ID Flashcards
(365 cards)
1
Q
gastroenteritis after salad consumption
A
staph aureus
2
Q
Food associated with staph (5)
A
Dairy products poultry egg product meat salad with mayonnaise
3
Q
Most commonly food tested in USMLE for staph(3)
A
Potato
macaroni
sald with mayonnaise in it
4
Q
cause of diarrhea induced by staph
A
preformed toxin
5
Q
patient on anti tb develops tingling of extremities
A
peripheral neuropathy caused by izoniazid
6
Q
treatment of peripheral neuropathy induced izoniazid
A
pyridoxine 100 mg
7
Q
prevention of neuropathy
A
pyridoxine 10 mg
8
Q
malaria with fever q 48 h(2 Syllables)
A
ovale
vivax
9
Q
Malaria with fever q 72 h
A
malariae
10
Q
Malaria without periodicity
A
P falciparum
11
Q
what to prevent in transplant patient
A
opportunistic infection
12
Q
which opportunistic infection should be prevented in transplant patient?(5)
A
PCP CMV HEP B pneumonie influenza
13
Q
drug preventing PCP
A
TMS
14
Q
drug preventing CMV(2)
A
valacyclovir
ganciclovir
15
Q
Which bugs TMS help to prevent(5)
A
PCP TOXO Nocardia Pneumonia UTI
16
Q
screening test for HIV
A
hiv serology test by elisa
17
Q
confirmatory test for HIV test
A
western blot
18
Q
Travelers diarrhea persisting more than 2 weeks(5)
A
C parvum cyclospora cystoisospora microsporidia giardia
19
Q
Patient returning from eastern europe develops watery stools,no leucocytes and no blood in it
A
cryptosporidium parvum
20
Q
Travelers diarrhea and short term course diarrhea?(7)
A
rotavirus norovirus salmonella shigella campylo bacter ETEC entero toxigenoic EPEC Entero pathogene
21
Q
Travelers diarrhea and bloody spell(3)
A
salmonella
shigella
campylobacter
22
Q
Mechanism of ostomyelitis in diabetics patients with foot ulcer?
A
contiguous spread
23
Q
Travelers diarrhea and pseudoappendicitis
A
campylobacter
24
Q
Rx of PCP
A
TMS
prednisone
25
when giving prednisone with the lower risk in PCP(2)
PAo2 35
26
Conter indication with TMS for PCP treatment(4)
Dapsone
Pentamidine
atavoquone
clindamycine plus primaquine
27
side effect of TMS(4)
HyperK+
rash
increase transaminase
neutropenia
28
side effect of pentamidine(4)
hyperK+
Hypotension
increase transaminase
nephrotoxicity
29
side effect of dapsone
Hemolytic anemia(G6PD)
30
side effect of primaquine(2)
Hemolytic anemia
| methemoglobin
31
Bugs causing cutaneous larva migrans
ancylostoma braziliense
32
People at risk of cutaneous larva migrans(2)
sand boxes
| activity on sandy beaches
33
Manif of cutaneous larva migrans(3)
pruritic lesion on hand
papules
erythema
34
Most effective way to decrease risk of infection in bladder catheterisation
intermittent catheterisation
35
UTI and high urine PH >7
proteus mirabilis
36
How proteus mirabilis causes high PH
urease producer bug
urease cleaves uree en co2 et ammonia
ammonia bonds to H+--->ammonium
37
risk with proteus infection(2)
high unrine PH
| risk of struvite
38
Urease producing bacteria(6)
```
klebsiella
morganella
uraplasma urealyticum
pseudomonas
providencia
staph aureus
```
39
Risk of infection by urease poducing bacteria
indwelling catheter
40
Quid of febrile neutropenia
fever
| Neutrophile
41
risk in febrile neutropenia(2)
infection
| often pseudomonas
42
Empiric treatment of febrile neutropenia(3)
cefepime or ceftazidime
meropenem or imipenem
or combination aminoglycoside plus antipseudomonal antibio
43
clostridium difficile colitis
diarrhea following by prise d'antibio
44
fisrt step in clostridium difficile treatment?
