Infectious Flashcards

(193 cards)

1
Q

Features of malabsorption

A

Diarrhea
Steatorrhea
Weight loss

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2
Q

Hib involved in

A

Acute epiglottitis
Acute exacerbation of COPD
Pneumonia

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3
Q

Diff between amoebesis and giardasis

A

A: long incubation period with bloody diarrhea
G: long incubation period with non bloody diarrhea and malabsorption features

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4
Q

Treatment of amoebesis and giardasis

A

Metronidazole or tinidazole for 7 days

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5
Q

Investigation for amoebesis

A

Stool microscopy (hot stool)

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6
Q

Investigation for amebic liver abcess

A

ultrasound (gold standard)
serology is positive in > 95%

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7
Q

Anchovy sauce

A

amebic liver abcess

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8
Q

Organism common for dog bite

A

Pasteurella multocida.

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9
Q

painless black aschar

A

Anthrax

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10
Q

Organism involved in acute epiglottitis

A

Hib

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11
Q

Bacillus anthracis is gram ____

A

gram positive rod

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12
Q

Woolsorters disease

A

Anthrax

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13
Q

tripartite protein toxin

A

bacillus anthracis

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14
Q

Cell wall synthesis inhibition

A

penicillin and cephalosporin

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15
Q

DNA synthesis inhibitor

A

Quinolones
Metronidazole
Sulphonamide
trimethoprim

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16
Q

RNa synthesis inhibitor

A

rifampicin

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17
Q

cardiac adverse effect of macrolide

A

prolongation of QT interval

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18
Q

Antiviral CI in asthmatics

A

Zanamivir (cause it caues bronchospasm)

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19
Q

first line in influenza (antiviral)

