, cough

Question 12

Brucellosis
1. Trigger words

Answer 12

Cattle, sheep, pigs
2 - 4 weeks incubation

Question 13

Ebola
Symptoms
Risk facor

Answer 13

Mucosal bleeding that progresses to hemorrhagic shock and multi organ system failure.
Just made it through contact with infected body fluids or fomites

Question 14

Tularemia symptoms and trigger words

Answer 14

Abrupt onset fever, chills, malaise, myalgia 3-5 days after exposure.
Rabbits, rodents contact

Question 15

Non specific febrile, viral-like illness w headache followed by encephalopathic state
Neuro manifestation: Parkinsonism
MRI: thalamus lesions
IgM antibodies in CSF

Answer 15

Japanese encephalitis from
Culex mosquito

Question 16

Occurs in areas of Lyme disease. (North East and mid west)
Treatment
Labs

Answer 16

Anaplasmosis
Tx: doxy
Leukopenia, thrombocytopenia, ast/alt high

Question 17

Babesiosis
Animal that spreads it

Answer 17

Spread by deer tick.
Occurs in areas of Lyme disease

Question 18

Rash for Rocky Mountain spotted fever

Answer 18

Macular eruption on ankles or wrists that spreads centrally on day 7 of illness
Ricketsi ricketsi

Question 19

Tularemia. What bug? Presentation

Answer 19

Lone star tick. From rabbits
Symptoms around infection site
Ulceroglandular, glandular, oculoglandular, oro pharyngeal and pneumonic presentation

Question 20

What bug is this

Answer 20

Babesiosis

Question 21

What bug is this and what cell is this

Answer 21

Babesiosis
Intra erythrocytic ring piroplasm

Question 22

Intracellular inclusions
Fever, hemolytic anemia
What 2 common etiologies

Answer 22

Babesiosis
Malaria

Question 23

Intracellular inclusions
Fever, hemolytic anemia
What 2 common etiologies

Answer 23

Babesiosis
Malaria

Question 24

What is this

Answer 24

Intraerythrocytic tetrad
Aka Maltese cross
Finding in Babesiosis

Question 25

Intermittent fevers with period of permission. Hepatosplenomegaly, arthralgia, and depression.

Answer 25

Brucellosis
(Undercooked meat, raw milk, or product indirect contact with secretions of infected animals)