stool toxin testing
45
toxin produced by C difficile(2)
Enterotoxin A
| Enterotoxin B
46
action enterotoxin A
Watery diarrhea
47
Action of enterotoxin B
cell necrosis
48
complication of pseucolitis membranous
Megacolon
49
Dx test of pseudocolitis membranous (2)
sigmoidoscopy
| PCR
50
Sigmoidoscopy of pseudocloitis membranous
pseudomembranes
51
PCR of pseudocloitis membranous
toxin genes
52
Empiric antibio for meningitidis in elder people > 50 ans(3)
Cefepime
vancomycin
ampicillin
53
drugs used in pseudomembranous colitis?(3)
Metro or
vancomycin or
fidaxocin
54
bugs causing meningitidis in 2-50 ans(2)
S pneumonia +
| N meningitidis
55
Rx of meningitidis in 2-50 ans(2)
vancomycin +
| 3 e generation cephalosporin
56
bugs causing meningitidis > 50 ans(3)
S pneumonia
N meningitidis
Lysteria
57
bugs causing meningitidis in immuno compromised patient?(4)
S pneumonia
N meningitidis
Lysteria
gram negative bugs
58
Rx of meningitidis in immunocompromised patient(3)
cefepime+
vancomycin+
ampicillin
59
bugs causing meningitidis after neurosurgery or skull penetrating trauma(3)
staph aureus
staph with coagulase negative
gram negative rods
60
treatment of meningitidis after neurosurgery or skull penetrating trauma(2)
vancomycine
| cefepime
61
Manif of babesiosis?
Malaria like symptom
62
area in the US with babesiosis?(2)
Northeastern
| Babesiosis
63
cause of babesiosis?(2)
tick bite
| ixodes
64
rx of babesiosis?(2)
quinine -clindamycin or
| atovaquone - azythromycin
65
cause of infectious upper respiratory illness(3)
influenza
viral upper respiratory syndrome
streptococcal pharyngitis
66
clue for influenza
systemic symptom prevails
67
clue for viral respiratory syndrome(2)
rhinorrhea
| coryza prevails
68
indication of treatment for influenza(3)
rx must be initiated within 48 h
no improvement after 48 h
risk of complications
69
patient with influenza presenting after 48 h of symptoms
| rx?
symptomatic treatment
70
drug use in the treatment of influenza?(2)
oseltamivir
| zanamivir
71
gardner with painless ulcer on finger?
sporotrichosis
72
bug causing sporotrichosis?
sporotrix shenkii
73
Rx of fight bite?clench fist injury
bactoclav
74
rx of bite dog
bactoclav
75
watery or bloody diarrhea after ingestion of seafood?
vibrio para hemolyticus
76
seafood infected by vibrio parahemolyticus?(2)
oyster
| shrimp
77
bugs causing cat scrath fever?
bartonella henselae
78
rx of cat scratch fever?
azythromycin pendant 5 jours
79
Dx of cat scratch fever?(2)
antibody
| warthy starry stain positive
80
risk factor for endocarditis
IV drug user
81
clue for endocarditis in IV drug user(2)
fever
| holosystolic murmur in tricuspid
82
valve invoved in endocarditis in IV drug user
Tricuspid
83
rx of endocarditis in IV drug user?
vancomycin
84
why vanco in so used in endocarditis?(3)
coverage of
staph aureus
streptococci
enterococci
85
risk of cervico actinomycosis?(5)
```
after dental procedure
poor oral hygiene
diabetics
malnutrition
local tissue damage from malignancy or irradiation
```
86
clue for cervico facial actinomyosis?
Mandibulaire abces after dental procedure
87
Rx of cervico facial actinomycosis?
penicillin
88
bug with sulfur granules
actinomycosis
89
Micro characteristic of actinomyces israeli(2)
gram +
| branching rods
90
Work up nof infectious mono
Heterophile antibody
91
work up of mono if infectious mono if heterophile antibody is negative?
