mid term 3 Flashcards

(72 cards)

1
Q

GI - what are the organisms causing bacterial gastroenteritis?

A

salmonella (food ) - self limiting
salmonella typhi and salmonella parathyphi (water- borne or person or person and its imported infection) - self limiting
shigella (person to person) - self limiting
campylobacter jejuni (food - chicken) - self limiting
vibrio - raw seafood - self limiting
clostridium difficile - antibiotic exposure - can n lead to colitis/ toxin megacolon/ death

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

GE - what are the organisms for viral gastroenteritis?

A

norovirus
rotavirus
adenovirus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

GE - what sample to send for the bacteria organisms except for clostridium difficile?

A

stool for culture and sensitivity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

GE - how long is the turnaround time for stool culture and sensitivity?

A

24-48hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

GE - what is the sample to send for clostridium difficile?

A

stool for c diff toxin - culture is not performed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

GE - what are the sample to send for viral ge?

A

stool - culture is not performed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

GE - peritonitis what are the organisms?

A

coliforms
pseudomonas aeruginosa
anaerobes
candida
plastic tube insert via urethra - skin flora bacteria or other environmental bacteria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

GE - causes of peptic ulcer dieases ?

A

Hy pylori

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

GE - what organism causes enteric fever or typhoid fever?

A

salmonella typhi or salmonella paratyphi - antibiotic must be given

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

GE - too many courses of antibiotics can lead to?

A

c diff

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

FUNGI - what is candida?

A

it is a yeast

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

FUNGI - what is candidiasis?

A

normal flora over growth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

FUNGI - what are the predisposing factors of candidiasis?

A

antibiotics, immunocompromised and infancy, old age or pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

FUNGI - what to do in candidiasis?

A

stop antibiotics, remove central lines and do blood cultures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

FUNGI - what is oral candidiasis called?

A

oral thrush

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

FUNGI - what does dermatophytes do?

A

they digest keratin - skin (scaly skin), hair (broken shafts), and nails (white, opaque, thick, and brittle)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

FUNGI - how does apergillosis affect the lung signs or symptoms?

A

deep breathing, SOB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

FUNGI - who does pneumocystis jiroveci affect?

A

lung infections in immunocompromised
common in HIV/AIDS patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

AMR - as per the jim o’neill amr report in 2050 what will cause more death in the world?

A

AMR - antimicrobial resistance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

AMR - what is antimicrobial stewardship?

A

Antibiotic stewardship is the effort to optimize how antibiotics are used and is a core strategy to combat antimicrobial resistance.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

other infections - what are the 3 different clostridium species?

A

clostridium
perfringens
tetani
botulism

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

other infections - where is clostridium tetani found?

A

animal faeces or contaminated soil

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

other infections - what is the cause of tetanus?

A

superficial cut or contaminated splinter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

other infections - how does clostridium tetani present?

