Zoonoses

Question 1

Leeches

Answer 1

Aeromonas hydrophila

Question 2

Bears

Answer 2

trichinella spiralis

Question 3

Rodents

Answer 3

leptospira
monkeypox
spirillum minus
streptobacillus monilformis
yersinia pestism

Question 4

monkeypox associations

Answer 4

imported rodents (Gambian rats) and prairie dogs

Question 5

two treatments for monkeypox

Answer 5

tecovirimat or brincidofovir

Question 6

biopsy findings in bartonella henslae

Answer 6

stellate abscess, necrotic area with neutrophils surrounded by palisading histiocytes

Question 7

special stain for bartonella henslae

Answer 7

warthin starry stain

Question 8

diagnosis of bartonella henslae

Answer 8

serology, PCR or DFA on pus

Question 9

presentation of bartonella henslae

Answer 9

acute suppurative lymphadenitis proximal to bite, scratch or lick of young cat

Question 10

treatment of cat scratch disease

Answer 10

if does not drain spontaneously can aspirate
Azithromycin x 5d
(Bactrim, cipro or rifampin alternatives)

Question 11

bartonella on gram stain

Answer 11

weakly gram negative rod

Question 12

Bacillary angiomatosis seen in

Answer 12

HIV with CD4 <100

Question 13

Bacillary peliosis presentation

Answer 13

presents with fever, chills, HSM
Multiple liver and splenic masses

Question 14

treatment of bartonella endocarditis

Answer 14

Doxycycline x 6 weeks + Gentamicin for initial 2 weeksp

Question 15

describe appearance of cutaneous anthrax

Answer 15

pruritic papule on skin, small vesicles around ulcer with surrounding edema

Question 16

Features of anthrax

Answer 16

aerobic, encapsulated, sporulating GPR

Question 17

treatment of anthrax

Answer 17

penicillin

Question 18

features gram stain of francisella

Answer 18

gram negative coccobacillus

Question 19

vectors for tularemia

Answer 19

ticks or deer flies

Question 20

special media for francisella

Answer 20

chocolate agar or BCYE

Question 21

treatment for tularemia

Answer 21

Gentamicin or Streptomycin
FQs
Doxycycline

Question 22

Tularemia ppx

Answer 22

doxycycline

Question 23

features of yersinia pestis on gram stain

Answer 23

Gram negative coccobacillus
bipolar staining (Safety pin)

Question 24

treatment of plague

Answer 24

streptomycin
doxy
Cipro

Question 25

where was large outbreak of plague in 2017?

Answer 25

madagascar

Question 26

leptospirosis treatment for outpatients

Answer 26

Doxycycline

Question 27

leptospirosis treatment for inpatients

Answer 27

Penicillin

Question 28

lab feature of leptospirosis

Answer 28

bili is high out of proportion to transaminase elevation

Question 29

clinical features of brucellosis

Answer 29

Lesions in bone
Lesions in liver
Epididymo-orchitis
Endocarditis
Sacroilitis
Tenosynovitis
Meningitis
Bad smelling sweat

Question 30

treatment of brucellosis

Answer 30

Doxycycline plus rifampin or strep/gentamicin

Question 31

treatment of brucellosis in pregnant or young children

Answer 31

TMP-SMX

Question 32

unique pathology feature of Q fever

Answer 32

granulomatous hepatitis
donut granulomas

Question 33

treatment of acute Q fever

Answer 33

doxycycline
Levofloxacin
Azithromycin

Question 34

Treatment of Chronic Q fever

Answer 34

Doxycycline Plus HCQ

Question 35

gram stain of streptobacillus moniliformis

Answer 35

gram negative facultative anaerobe

Question 36

Rat bite fever but in Asia

Answer 36

spirillum minus