EBV specific antiboby
92
IV drug user and pulmonary findings
Infective endocarditis complicated by septic pulmonary emboli
93
Dx of Mycobacterium leprae
hypopigmented plaque without sensation
94
zone of predilection of mycobacterium leprea
forearm
95
geographic area of predilection of mycobacterium leprea
asia
96
dx of myco leprae and finding(2)
skin biopsy
| acid fast bacilli
97
bugs causing shingles
herpes zoster
98
dermatomes most commonly involved in shingles
T3
| L3
99
Rx of choice of shingles
valacyclovir
100
chicken pox quid
varicella
101
what to do in patient developping endocarditis with strep bovis(strep gallotycus type 1)
rule out colon cancer by colonoscopy
102
clue for CMV diarrhea in hiv patient(2)
colonic ulceration
| basophilic intracystoplasmic inclusion
103
HIV patient with bloody diarrhea with normalstool examination?
colonoscopy to rule out CMV infection
104
quid of owl's eye effect?(2)
eosinophilic intranuclear inclusion and
| basophilic intracystoplasmic inclusion
105
meaning owl's eye effect?
CMV
106
Rx of CMV(2)
ganciclovir
| foscarnet
107
cause of kaposi sarcoma?
HHv-8
108
Quid of 3 phases of trichenella(round worm)(3)
intrestinal
systemic with hypersensitivity
Muscular
109
Quid of systemic phase?(hypersensitivity phase)(3)
splinter hemorrage
chemosis
retinal hemorrage
110
what happened in muscular phase?
Muscular pain
111
reservoir of trichinella
undercooked pork
112
Triad for trichenellosis?(3)
Myositis
periorbital edema
eosinophilia
113
chemoprophylaxis for malaria
consider if the zone has Plasmodium F
| if Plasmodium F is susceptible or resistant
114
area with resistant Plamsdodium F(2)
subsaharan africa
| southern southeast Asia
115
prophylaxis for resistant P falciparum(3)
atovaquone plus proguanil
dox
mefloquine
116
prophylaxis for zone susceptible P falciparum?
chloroquine
117
area without falciparum(3)
south america
mexico
korean peninsula
118
drug used in prophylaxis in zone with no falciparum
primaquine
119
prohylaxis for malaria in pregnant women?
mefloquine
120
clue for coociiodomycosis?(2)
pulmonary symptom
| erythema nodosum
121
endocarditis with heart valve damage?
Mitral valve prolapse
| mitral regurgitation
122
bugs most commonly involved in damaged heart valve
strep mutans
123
step mutans treatment
vancomycin
124
gold standard for endocarditis dx?
transesophageal echo
125
pyelonephitis rx in diabetics(2)
ceftriaxone pdt 48-72H
| switch by TMS or ciprox
126
pyelonephritis in patient without diabetes?
ciprox or
| TMS
127
duration of oral rx of pyelonephritis
10 a 14 jours
128
rx of pyelonephritis in pregnant women? (2)
ceftriaxone
plus ou moins genta or
aztreonam
129
risk factor for toxic shock syndrome?(4)
tampon
nasal package
post surgery(sinorhinoplasty)
infectiuos sinusitis
130
cutaneous manif in toxic shock syndrome
macular erythroderma like sunburn
131
clue important for TSS
thrombocytopenia
132
quid of TSS toxin
superantigen activating T cells
133
pig farmer with seizures
neurocysticercosis
134
quid of T solium
it's a tape worm
135
what's the cause of neurocysticercosis?
egg ingestion of T solium
136
if you eat the meat ot the PIG what will happen?
you will develop the intestinal T solium
137
chronic cough of immunocompromised patient and presence and presence of gram + partially acid fast organism branching rods?
nocardia
138
rx of nocardia?
TMS
139
cause of pulmonary cavitation?(6)
```
TB
Nocardiosis
atypical mycobacterium
anaerobes
gram negative rods
aspergilosis
```
140
First disease to check in front of neck adenopathy with sore throat?
Mono infectious
141
second disease to check in front of neck adenopathy with sore throat?
