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► Med 11.1 - USMLE 2 > ID > Flashcards

Flashcards in ID Deck (365):
1

gastroenteritis after salad consumption

staph aureus

2

Food associated with staph (5)

Dairy products
poultry
egg product
meat
salad with mayonnaise

3

Most commonly food tested in USMLE for staph(3)

Potato
macaroni
sald with mayonnaise in it

4

cause of diarrhea induced by staph

preformed toxin

5

patient on anti tb develops tingling of extremities

peripheral neuropathy caused by izoniazid

6

treatment of peripheral neuropathy induced izoniazid

pyridoxine 100 mg

7

prevention of neuropathy

pyridoxine 10 mg

8

malaria with fever q 48 h(2 Syllables)

ovale
vivax

9

Malaria with fever q 72 h

malariae

10

Malaria without periodicity

P falciparum

11

what to prevent in transplant patient

opportunistic infection

12

which opportunistic infection should be prevented in transplant patient?(5)

PCP
CMV
HEP B
pneumonie
influenza

13

drug preventing PCP

TMS

14

drug preventing CMV(2)

valacyclovir
ganciclovir

15

Which bugs TMS help to prevent(5)

PCP
TOXO
Nocardia
Pneumonia
UTI

16

screening test for HIV

hiv serology test by elisa

17

confirmatory test for HIV test

western blot

18

Travelers diarrhea persisting more than 2 weeks(5)

C parvum
cyclospora
cystoisospora
microsporidia
giardia

19

Patient returning from eastern europe develops watery stools,no leucocytes and no blood in it

cryptosporidium parvum

20

Travelers diarrhea and short term course diarrhea?(7)

rotavirus
norovirus
salmonella
shigella
campylo bacter
ETEC entero toxigenoic
EPEC Entero pathogene

21

Travelers diarrhea and bloody spell(3)

salmonella
shigella
campylobacter

22

Mechanism of ostomyelitis in diabetics patients with foot ulcer?

contiguous spread

23

Travelers diarrhea and pseudoappendicitis

campylobacter

24

Rx of PCP

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