Class 6/9 Flashcards Preview

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Flashcards in Class 6/9 Deck (16):
1

28 y/o low-grade fever and 8 lbs weight loss, arthralgias, sore throat, dry cough with SOB
stressed and CXR showed b/l hilar nodules
CBC shows elevated white count with lymphocytosis
negative sputum cultures

Viral syndrome

2

lobar pneumonia that is responding well to Antibiotics but then later conditions worsen and there is more lucency on next X ray
best Dx now

staph aureus
necrotizing causes the lucency on x ray

3

after eating hamburgers, may are sick with high fevers, vomiting, severe abdominal pain
renal failure, hemolytic uremic syndrome
best Dx

EHEC O157.H7

4

which E coli would you see bloody stool

EHEC entero-hermorrhagic E coli
EIEC entero-invasive E coli

5

Travelers diarrhea is usually what

ETEC

6

classic CSF changes in bacterial meningitis

turbid, increased opening pressure, dec glucose and increased protein

7

what are the common etiologies of acute meningitis

Grp B strep
E coli
Listeria
H influenzae
N meningitidis

8

27 y/o nausea, abdominal cramping and watery diarrhea
vital signs unremarkable
ill after eating hot dogs and potato salad
most likely Dx

Bacillus cereus

9

27 y/o nausea abdominal cramping water diarrhea
most likely and not assoc with fever?

B cereus

10

India clinic, 27 y/o female with fever, loose bloody diarrhea
abdominal pain primarily in lower right abdomen
most likely?

Campylobacter jejuni
or yersinia enterocolitica

11

7 y/o boy in NC, low grade fever, b/l conjuntivitis
rash on distal extremities and palms of hands
most likely?

OX-19 and OX-2
Rickettsia

12

describe the rash with measles

begins on face and descends down body

13

What ticks carry Rocky Mountain spotted fever

deer tick or dog tick

14

what diseases have an eschar

cutaneous anthrax
francisella tumerensis
Rickettsial organisms except Rickettsia Ricketsii

15

47 y/o with weight loss and night sweats
CXR large cavitary lesion R apical lung
most indicated and useful test for definitive Dx?

sputum culture

16

differentiate primary and reactive TB based on CXR

primary is in middle and lower lobes
reactive is in the apices of lungs