hiv
142
when Mono infectious patient develops rash
when antibio is given
143
the most common cause of of pneumoniae in immunocompromised patient (hiv)
pneumococcus
144
why pneumococcus is so common in hiv patient(2)
because of failure of humoral immunity
| encapsulated germs cause infeection easily
145
joint pain in polyarticular symmetric in school teacher in daycare center
parvovirus B19
146
dx of Parvovirus B19 in immunocompetent individuals
IGM B 19
147
dx of Parvovirus B19 in immunocompromised individuals
NAAT(nucleic amplification testing)
148
acute infection(actuelle)
IGM
149
chronic infection antibody
Ig G
150
iv drug user with splenic fluid collection
splenic abcess
151
risk factor for splenic abcess(5)
```
infective endocarditis(any hematogenous spread infection)
hiv
iv drug user
hemoglobinopathy(sickle cell disease)
trauma
```
152
clue for splenic abcess(2)
left pleural chest pain
| left upper abdominal chest pain
153
Dx of splenic abcess
abdomen ct scan
154
Rx of splenic abcess(2)
splenectomy
| antibiotics
155
rx of splenic abcess for poor candidate to surgery(2)
drainage
| antibio
156
bugs involving in splenic abcess?(3)
strep
staph
salmonella
157
complication of EBV
autoimmune hemolytic anemia
158
why hemolytic anemia in EBV
cross rectivity of antibody with red blood cells
159
dx of autoimmune hemolytic anemia
direct coobs test
160
antibody causing red blood cell lysis in EBV
Anti I antibodies or
| cold agglutinin
161
other blood cells destroyed in EBV infection
platelet
162
bug causing post influenza pneumonia
staph aureus
163
patient with rhinorhea ,fever and cough treted with a dru mild improvement but later cough and fever
post influenza pneumonia
164
situation for staph aureus to cause pneumonia(5)
```
hospitalized patients
cystic fibrosis
iv drug user
nursing home residents
post influenza
```
165
quid of atypical lymphocytes in viral lymphocytes
basophilic lymphocytes with vacuolated appearance
166
bugs causing atypical lymphocytes(2)
EBV
| CMV
167
mononucleosis like syndrome(3)
arthralgie
Mx aches
CMV
168
diarrhea associated with unrefrigerated food
clostridium perfringens
169
diarrhea associated with poultry or eggs
salmonella
170
diarrhea associated with undercooked shellfish
vibrio vulnificus
171
bloody diarrhea with fever the most common cause
E coli
172
what not to do during E.coli diarrhea
no antibio
173
3 most common cause of bloody diarrhea(3)
e coli
shigella
camplylobacter
174
Dx for E .coli
Shiga toxin
175
secondary syphilis
maculo papular rash ivolving palms and soles
176
Jarish herxheimer reaction
abnormal PNC reaction during syphilis reaction
177
quid of jarish herxeimer syndrome(2)
fever
| myalgia
178
date de debut de jarish herxeimer
24 hours after beginning of rx with PNC
179
appearance of condyloma acuminata
verrucous papilliform lesion
180
cause of condyloma acuminata
HPV
181
3 modalities of rx for condyloma acuminata
methode chimique ou physique
immune therapy
surgery
182
Methode chimique ou physique used to rx condyloma acuminata(3)
trichloroacetic acid
podophylin
5-fluouracil epinephrine gel
183
quid of immune therapy to rx condyloma acuminata(2)
interferon alpha
| imiquinod
184
surgery to rx condyloma acuminata(3)
laser
cryotherapy
excision
185
bugs causing bacillary angiomatosis
bartonella angiomatosis
186
people at risk for bartonella angiomatosis
HIV
187
Rx of choice for bartonella angiomatosis
erythromycin
188
Kissing disease
Mononucleose infectieuse
189
when heterophile antibody cannot be positive
in the first week
190
bone marrow transplanted patient with digestive and pulmonary problem?
