systems-most likely

Question 1

pneumonia in cystic fibrosis patient

Answer 1

pseudomonas

Question 2

pneumonia in an alcoholic/IV drug user

Answer 2

S. pneumo
Klebsiella*
S. aureus

Question 3

hospital acquired pneumonia

Answer 3

S. aureus
Pseudomonas
other enteric gram- rods

Question 4

someone has meningitis, what 2 antibiotics do you give empirically? what should you add if you suspect listeria

Answer 4

give cefriaxone and vanco

add ampicillin to cover listeria (babies and old ppl)

Question 5

bacterial meningitis CSF findings
opening pressure:
cell type:
protein:
sugar:

Answer 5

opening pressure: increased
cell type: PMNs increased
protein: increased
sugar: decreased

Question 6

fungal/TB meningitis CSF findings:
opening pressure:
cell type:
protein:
sugar:

Answer 6

opening pressure: increased
cell type: lymphocytes increased
protein: increased
sugar: decreased

so fungal and bacterial CSF findings are the same except for the elevated cells found (bacterial is PMNs and fungal is lymphocytes)

Question 7

viral meningitis CSF findings
opening pressure:
cell type:
protein:
sugar:

Answer 7

opening pressure: normal or slightly increased
cell type: lymphocytes increased
protein: normal or increased
sugar: normal

*so big diff for viral CSF findings is sugar is NORMAL. also protein & opening pressure can be normal

Question 8

osteomyelitis in someone sexually active (besides staph)

Answer 8

N. gonorrhoeae (septic arthritis more common)

Question 9

osteomyelitis in prosthetic joint?

Answer 9

staph aureus and staph epidermidis

Question 10

osteomyelitis and there has been a cat or dog bite

Answer 10

pasteurella multocida

Question 11

osteomyelitis in a IV drug user

Answer 11

pseudomonas
Candida
S aureus

Question 12

what are the top 3 causes of UTI

Answer 12

1. e coli
2. staph saprophyticus- sexually active
3. klebsiella pneumoniae

Question 13

UTI with a bug that produces a red pigment

Answer 13

serratia marcescens

Question 14

hot tub follicles

Answer 14

pseudomonas

Question 15

UTI with a bug that causes swarming on agar

Answer 15

proteus-produces urease and causes struvite stones

Question 16

UTI with a bug that has a fruity odor

Answer 16

pseudomonas aeruginosa

produces a blue green pigment

Question 17

vaginal infection and you see clue cells

Answer 17

bacterial vaginosis

Question 18

strawberry cervix

Answer 18

trichomoniasis

frothy green foul smelling discharge

Question 19

what congenital infection causes hydrops fetalis

Answer 19

B19

Question 20

what is the classic triad seen in congenital rubella infection

Answer 20

PDA (or pulmonary artery hypoplasia)
cataracts
deafness

can also blueberry muffin rash

Question 21

congenital infections with hearing loss, seizures, petechial rash, periventricular calcifications

mom had sex with new partner during pregnancy

Answer 21

CMV

Question 22

what are some baby signs of a congenital syphilis infection

Answer 22

notched teeth
saddle nose
short maxilla
saber shins
CN VIII deafness
snuffles

Question 23

infant has a high fever (so high that you could see febrile seizures) and then gets a asymptomatic rash on body

Answer 23

roseola (HHV6/7)

Question 24

rash starts on forehead and works its way down with postauricular lymphadenopathy

Answer 24

rubella

Question 25

rash starts behind ears and on neck rash is proceeded by cough, coryza, conjunctivitis

Answer 25

measles

Question 26

blue white spots on buccal mucosa

Answer 26

koplik spots seen in measles

Question 27

sandpaper like rash

Answer 27

scarlet fever from strep pyogenes

Question 28

painful genital ulcer with exudate and inguinal adenopathy

Answer 28

haemophilis ducreyi you cry with ducreyi

Question 29

condylomata acuminata

Answer 29

genital warts koilocytes HPV 6 and 11

Question 30

painful genital ulcers and vesicles | can have systemic infections: fever, headache myalgias

Answer 30

genital herpes

Question 31

painLESS genital ulcer with painFUL lymphadenopathy

Answer 31

lymphogranuloma venereum

Question 32

what is the chandelier sign? when is it seen?

Answer 32

cervical motion tenderness seen with PID

Question 33

what is fitz hugh curtis syndrome? what causes it?

Answer 33

can result from PID | infection of liver capsule and violin string adhesions of peritoneum to liver

Question 34

asplenic patient, what 3 bugs are they esp at risk for

Answer 34

encapsulated bugs s. pneumo H. influenza (type B) N. meningitis

Question 35

current jelly sputum

Answer 35

klebsiella

Question 36

what organism should pop into your head with an organ transplant patient

Answer 36

CMV

Question 37

3 organisms causing rash on hands and feet

Answer 37

coxsackie A virus treponema pallidum (secondary) rickettsia rickettsii