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Infectious Disease Flashcards

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1
Q

Naslisal congestion for 7-10 days, fever, no better with decongestants

A

Acute Sinusitus

Strep pneumo, H. flu, Moraxella catarrha

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2
Q

Agents that cause OM

A

strep pneumo, H. flu, Moraxella catarrhalis

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3
Q

Tonsillar exudates
tender anterior LAN
Fever
No cough

A

Pharyngitis -> Strep pyrogenes (GAS)

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4
Q 
Tonsillar exudates
Tender anterior LAN
Fever
No cough
Strep negative
Teenager
Splenomegaly
A

Mono/ EBV

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5
Q

Dysuria
Urinary frequency
U/A with leukocyte esterase, nitrates
no discharge

A

Cystitis-> E. coli

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6
Q

UTI
Struvite stone/staghorn calculus
UA: alkaline pH

A

Proteus mirabilis

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7
Q

Pneumonia in pt with CF or bronchiectasis

A

Pseudomonas aeruginosa

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8
Q

Pneumonia in pt with:

Feeding tube/ post stroke/ alcoholic/ post seizure

A

Aspiration -> anaerobes

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9
Q

Pneumonia in septic newborn

A

Group B strep.

Vertical transmission during birth

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10
Q

Post-influenza necrotizing pneumonia

A

Staph aureus

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11
Q

Pneumonia in an older person
Hyponatremia
GI sx
increased LFTs

A

Legionella

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12
Q

HIV+
Thrush
dysphagia
odynophagia

A

Candidal esophagitis

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13
Q

HIV+
CD4 <200
Interstitial pneumonia
High LDH

A

Penumocystis jiroveci

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14
Q

HIV+

Purplish, red-blue skin lesions

A

Kaposi’s (HHV-8)

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15
Q

HIV+

Chronic diarrhea

A

Cryptosporidium

also: Isopora or CMV if CD4 is less than 50

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16
Q

HIV +
Headache
Ring enhancing lesions on MRI

A

Toxoplasmosis

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17
Q

HIV+
Cotton wool spots
CD4 < 50

A

CMV retinitis

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18
Q

HIV+

White corrugated painless plaques on lateral tongue that can’t be scraped off

A

Oral Hairy Leukoplakia -> EBV

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19
Q 
High risk behaviors
fever
headache
myalgias
only a few days
Fain rash on abdomen
HIV negative
A

acute HIV infection

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20
Q

Infant
fever for several days
Followed by macular rash

A

Roseoa -> HHV 6

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21
Q

Child

Infection followed by slapped cheek rash on face

A

Erythema infectiosum -> Parvovirus B19

Also: aplastic anemia

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22
Q

Hydrops fetalis in pregnant women

A

Parvovirus B19

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23
Q

Child

Fever, sore throat, sandpaper rash

A

Scarlet fever -> Strep pyrogenes

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24
Q

Child

Vesicular rash on palms, soles, ulcers in mouth

A

Hand-foot-mouth -> coxsackievirus A

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25
Child Pink maculopapules on head and moving down Post auricular LAN
Rubella
26
``` Infant Pink maculopapules cataracts deafness cardiac defects ```
Congenital Rubella
27
``` Child Coryza cough Kopik's spots rash on face to trunk ```
Measles
28
DM or leukemic pt rapidly progressive sinusitis bone/orbit destruction black eschar
Mucromycosis
29
Pneumonia Ohio Valley bird droppings, bats ground excavation
Histoplasmosis
30
Southwest travel flu meningitis symptoms for a long time
Cocciodiomycosis
31
Pneumonia GU involvement skin broad based budding yeast
Blastomycosis
32
Immunocompromised | Large cavitary pneumonia
Aspergilloma
33
Gerdener | pustules along draining lymph nodes
Sporothrix schenckii
34
Malaria with cerebral involvement
Plasmodium falciparum
35
Swimming if Gulf pts with decreased liver function cellulitis and hemorrhagic bullae
Vibrio vulnificus
36
Cattle, sheep, goats pnemonia culture negative endocarditis
Q fever -> Coxiella burnettii
37
Abdominal distention pea soup diarrhea splenomegaly relative bradycardia
Typhoid fever -> Salmonella typhi
38
``` Cattle, hog, goat exposure Unpasteruized mild or cheese headache persistent fever LAN, hepatosplenomegaly ```
Burcellosis
39
Rabbit, rodent, tick contact fever headache draining lymph nodes
Tularemia -> Fancisella tularensis
40
``` Animal/rat urine conjunctivitis flu-like illness --gets better-- Then: kidney/liver failure, hemorrhagic pneumonia, jaundice ```
Leptospirosis (Weil syndrome)
41
Viral cause of Burkitt lymphoma
Epstein-Barr: c-myc 8:14 translocation
42
Viral cause of cervical cancer
HPC 16 and 18: inactive tumor suppressive genes p53 and Rb
43
Viral cause of hepatocellular carcinoma
Hepatitis B,C
44
Bacterial cause of MALT lymphoma
Helicobacter pylori
45
Bioterrorism Flu-like Followed by painless edematous necrotic papule Gram positive rod/bacillus
Contact Anthrax
46
``` Bioterrorism cough SOA chest pain rapid deterioration Widened mediastinum on CXR pleural effusions ```
Pneumonic Anthrax
47
Bioterrorism High fever vesicular/papular/pustular rash from face to trunk
small pox
48
Bioterrorism Fulminating pneumonia 2-4 days after exposure Watery blood tinged sputum "Closed safety pin" gram neg coccobacilli
Pneumonic plague
49
Bioterrorism Normal sensorium with descending flaccid paralysis Bulbar nerve palsies (diploplia, dysphonia, dysarthria, dysphagia)
Botulism
50
Bioterrorism | Febrile flu-like syndrome 3-5 days after exposure, penumonia
Tularemia
51
Bioterrorism Multiorgan failure DIC Hemorrhage
Viral hemorrhagic fever (Ebola, Marburg)
52
Red rash with clear center Bell palsy Heart block arthritis
Lyme disease -> Borrelia burgdorferi
53
``` Fever hemolytic anemia post NE travel asplenic pt "maltese cross" ```
Babesiosis
54
Child with perianal itching
Enterobius vermicularis (pin worm)
55
Dog Bite
pasturella multilocida
56
Human bite
Eikenella
57
Kitten scratch | Axillary LAN
Bartonella henselae
58
Nail penetrating through tennis shoes
Pseudomonas aeruginosa
59
Branching rods in oral infection | sulfur granules
actinomyces israelii
60
Kid coughs til vomit insidious onset then paroxysmal
Bordatella pertussis
61
Osteomyelitis in sickle cell patient
Salmonella strep staph
62
Relapsing maleria months after sucessful treatment
P. vivax and P. ovale, because they can hide in liver cells
63
AE of Vancomycin and Aminogycosides
Nephrotoxicity Ototoxicity Vanc: "Red Man" syndrome
64
AE of sulfonamides in G6PD deficiency
Hemolyic anemia neutropenia severe drug rash
65
AE of penicillins
Interstitial Nephritis
66
AE of Flouroquinolones
Achilles tendon rupture
67
AE of INH
Transaminitis
68
Vitamin that should be taken with INH
B6. If not -> neurotoxicity
69
AE of Ethambutol
Optic neuritis (red green color blindness)
70
Phenomenon that leads to flu epidemics
Antigenic shift

Integrative (15 decks)

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