Infectious Diseases Flashcards
(7 cards)
A 45 year old woman presents for evaluation to do an STD screening. He refers several episodes of unprotected sexual intercourse in the past weeks, involving different partners. What test is the gold standard for the diagnosis of a HIV infection?
The research of antibodies against the HIV-1 virus
A 35 year old woman presents for evaluation with her husband. They both discovered to be HIV-positive during a preconceptional screening. According to the latest guidelines, when would you recommend to begin an antiretroviral treatment?
As soon as possible
A 56 year old nurse presents for evaluation after an accidental puncture with a needle found on a patients bed. She’s is very flustered and fears she may have contracted some disease. Which of the following is NOT a route of transmission of HIV-1?
Droplet transmission
A 34 year old man presents to the ER for a history of intermittent fever for several months and chronic diarrhoea. He lost 17kg of his body weight during the last 6 months and in the last few days he refers his irritating cough and shortness of breath. Which of the following is one of the most frequent AIDS-related pulmonary manifestations?
Pneumocystis pneumonia
A 70 year old man with a history of alcoholism, underwent an endoscopic surgery (TURP) for recent findings of prostate cancer. He has a previous urine culture tested positive for escherichia coil 10,000 UFC, and it was treated with 7 days with antibiotic therapy, before the surgery. After 3 days from surgery, he was brought to the emergency department because of worsening of his neurological condition, asthenia, urinary retention, lower back pain, hyperpyrexia T 39.5C with shivers.
Which of the following is the most appropriate diagnosis hypothesis in this patient?
Acute prostatitis
68 year old woman with a history of recurrent labial and nasal vesicular lesions (less than 3 times a year). No allergies declared. Her husband was not able to report about antipneumococcica vaccination. She was brought to the emergency department because of a headache, fever T 37.8C for about 5 days. She has convulsive crisis when she was waiting for the first visit. Blood tests showed CPR 10 mg/L, GB 9360/mmc. Emogasanalisys in a.a. was normal.
Which of the following is the most appropriate next step?
Brain CT scan
22 year old woman native, from Cameroon, in Italy from august 2022. No comorbidities declared. 3 fever episodes with productive cough and yellow sputum in October 2022. She also refers about relevant loss of weight and night sweats. Antibiotic therapy was started with levofloxacine, without a clinical benefit. CT scan showed “…areas of pulmonary aerial cavitation, greater in apical location…”. Then she was hospitalised.
Which is the first microbiological test you would choose to do in this patient?
Three samples of sputum for M.Tuberculosis