CMV
191
Median to develop CMV infection after bone marrow transplanted
45 days
192
clue for vertebral osteomyelitis(2A)
fever
| focal spinal tenderness in physical exam
193
when to ask MRI devant vertebral osteomyelitis?(2)
negative xray
| with high CRP and ESR
194
bugs causing endocarditis on native valves following dental procedures
viridans group
195
quid of viridans group?(4)
sanguis
mitis
salivarius
mutans
196
Pneumonia in nursing home
staph aureus
197
rx of cerebral toxo
sulfadiazine pyrimethamine
198
prophylaxis of toxo
Tms
199
PPD in US citizen positive
15
200
PPd 15 in US citizen next step
ask chest x ray
201
PPd positive in immunocompromised patient when
5
202
Positive PPD in endemic TB area
>10mm
203
positive PPD in prisoner
>10
204
positive PPD in iv drug user
>10
205
PPD > 10 mm for which patient (5)
```
diabetes
chronic disease
children less than 4
fibrotic lung disease
hematogenous malignancy
```
206
chest xay plus cavern et PPD 5 mm
TB
207
clue for histoplasmosis(3)
hiv
palatal ulcers
involvement of reticuloendothelial cells
208
quid of reticuloendothelial sites in histoplasmosis(4)
adenopathy
hepatomegaly
splenomegaly
Pancytopenia
209
clue for aspergilosis(2)
pulmonary nodule
| halo sign
210
quid of halo sign
lesions with air crescent
211
cd4
MAC prophylaxis
212
prophylaxis of MAC
azythromycin or
| clarythro
213
cause of esophagitis in hiv patient?(4)
candida
CMV
Herpes simplex
aphtous ulcer
214
characteristic of CMV ulcer
linear pattern
215
characteristic of herpes ulcer
round ovale
216
cd4 for esophagitis
less than 100
217
clue for erlichiosis(5)
```
tick bite
fever
Increase of transaminase
leukopenia
low platelet
```
218
other name for erlichiosis
spotless rocky mountain spotted fever
219
drug of choice for erlichiosis
dox
220
rx of lyme disease in in pregnant and lactating women
amox
221
rx of nocardia(2)
TMS
| or Minocycline
222
Micro of Nocardia
partially acid fast
223
clue for meningococcemia(3)
fever
stiff neck
purpura
224
clue for lyme disease
erythema migrans
225
rash beginning in face and spreading over the body sparing hands and soles plus adenopathies,fever et coryza
rubella
226
dx test for rubella(2)
PCR
| serolgy
227
clue for congenital rubella(3)
cataract et glaucoma
cardiac problem
hearing loss
228
prevention of rubella
live attenuated vaccine
229
endocarditis with staph aureus
IV drug user
IV catheters
pacemaker
defibrillator
230
endocarditis with staph coagulase negative
IV catheters
pacemaker
defibrillator
231
endocarditis in nocosomial UTI
enterococci
232
endocarditis in colon cancer and IBD
streptococcus gallolyticus type 1
233
fungi endocarditis(3)
indwelling catheter
immunocompromised host
prolonged antibi use
234
Indication of broncho alveolar lavage(3)
PCP lung
CMV lung
malignancy of lung
235
late manif of Lyme disease(2)
unilateral facial palsy 7
| Myalgia
236
when you will have late manif of Lyme
after months to years
237
early manif of Lyme
erytherma migrans
238
when you will see early manif
1 day to month
239
the most commonly involved nerve in Lyme
7
240
rx of influenza(3)
neuraminidase inhibitor
oseltamivir
zanamivir
241
raison to begin antiviral in influenza(7)
```
65 ans
pregnant women or up two weeks post partum
chronic illness
nursing home and chronic facility
obesity
immunosuppression
american indians and native americans
```
242
what not to do in all patient with splenomegaly(2)
no palpation
| no physical contact
243
risk in patient with splenomegaly
splenic rupture
244
severe pyelonephritis in diabetes and renal insufficiency(4)
ampi-sulbactam
meropenem
imipenem
aztreonam
245
Quid of erythroderma in TSS
desquamation involving palms and soles
246
rx of primary syphilis
one dose of PNC
247
rx of primary syphilis si allergy a PNC
dox pdt 14 jours
248
rx of secondary syphilis
one dose of PNC
249
rx of secondary syphilis si allergy a la PNC
dox pdt 14 jours
250
rx of latent syphilis
3 doses of PNC
251
rx of latent syphilis si allergy a la PNC
dox pdt 14 jours
252
rx of tertiary syphilis
PNC G pendant 14 jours
253
rx of tertiary syphilis si allergy a la PNC
ceftriaxone pdt 14 jours
