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Infectious Flashcards

(72 cards)

1
Q

Splinter haemorrhages, Osler’s nodes, Janeway lesions, Roth spots

A

Infective endocarditis

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2
Q

Retinitis in HIV patient

A

CMV

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3
Q

Rose spots

A

Typhoid fever

Salmonella typhi

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4
Q

Acid-fast bacilli, ZN stain

A

TB

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5
Q

Gohn focus

A

TB

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6
Q

Homeless man

A

TB

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7
Q

Strawberry tongue

A

Scarlet fever

Group A streptococcus

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8
Q

Koplik’s spots

A

Measles

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9
Q

Thick and thin films

A

Malaria

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10
Q

IVDU

A

Tricuspid regurgitation secondary to staph aureus IE

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11
Q

Non-caseating granuloma

A

Wegener’s, Sarcoidosis, Crohn’s

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12
Q

Low CD4 count

A

HIV

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13
Q

Purple spots in a HIV patient

A

Kaposi’s sarcoma

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14
Q

Acute and direct convalescent serology four-fold rising titre

A

Influenza

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15
Q

Urinary antigen positive (3)

A

Legionella
Strep. pneumoniae
Mycoplasma

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16
Q

Infections in asplenic patients (3)

A

Encapsulated bacteria

Strep. pneumoniae
Haemophilus influenzae
Neisseria meningitidis

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17
Q

Maculopapular rash

A

HIV seroconversion

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18
Q

India ink stain

A

Cryptococcus in HIV

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19
Q

Gram negative obligate intracellular organism

A

Chlamydia

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20
Q

Flask-shaped ulcers, PAS-positive trophozoites

A

Amoebiasis

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21
Q

Calcification in the brain after HIV

A

Toxoplasmosis

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22
Q

Boat-shaped cells

A

PCP

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23
Q

Squamous cell carcinoma of bladder and infected

A

Schistosomiasis

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24
Q

Pseudohyphae

A

Candidiasis

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25
Red papules are evident in the web spaces
Scabies
26
Sewer worker
Leptospirosis
27
Mozzarella pizza on fundoscopy
CMV retinitis
28
Osteomyelitis in sickle cell patient (organism)
Salmonella
29
TB drug side effects
``` Red-green colour blindness Peripheral neuropathy Gout Red urine and tears TB drug side effects ``` Red-green colour blindness - ethambutol Peripheral neuropathy - isoniazid Gout - pyrazinamide Red urine and tears - rifampicin
30
Causes of rigors (4)
Cholangitis Pneumonia Pyelonephritis Sepsis
31
Bat bite
Rabies
32
Diplopia + photophobia + cardiorespiratory failure after camping
Botulism
33
Brushfire on fundoscopy
CMV retinitis
34
Owl's eyes intranuclear inclusions
CMV
35
Bird droppings (2)
Chlamydia psitacci | Campylobacter jejuni
36
Lymphogranuloma venerum
Chlamydia trachomatis
37
Painless chancre (genital ulcer)
Syphillis
38
IE in community
Strep viridans
39
IE in hospital
Staph. epidermidis
40
Meningitis-causing organism resistant to cephalosporins
Listeria
41
Rice water stool | Gm –ve
Cholera
42
Bloody diarrhoea | Gm –ve
Shigella
43
Traveller’s diarrhoea | Enterotoxigenic
E-Coli
44
Gm –ve, motile bacilli Rose spots Gradual onset
S
45
Gm +ve Pseudomembranous colitis White/yellow plaques Tx: IV metronidazole/vancomycin
C. difficile
46
Self-limiting Hx of poultry or unpasteurised milk Gm –ve corkscrew/flagella
Campylobacter
47
Plague | Gm –ve anaerobe
Yersinia
48
Flask-shaped ulcers Bloody diarrhoea RUQ pain --> liver abscesses
Enteroamoeba
49
``` Eastern Europe/Russia Hikers Foul smelling stools + gas Cysts and pear shaped trophozoites Watery diarrhoea Malabsorption of protein ```
Giardia
50
Reheated rice/Chinese takeaway | Sudden vomiting, minimal diarrhoea
B. cereus
51
Malaise, mild fever, headache Muscular aches and pains A: birds, B: seals, C: pigs
Influenza
52
``` Retrobulbar headache Rash, facial flushing RNA virus Dengue shock syndrome à haemorrhagic fever ```
Dengue Fever
53
``` Falciparum – worst Malaise, headache, D&V Plasmodium ovale/vivax stay in system (V&O do not go) Chloroquine (old = quinine) ```
Malaria
54
Latent infection RIPE: - Rifampcicin: orange secretions - Isoniazid: peripheral neuropathy, drug interactions - Pyrazinamid: hepatotoxicity - Ethambutol: optic neuritis (red-green colourblindness)
TB
55
HHV: cold sore/genital
HHV I/II
56
HHV: varicella zoster (chicken pox/shingles)
HHV III
57
HHV: EBV, infectious mononucleosis
HHV IV
58
HHV: CMV, immunocomprimised Fever, pneumonitis, colitis, hepatitis, retinitis, CNS
HHV V
59
HHV: Children (rosida)
HHV VI/VII
60
HHV: Kaposi’s sarcoma
HHV VIII
61
Cutaneous: itchy papules, ulcer with raised edges Visceral: lymphadenopathy Mucocutaneous: lips/nose/pharynx Protazoa Spread by sandflies
Leishmaniasis
62
Parasitic worms spread by freshwater snails “Swimmer’s itch” Kayama fever: fever, rash, myalgia, diarrhoea, hepatosplenomegaly Eventually chronic in myenteric veins
Schistosomiasis
63
``` Spread by ticks Rural/woodland areas Erythema migrans, myalgia, fever, headache, malaise Bulls eye appearance ```
Lyme Disease
64
STI --> septic arthritis
Neisseria Gonnorhoea
65
Gm –ve Currant jelly sputum Staghorn calculi
Klebsiella
66
Pneumocystis jiroveci | CD4
PCP (symptoms worse than CXR)
67
Itchy papular rash | Skin burrows
Scabies
68
Sardonic smile | Cut on rusty metal
Tetanus
69
PML AIDS-defining Alien hand
JC Virus
70
Ring enhancing features on CT
Toxoplasmosis
71
HIV +ve Dry cough and SOB Normal CXR
Pneumocystis carinii (symptoms worse than CXR)
72
Low Na, forgetful SOB, muscle cramps Air conditioning unit --> travel
Legionella