A

Oseltamivir
Alternate: Genamivir

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20
Q

Treatment for acute prostitis

A

Quinoles (ciprofloxacilin) first line
Trimethoprim

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21
Q

Treatment for impetigo

A

Topical fuscidic acid

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22
Q

Treatment for cellulitis and eryspelias

A

Flucloxacillin

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23
Q

Cellulitis near eye

A

co amoxiclav

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24
Q

when co amoxiclav cant be given

A

doxy + metro in case of human bite

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25
Salmonella and shigellosis
Ciprofloxacilin
26
1st line for lower UTI
Nitrofurantoin if eGFR < 45ml : pipmysellenium 2nd line: fosfomycin and when eGFR <15ml/min : only fosfomycin
27
Treatment for chlamydia
Doxycyclin And if pregnant: Azithromycin
28
Syphilis treatment
long acting benzthine penicillin
29
Bacterial vaginosis treatment
oral or topical metronidazole
30
SIDE EFFECT OF CHLORAMPHENICOL
APLSTIC ANEMIA
31
Side effect of clindamycin
c.defficile diarrhea
32
Side effect of tetracyclin
discolouration of teeth and photosensitivity
33
Antiviral containdicated in asthmatics
Genamivir
34
xray showing fungal ball cavity with crescent sign
Aspergilloma
35
treatment for aspergilloma
Oral steroids 2nd line: oral antifungal
36
Gardenella vaginalis is gram ____
gram positive coccobacilli
37
Microscopy showing clue cells
bacterial vaginosis
38
positive whiff test
Bacterial vaginosis
39
CI for BCG vaccine
previous BCG vaccination a past history of tuberculosis HIV pregnancy positive tuberculin test (Heaf or Mantoux) Any immunosuppressive condition
40
patient usually fully conscious with no sensory disturbance flaccid paralysis diplopia ataxia bulbar palsy
Botulism
41
Unpasturized milk
brucellosis
42
Treatment for c.jejuni
clarithomycin
43
C.jejuni is gram ____
gram negative bacillus
44
45
Organism involved in chancroid
h.ducreye
46
Treatment for chancroid
Doxycyclin
47
Complication of chicken pox
Necrotizing fascitis
48
Chickenpox spreads via which route
respiratory
49
Initially macular then papular then vesicular (MPV)
CHICKEN POC RASH
50
Koplik spots is pathognomic of
Measles
51
most common complication of mumps
male : orchitis
52
hand foot mouth disease
coxsackie A16 virus
53
investigation of choice for chlamydia
NAAT
54
Red inclusion bodies on pap smear
Chlamydia
55
Virus responsible for croup
parainfluenza virus
56
barking cough with stridor
croup
57
cholera is gram ____
negative
58
Red cysts on acid fast stain
cryptosporidum
59
Treatment for cryptosporidium
Nitazoxanide (first line) Rifaximin (second line)
60
Diarrhea in immunocompromised patients
Cryptosporidiasis
61
Treatment for cutaneous larva migrans
topical albendazole or ivermectin
62
CMV with organ involvement
IV ganciclovir
63
CMV with no serious infection or no organ involvement
oral valganciclovir
64
pizza retina on fundoscopy
CMV retinitis
65
ANy biopsy of CMV shows
inclusion bodies
66
Discharge criteria for dengue patient
stable hematocrit count
67
maculopapular rash sparing palms and soles fever retro orbital pain Myalgias, bone pain, arthralgia facial flushing
Dengue
68
Labs for dengue
Thrombocytopenia +/- Leukopenia raised aminotransferases
69
warning signs for dengue
abdominal pain hepatomegaly persistent vomiting clinical fluid accumulation (ascites, pleural effusion)
70
Cardiac complication of diphtheria
Heart block
71
Neurological compliaction of diphtheria
cranial nerve palsy
72
treatment for diphtheria
I/M penicillin Diphtheria antitoxin
73
single stranded DNA virus
Parvovirus
74
Parvo virus results in what anemia
Aplastic anemia pancytopenia in addition to sickle cell anemia
75
cancer caused by HPC
Cervical cancer Anal cancer
76
Treatment for non salmonella typhi gastroenteritis
ciprofloxacin
77
most common organism for acute osteomyelitis
s.aureus
78
chronic osteomyelitis
organism of TB
79
rose spots:
present on the trunk in 40% of patients, and are more common in paratyphoid
80
81
most common cause of adult viral meningitis
enterovirus
82
Enterovirus is single stranded positive RNA virus (True or False)
True
83
Scarlet fever
streptococcus pyogenes
84
Ecoli asssociated with HUS
O157:H7
85
Exotoxins produced by
gram positive bacteria
86
Endotoxins produced by
gram negative bacteria
87
Gas gangrene
Clostridium perfringes
88
Scalded skin syndrome
S.aureus
89
Whooping cough
Bortadella pertussis
90
Bloody diarrhea + renal impairment
Campylobacter
91
Most common cause of gastroenteritis in adults
norovirus
92
Acute infection of hep C diagnosed by
HCV RNA
93
Treatment for cytomegalovirus retinitis
IV genicicilovir Alternate: IV foscarnet or cidofovir
94
is the most common infective cause of diarrhoea in HIV patients
Cryptosporidium
95
HIV+diarrhea+CD4 count is less than 50. organism involved is
Mycobacterium avium intracellulare
96
Vaccines contraindicated in HIV patients
live vaccines Cholera CVD103-HgR Influenza-intranasal Poliomyelitis-oral (OPV) Tuberculosis (BCG)
97
Dermatological condition commonly seen in HIV patients
Kaposi sarcoma Treatment : radiotherapy and resection
98
99
100
101
Toxoplasmosis treatment in immunocompromised
Combination of pyrimethamine and sulfadiazine
102
Which plasmodium associated with nephrotic sydrome
P.malariae
103
initial empirical therapy, for bacterial meningitis
IV ceftriaxone
104
Meningitis caused by listeria
IV amoxicillin and gentamicin
105
Meningococcal meningitis treatment
IV benzylpenicillin
106
MRI findings of toxoplasmosis gondii