254
rx of pregnancy
PNC
255
rx of pregnancy si allergy a la PNC
desensitization plus
| PNC
256
tertiairy syphilis in eyes
argill robertson pupil
257
tertiairy syphilis in neurology(2)
tabes dorsalis
| dementia
258
tertiairy syphilis in cardio vx(2)
aneurism
| insuffisance aortique
259
tertiairy syphilis in skin involvement
gummas
260
clue for blastomycosis(4)
cough
wartlike skin lesion
bone osteomyelitis
orchite
261
pneumoniae staph aureus(2)
pneumatocele=
| multiple thin walled cavities
262
post influenza infection(3)
staph aureus
streptococcus pneumoniae
Hi flu
263
cause of necrotizing pneumoniae
staph aureus
264
5 criteria for lyme disease prophylaxis
```
attached tick(adult or nymphal)
tick attached more than 36 h ou engorged
pas de contreindication a dox
tick removal within 72 h
local burgdoferri rate infection >/20%
```
265
area with lyme disease >/ 20 % rate of infection
new england
266
esophagitis in hiv patient with normal oral mucosa(2)
HSV
| CMV
267
clue for viral encephalitis
high lymphocytes in CSF
268
rx of viral encephalitis
acyclovir
269
normal csf analysis
glucose 45-80
WBC 0-5
protein 18-58
270
how to differentiate bacteria from TB meningitis(3)
both protein > 400
both high WBC but > 1000 bacteria
glucose
271
meningitidis with normal glucose
viral
272
protein in viral meningitidis
273
guillain barre CSF(2)
high protein
| normal WBC
274
endocarditis in intact valve cardiac in patient with poor hygiene or after dental manipulation
HACEK group
275
HACEK group(5)
```
hemophilus aprophilus
aggregatibacter actinomycetam comitans
cardiobacterium hominis
eiknella corrodens
kingella kingae
```
276
deep ulcer in esophagitis,volcano like
herpes
277
superficial ulcer in esophagitis
CMV
278
patient with lithiase renal on arv
indinavir
279
patient with pancreatitis on arv
didanosine
280
patient with acidosis lactate on arv
NRTI
281
patient with hypersensitivity syndrome on arv
abacavir
282
patient with steven jhonson syndrome on arv
NNRTI
283
patient with liver failure on arv
nevirapine
284
rapid dx test of histoplasmosis(2)
urine antigen test
| or serum antigen test
285
rx of mild to moderate histoplasmosis
itraconazole IV
286
rx for severe histoplasmosis
amphotericin B for 2 weeks,puis itraconazole for 1 year
287
cd4 to have histoplasmosis infection in HIV patient
288
people at risk for hydatid cyst
sheep breeder
289
bug causing hydatid cyst
echinococcus granulosis
290
pneumonia in intubated patient
pseudomonas
291
rx of pseudomonas(2)
cefepime
| piperacilin -tazobactam
292
diarrhea work up in hiv patient(3)
stool culture
ova parasites search
c difficile toxin
293
pneumoniae vaccines in HIV criteria
cd4> 200
| repeat in 5 years
294
indication Hep A vaccine
```
Hep B and C infection
IV drugs user
Men having sex with men
travel in endemic area
health care worker
```
295
indication of hiflu B vaccines
asplenie
296
indication of menigoccoque vaccines(5)
```
soldier
college
asplenique
endemic region
complement deficiency
```
297
laps of time for DT
q 5 ans
298
influenza vaccine periodicity
annually
299
patient with cd4
MMR
| influenza intra nasal
300
osteomyelitis in adult after nail wound puncture
pseudomonas
301
how much time will be needed to see osteomyelitis symptom on xray
after 2 weeks
302
rx of osteomyelitis in nail puncture wound
quinolones
303
pneumonia in nursing home
s pneumoniae
304
triad of erlichiosis(3)
low platelet
low wbc
increase transaminase
305
clue for mucormycosis
diabetic patient with facial pain and bloody nasal discharge
306
EP for mucormycosis
right side nasal turbinate is necrotic
307
rx of mucormycosis(2)
debridement
| amphotericin B
308
bug causing mucormycosis
rhizopus a fungi
| koh positif
309
animals of high risk for rabies(5)
```
bat
racoon
fox
coyote
skunk
```
310
animals with low risk for rabies(5)
```
mouse
rabbit
rat
squirrell
chipmunk
```
311
in case of dog bite what to do(2)
observe for 10 days
| si no changes pas de prophylaxis
312
management of bit ein high risk animal
post exposure prophylaxis if animal can't be tested
313
for low risk animal what to do
no prophylaxis
