Immunology Flashcards

1
Q

How does Anthrax present?
Common with who?

A

Small itchy bumps that turn into a black, painless ulceration
Cattle farmers or vets

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2
Q

How often to get tetanus booster?

A

Every 10 years OR

Every 5 years for patients > 7 that have come in contact with a foreign object

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3
Q

Klinefelters Syndrome
What is it?
Symptoms?
Major concern?

A

Males born with extra X chromosome

  • gynecomastia, long limbs, lack of secondary sexual characteristics, small testes
  • infertility
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4
Q

Hispanic spiritual illness causing low appetite, crying, diarrhea, death of kids?

A

Mal ojo

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5
Q

How do Asians feel about surgery?

A

Last resort, think of blood loss as depletion of vital sources

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6
Q

Fragile X syndrome characteristics

A
  • Long and thin with prominent forehead and chin and large ears
  • autism common
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7
Q

Vaccines not safe for HIV?

A

Live vaccines

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8
Q

What is DPT (diphtheria pertussis tetanus) vaccine

A

Old version of TDAP

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9
Q

What is the jarisch-herxheimer reaction?

A

Febrile reactions from spirochetes bacteria after an abx injection

Happens with syphilis / Lymes tx

Supportive care, resolves in 24hr

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10
Q

Tb test result considered positive if someone had contact with active TB

A

> 5

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11
Q

AIDs criteria

A

CD4 <200
Hairy leukoplakia
Kaposi sarcoma
Thrush
A LOT of stuff

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12
Q

What do ELISA and western blot test for?

A

HIV antibodies

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13
Q

What does anti HCV test for?

A

Hep C antibodies
Active or previous infection

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14
Q

What test is used to distinguish between active or past Hep c?

A

HCV RNA

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15
Q

Common pathogen for PNA in cystic fibrosis patients?

A

Pseudomonas aeruginosa

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16
Q

Common pathogens for AOM?

A

S. Pneu
H flu
M cat

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17
Q

Who should be tested for HIV

A

Everyone at least once age 13-64

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18
Q

Next step after positive TB test?

A

CXR

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19
Q

What is the TB vaccine given in some countries?

A

Bacillus calmette guerin

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20
Q

Way to test mucosal changes in HPV?

A

Apply acetic acid

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21
Q

HPV increases risk of what types of cancers?

A

Larynx/oropharynx, anus, penis, cervix

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22
Q

What screening is used to diagnose gonorrheal pharyngitis or proctitis?

A

Thayer-Martin culture

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23
Q

How long for animals with rabies to be quarantined?

A

10 days

24
Q

What diagnosis do we see morbiliform rash?

A

Rubeola

25
Q

When does flu season start?

A

October to May

26
Q

Medication for AIDS patients to avoid PJP (PCP)

A

Daily bactrim

27
Q

Fitz Hugh Curtis syndrome is associated with what?

A

Chlamydia Trachomatis

Complication of PID

28
Q

Which med class can cause Steven Johnson syndrome?

A

Sulfonamides

29
Q

Pregnancy while on HIV therapy
Vaginal birth?

A
  • Continue antiretroviral therapy
  • Safe as long as HIV RNA count is 1000 or less
  • C section if viral load is unknown
30
Q

How often to monitor HIV RNA while pregnant?

A
  • Every 3 months
31
Q

What to do if newborns are born with HIV?

A
  • Treat them with HIV meds for the first 4-6 weeks of life
32
Q

Pulmonary TB test

A
  • Acid-fast bacilli smear
33
Q

Treatment regimen for newly diagnosed pulmonary TB

A
  • Rifampin
  • Isoniazid
  • Pyrazinamide
  • Ethambutol
    RIPE
34
Q

What is a second line drug for TB?

A
  • Moxifloxacin
35
Q

What test is used to screen for chlamydia?

A
  • Gen-Probe assay
36
Q

What test is used to detect candida?

A

KOH

37
Q

What does a wet mount do?

A
  • Differentiate between various causes of vaginitis
  • (Trich, BV, Candida)
38
Q

A positive titer indicates what?

A
  • Immunity
39
Q

Screening tests for TB

A
  • CXR and PPD
40
Q

Diagnostic test for TB

A
  • QuantiFERON-Gold
41
Q

TB test to confirm the patient is no longer contagious

A
  • Sputum culture for acid-fast bacilli (AFB)
42
Q

Most appropriate antihistamine for an older adult who failed other treatments for allergic rhinitis

A
  • Azelastine nasal spray
43
Q

What to do if a patient got the 13 valent PCV?

A
  • Administer the 23 valent PCV 1 year later
44
Q

What to do if a patient had the 23 PCV valent?

A

Give the 15 or 20-valent PCV at least a year later

45
Q

What to give if patient had the 15 PCV valent?

A
  • They should get the 23 valent at least 1 year later
46
Q

What to do if the patient had the 20 PCV valent?

A
  • No follow up needed
47
Q

What PCV vaccine should be given first if never vaccinated?

A
  • 20 or 15-valent
48
Q

Gold standard screening test for HIV
Old test?

A
  • HIV1/2 antigen/antibody test
  • ELISA
49
Q

What is the confirmatory and most specific test for HIV?
Less expensive?
Older test?

A
  • Nucleic acid test
  • HIV1/2 differentiation test
  • Western Blot
50
Q

What time frame will HIV RNA show up?

A
  • Very recent HIV infection, less than 2 weeks
51
Q

PPD >/= 5 positive with who

A
  • HIV/immunosuppressed
  • CXR with suggestive findings
  • TB exposure
52
Q

PPD >/= 10 positive with who?

A
  • Immigrants
  • Substance abuse
  • High risk living conditions (homeless, correctional facility)
  • <90% ideal body weight
  • Children < 5
  • ESRD, DM, CA
53
Q

What abx is used for PJP prophylaxis?

A
  • Bactrim
54
Q

Which wart is associated with HPV?
Tx?

A
  • Condyloma acuminatum
  • TCA acid
55
Q

How often should CD4 count be checked?

A
  • Every 3-6 months
56
Q

What is Coombs test for?

A

SLE
Hemolytic anemia