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step 1- microbio > i've got worms inside me! > Flashcards

i've got worms inside me! Flashcards

1
Q

beavers, camping, fatty frothy and smelly poo, cysts/trophozites?

A

giardia (duh)

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2
Q

flask-shaped ulcer, bloody diarrhea, liver abscess with anchovy paste exudate?

A

entamoeba

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3
Q

mild diarrhea in day care, really bad diarrhea in AIDS?

A

crypto

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4
Q

eating raw pork, preggo cleaning cat litter?

A

toxo!

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5
Q

meningoencephalitis that kills quickly after swimming in a lake?

A

naegleria fowleri - enters thru cribiform

no cysts - just amoeba in spinal fluid

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6
Q

LAN, fever, somnolence, coma?

A

african sleeping sickness
trypanosoma brucei
tsetse fly

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7
Q

i got the sleeping sickness? what can you give me?

A

suramin if blood-borne

melarsoprol for CNS

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8
Q

cyclical fever, africa, mosquitoes?

A

malaria

worst is falciparum - irregular fever, cerebral

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9
Q

how to tx malaria?

A

chloroquine if vivax/ovale; add primaquine if have hypnozoites
quinidine or artesunate if life-threatening or falciparum
CHECK for G6PD

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10
Q

fever and hemolytic anemia in NE US?

A

babesiosis, ixodes tick

ring form and maltese cross on blood smear

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11
Q

how to tx babesiosis?

A

atovaquone and azithro

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12
Q

how to tx entamoeba?

A

metronidazoleiodoquinol if asx cyst passer

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13
Q

how to tx crypto?

A

nitazoxanide if immunocompetent

no good tx for immunocompromised

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14
Q

how to tx toxo?

A

sulfadiazine + pyrimethamine(bactrim for ppx)

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15
Q

help! i’m from brazil and my heart, colon, and esophagus are ginormous! also one eye is swollen! what is wrong?

A

chagas! reduviid bug

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16
Q

how to tx chagas?

A

benznidazole or nifurtimox

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17
Q

malnourished child, spiking fevers, hepatosplenomegaly, pancytopenia?

A

leishmaniasis
sandfly
dx: macrophages containing amastigotes (tiny dots)

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18
Q

how to tx leishmaniasis?

A

amphoB

sodium stibogluconate

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19
Q

green and itchy and burning vagina, strawberry cervix, wiggly guys on wet mount?

A

trichgive metronidazole to partner too

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20
Q

itchy butt at night?

A

enterobius vermicularis (pinworm)
fecal oral
scotch tape test

21
Q

tx enterobius?

A

bendazoles

22
Q

GI sx, obstruction, eggs seen in feces on microscopy?

A 
ascaris lumbricoides (giant roundworm)
fecal oral
23
Q

tx ascaris?

A

bendazoles

24
Q

stepped in sand, now sx like peptic ulcer (vom, diarrhea, epigastric pain)?

A

strongyloides stercoralis

25
Q

tx strongyloides?

A

ivermectin or bendazoles

26
Q

stepped on sand, now anemic with GI sx?

A

hookworms: ancylostoma, necator

27
Q

tx hookworms?

A

bendazoles

pyrantel pamoate

28
Q

ate undercooked pork, now myalgias, fever, periorbital edema?

A

trichinella spiralis

encysted in striated mm

29
Q

tx trichinella?

A

bendazoles

30
Q

black skin nodules and blind?

A

onchocerca volvulus - river blindness

female blackfly bite

31
Q

tx river blindness?

A

ivermectin

32
Q

my skin is swelling and there are worms in my eye?

A

loa loa

deer/horse/mango fly bite

33
Q

tx of loa loa?

A

diethylcarbamazine

34
Q

elephantiasis?

A

wuchereria bancrofti

female mosquito bite

35
Q

tx wuchereria?

A

diethylcarbamazine

36
Q

which are the nematodes you eat?

A

enterobius
ascaris
trichinella
toxocara

37
Q

which are the nematodes that go thru skin?

A

strongyloides
ancylostoma
necator

38
Q

which are the nematodes that you get from a bite?

A

loa loa
onchocerca
wuchereria

39
Q

eating undercooked pork, CNS sx?

A

taenia solium

cysticercosis

40
Q

tx taenia?

A

praziquantel

albendazole if neurocysticercosis

41
Q

ate raw fish, now B12 deficient w/o sx?

A

diphyllobothrium latum

42
Q

tx diphyllobothrium?

A

praziquantel

43
Q

ate dog feces, hang around sheep, now cysts in liver?

A

echinococcus granulosus

44
Q

tx echinococcus?

A

albendazole

45
Q

pet snail, hepatosplenomegaly, bladder squamous cell carcinoma, pulmonary htn?

A

schistosoma (mansoni, haematobium)

penetrate skin

46
Q

ate some undercooked fish, now with gallstones or cancer?

A

clonorchis sinensis

pigmented gallstones

47
Q

tx of schistosomiasis?

A

praziquantel

48
Q

tx of clonorchis?

A

praziquantel

step 1- microbio (8 decks)

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