discrete ring-enhancing lesions
107
soap bubble appearance on MRI in immunocompromised
Cryptococcus neoformans
108
First line for tonsillitis
Phenoxymethylpenicillin
109
110
Swimmers itch
Schistosomiasis
111
Katyama fever
Acute symptoms typically only develop in people who travel to endemic areas, as they don't have any immunity to the worms. Acute manifestations may include: swimmers' itch acute schistosomiasis syndrome fever urticaria/angioedema arthralgia/myalgia cough diarrhoea eosinophilia
112
Gastroenreritis after a foreign travel
Campylobacter
113
Pathognomic for strongyloides
Larva currens
114
First line for strongyloides
Ivermectin Second line : Albendazole
115
Cardiomyopathy is the most frequent and most severe manifestation of chronic
Chagas' disease
116
117
118
Diagnostic test of choice for liogenella
Urinary antigen
119
Lab finding of leoginella along with flu like symptoms and b/l chest infiltrates
Hyponatremia
120
Treatment for lioginella
Erythromycin/clarithromycin
121
Diagnostic for mycoplasma pneumonia
Serology
122
Moraxella can xause
COPD Middle ear infection Sinusitis
123
HIV patients with normal auscultation and pathology on CXR and clinically. Organism responsible
PCP
124
Triad of PCP
Dry cough Fever Progressive dyspnea
125
Kaposi sarcoma caused by
HHV 8
126
MAC treated by
REM rifampicin+ethambutol+clarithromycin
127
when does cerebral TB occurs in regards of CD4 count
when CD4 count is less than 50
128
HIV associated neurological complication
Toxoplasmosis (more common) CNS Lymphoma
129
CNS lymphoma a/s with what virus
EBV
130
most common fungal infection of CNS
Cryptococcus
131
India Ink positive in LP
Cryptococcus
132
high opening pressure elevated protein reduced glucose normally a lymphocyte predominance but in HIV white cell count many be normal India ink test positive
cryptococcal findings on LP
133
widespread demyelinating lesion in HIV
PML
134
PML caused by reactivation of which virus
JC virus affecting oligodendrocytes
135
most common complication with PCP
pneumothorax due to rupture of pulmonary cyst
136
HIV+chest symptoms+ unremarkable auscultatory findings + bibbasal opacification + presence of pneumatocele
PCPr
137
prophylaxis of PCP
co trimaxazole
138
pcp with hypoxia treatment
add steroid with cotromaxazole
139
most common opportunistic infection in AIDS
PCP
140
first-line test for HIV screening
p24
141
HPV 6 and 11
genital warts
142
HPV 16 and 18
anal and cervical cancer
143
causes of cervical cancer
HPV, smoking, combined oral contraceptive pill use and high parity.
144
gram positive cocci with coagulase positive and present in clusters
S. saprophyticus
145
Drug related to IRIS
didanosine
146
Glandular fever
Infectious mononucleosis
147
cause of infectious mononeuleosis
EBV most common Cytomegalovirus HHV 6
148
classic triad of sore throat, pyrexia, LN involvement
Infectious mononucleosis
149
palatal petechiae
infectious mononucleosis
150
atypical lymphocytes is pathognomic of
infectious mononucleosis
151
CT Scan findings of japanese encephalitis
hypodensity of basal ganglia and thalamus
152
treatment for leoginella
levofloxacin Azithromycin
153
investigation of choice for lioginella
urinary antigen
154
treatment for mycoplasma
doxycycline azithromycin
155
bites of sandflies.
leshminiasis
156
grey skin , black sickness
visceral leshminia
157
treatment for visceral leshminiasis
sodium stibogluconate, an organic pentavalent antimony compound amphotericin B can be added with it
158
infectious thrombophlebitis of the internal jugular vein.
lemerries syndrome
159
most common risk factor for lemeirres syndrome
peritonsillar abcess
160
complication of lemierre syndrome
Septic pulmonary emboli
161
skin hypopigmentation + sensory loss
leprosy
162
confirmatory investigation for leprosy
skin biopsy
163
triple therapy for leprosy
rifampicin, dapsone and clofazimine (CDR)
164
Rat urine
Leptospirosis
165
severe leptospirosis
weils disease
166
leptospirosis treatment
benzylpenicillin or doxycycline
167
adverse effect of linezolid
thrombocytopenia
168
169
Complications of typhoid
Meningitis Cholecystitis GI bleed Osteomyelitis
170
bilateral conjunctival suffusion is a distinguishing feature of .
leptospirosis
171
Kopliks spots
Measles
172
rash which appears on the abdomen which then spreads to the back and limbs. Sore throat is usually a prominent symptom and cough generally is not a feature. A 'strawberry tongue' may be visible
Scarlet fever
173
Rash seen in measles
Maculopapular
174
Most common complication of measles
Otitis media
175
Most common cause of death in measles
Pneumonia
176
Gold standard for diagnosis of malaria
Blood film
177
red cell agglutination on blood film analysis
Mycoplasma pneumonia
178
Complication of chagas disease
Heart failure
179
Antibiotics used in treatment of MRSA
vancomycin teicoplanin linezolid
180
thrombocythaemia is characteristic of
Malaria
181
Pruritic rash on the buttocks or soles ?
Strongyloides stercoralis
182
Drugs for treating MRSA infection
Vancomycin Tigecyclin
183
low glucose, high protein, high polymorph on LP
Meningitis caused by strep pneumonia
184
Altitude sickness drug
Acetazolamide
185
186
Drugs involved in causing MRSA
Ciprofloxacin
187
Treatment of meningitis in 3 months to 6o years old
Ceftriaxone
188
Fluctuating temperatures transient arthralgia and myalgia, hyperhidrosis with a 'wet hay' smell
Brucella
189
exposure to flea bites in a plague endemic area and fixed temperature
Yersinia pestis
190
Best test for diagnosis of brucellosis
serology
191
Treatment for brucella
doxycycline and streptomycin
192
exposure to flea bites in a plague endemic area
wucherera gondi
193