A

stiffness, lockjaw, sardonic grin, opisthotonus ( extreme arching of the back)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
other infections - what os the cause of clostridium botulinum?
severe or often fatal food poisoning
26
other infections - clinical features of clostridium botulinum?
double vision, drooping eyelids, descending motor loss with flaccid paralysis, speech and swallowing difficulties and breathing difficulties
27
other infections - what organism cause meliodosis infection and is known as the vietnamese time bomb?
burkholderia pseudomallei
28
other infections - how does leptospirosis (involves rodents) spread?
urine of infected animals
29
other infections - leptospirosis clinical features?
jaundice and red eyes
30
other infections - what is the serious health implication of toxoplasmosis ( from cat shit) ?
mother to child - congenital - miscarriage - still born child - the child can have toxoplasmosis signs
31
other infections - intestinal roundworms how to diagnose?
ova, cyst and parasite - stool
32
IPC - types of transmission?
contact, droplet and airborne - standard precautions
33
IPC - what is standard precaution?
first tier of infection control reduces the risk of transmission of blood-borne and other pathogens
34
IPC - what does green and canvas linen trolley means?
for normal soiled linen
35
IPC - what does orange linen trolley mean?
grossly blood contaminated linen
36
IPC - what does red linen trolley mean?
water-soluble bag - linen from SARS,COVID 19 etc cases
37
IPC - for contact precaution what do u do? isolation
single bed or cohort cubicle - MRSA, vre or cprcre
38
IPC - for droplet precaution what do u do? isolation
single bed - influenza, mumps, rubella
39
IPC - for airborne precaution what do u do? isolation
single and negative pressure room - measles, chicken pox, tb
40
IPC - for protective precaution what do u do? isolation
single bed and positive pressure room - severely immunocompromised
41
IPC - for full precaution what do u do? isolation
single bed and negative pressure - HCID
42
a pregnant mum, giving birth to a stillborn baby. before delivery - Mum was experiencing fever and flu-like symptoms, 2 wks after consuming 'farm-to-table, all-natural' unpasteurized milk. what pathogen caused this?
listeria monocytogenes
43
common organism for all 3 conditions of brain abscess, liver abscess, and endocarditis is?
alpha haem strep
44
staph aureus can cause?
toxic shock syndrome
45
a 55-year-old renal transplant patient with suspected bacterial meningitis, after consuming deli meat? what organism it is? deli meat - listeria
listeria monocytogenes
46
important gram neg strict anaerobe, GI surgeons antibiotic Regime always cover this and it is found in the Gi tract?
Bacteroides fragillia
47
UTI - what are the types of UTI?
cystitis - bladder downwards infection polynephritis - kidney upwards infection catheter-associated UTI
48
UTI - what is the diagnosis tests done for cystitis?
midstream urine culture bag urine and suprapubic urine - for children catheter sample
48
UTI - what are the diagnosis tests done for polynephritis?
midstream urine culture bag urine and suprapubic urine - for children catheter sample blood culture - if septic
49
UTI - what are the organisms involved in UTI (KEEPP Candida)?
gram negative klebsiella pnuemoniae e-coli - commonest enterobacter proteus - associated with kidney stone pseudomonas aeruginosa fungi - candida
50
UTI - why is there fungi ( candida) present?
due to antibiotic exposure
51
UTI - what is the treatment for cystitis and CAUTI?
PO antibiotics - 3-7 days
52
UTI - what is the treatment for pyelonephritis?
IV antibiotics - 7-14days
53
UTI - what is asymptomatic bacteriuria?
the culture results is more than 100000 CFU/ml but the patient is asymptomatic - common in 65 years old and above. DO NOT TREAT WITH ANTIBIOTICS except pregnant women or patients undergoing procedures urological
54
UTI - who is given long-term antibiotic prophylaxis?
children with recurrent UTI and risk of renal scarring patients who are frequently affected by UTI affecting quality fo life
55
RESPI - what are the 3 different types of pulmonary infections?
community-acquired pneumonia hospital-acquired pneumonia ventilator associated pneumonia
56
RESPI - what are the organisms associated with CAP?
streptococcus pneumonia Haemophilus influenza staph aureus influenza - virus
57
RESPI - what are the organisms associated with HAP?
pseudomonas aeruginosa MRSA coliforms
57
RESPI - what are the organisms associated with VAP?
pseudomonas aeruginosa MRSA coliforms
58
RESPI - what are the samples to send?
sputum endotracheal aspirate - ETA bronchio alveolar lavage (BAL)
59
RESPI - if there is a high count of epithelial cells, this indicates the sample is poorly taken and the result is unreliable. true or false?
true
60
RESPI - what are the empirical antibiotic for CAP?
augmentin and ceftriaxone
61
RESPI - severe MRSA infection what IV is given?
IV vancomycin
62
RESPI - what are the tests performed?
gram stain, culture and sensitivity and PCR - as viral culture is not performed
63
SKIN - what organisms cause cellulitis/impetigo?
staph aureus beta haemolytic strep
64
SKIN - what organisms cause erysipelas? - the face one
group a strep
65
SKIN - type 1 necrotizing fasciitis organism?
polymicrobial
66
SKIN - type 2 necrotizing fasciitis organism?
staph aureus
67
SKIN - gas gangrene caused by?
clostridium perifenges
68
SKIN - acute diabetic foot ulcer organism caused?
staph aureus or streptococci
69
SKIN - chronic diabetic foot ulcer organisms caused by?
gram neg or gram neg and pos
70
SKIN - infections such as septic arthritis/osteomyelitis/discitis organism caused?
staph aureus