314
management of bite bat
clean the wound
| vaccines plus immunoglobulin in unvaccinated individuals
315
malignant of otitis externa malignant
pseudomonas
316
terrain for malignant otitis externa
diabetics
317
clue for pseudomonas infection in ears(2)
ear pain
| granulation tissue in the external anatomic canal
318
pseudomonas involvement(4)
burn
otite externe in diabetics
ostomyelitis in nail woun poncture
pneumonie chez les intubes
319
quid of osler nodes and meaning(2)
lesions on fingertips
| endocarditis
320
patient with rhumatic heart disease develop fever and cardiac murmur after cystocopy
enterococcus fecalis(enterococcus)
321
immunodepression with meningitidis csf showing encapsulated yeast
criptococcus neoformans
322
patient with infective endocarditis,first step
blood culture(not echo) positive for stap,strep or enterococci
323
Major duke criteria
blood culture
| echo
324
echo finding in endocarditis
vegetation
325
Minor criteria for duke(5)
```
fever
IV drug user
predisposing cardiac problem
embolic phenomenon
immunologic phenomenon
positive blood culture other than the above criteria
```
326
immunologic phenomenon in endocarditis
glomerulonephritis
327
Most common finding in endocarditis 3/4 patient
fever
| heart murmur
328
positive duke criteria(2)
2 major et 1 minor or
| 3 minor plus one major
329
possible endocarditis
1 minor plus 1 major or
| 3 minors
330
quid of roth spots
retinal hemorrage
331
quid of criteria
heps to approach patient more methodically
332
BCC appearance
reddish patch or irritated area
shiny bump or nodule pearly translucent often pikn red or white
pink growth with slightly elevated border and a crusted indentation in the center
scarlike area with white waxy or yellowwith poorly definedborders
333
skin involvement in IE(4)
osler nodes
Janeway lesion
petechiae
splinter hemmorrages
334
difference between CMV and EBV(3)
no sore throat
no adenopathy in CMV
mononucleosis like syndrome
335
IE after bronchoscopy or endoscopy
viridans group
336
3 phases of malaria
cold stage
hot stage
diaphoresis
337
why diabetes are prone to foot ulcer(2)
arterial insufficiency
| peripheral neuropathy
338
staghorn calculi
struvite calculi
339
what to rx infection in presence of struvite calculi(2)
antio
| remove all fragments of calculi
340
what to do in presence in febrile neutropenia
admit the patient
341
tick borne disease with no rash
babesiosis
342
babesiosis with purpura or petechiae
low platelet
343
PCP xray
intersticial infiltrate
344
blood test in PCP
LDH High
345
why amantadine rimantadine limitation
act only on influenza
346
site of invasion of sporotrichosis
lymphatics to form nodules and skin ulcer
347
hematochezia and lower abdominal cramps (5)
```
cmv
c difficile
shigella
e Hystolytica
campylobacter
```
348
biopsy in CMV
owl's eye effect
349
most commonly organ involved in nocardia infection
lung
350
in bladder catheterization how bacteria get in the bladder
by biofilm formation
351
skin lesion of bacillary angiomatosis
friable exophytic vascular non tender nodu;es
352
diarrhea after consuming rice in chinese restaurant
bacillus cereus
353
condition to have esophagitis in hiv
cd4
354
most common valvular dysfunctions causing IE
mitral regurgitation
355
clue skin of blastomycosis(3)
wart like lesions
violaceous lesions
skin ulcers
356
How to detach the tick in Lyme
with tweezer
357
condition to use prophylaxis in Lyme
all 5 criteria should be met
358
risk of IE caused by HACEK
periondotal infection
359
bugs causing septicemia in hemochromatosis
lysteria
vibrio vulnificus
yersinia enterolytica
360
why septicemia in hemochromatosis(2)
impaired phagocytosis
| increase bacterial virulence in presence of high iron serum
361
when to vaccinate for HPV(2)
9-26 ans femme
| 11-26 ans homme
362
vaccin contre indique in HIV si cd4
MMR
varicella
zoster
influenza intra nasal
363
rx of cryptococcus cerebral
amphotericin plus flucytosine
364
bug causing erysipela
b hemolytic du groupe A(S pyogenes)
365
skin lesion in erysipela
sharply demarcated edematous erythematous tender skin lesions with raised border
