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39 Cards in this Set

  • Front
  • Back
What is the most common rickettsial infection in the U.S.?
RMSF
What are the most common vectors for RMSF?
wood and dog ticks
What is associated with pernicious anemia?
the fish tape work diphyllobothrium latum
What is the most common cause of septic arthritis in teenagers and young adults?
GC arthritis
What can be spread to humans from birds?
psittacosis from birds infected with chlamydia psittaci
What is the treatment of choice for acute uncomplicated malaria?
chloroquine phosphate except in cases of chloroquine resistance
What is the most common opportunistic infection in aids?
pneumocystis jiroveci
What is the most common cause of focal encephalitis in patients with AIDS?
toxoplasma gondii
What causes more deaths worldwide than any other ID?
TB
What is the major complication of pertussis?
PNA,CNS sequela, OM and complications related to paroxysms of coughing
How effective is the pertusis vaccine?
80-90% effective however after 12 yrs many people lose immunity
How often are wound cultures for C.tetani positive?
only 1/3 of the cases and therefore are of limited diagnositic value
Does the antitoxin TIG neutralize toxin already present in the nervous system?
No. It also does not treat any existent symptoms
What is toxic shock syndrome characterized by?
fever, rash, hypotension and multisystem involvement
What is amantadine effective in preventing?
influenza A, not B
What is a patient with HIV and hemoptysis most likely to have?
pneumococcal pna or TB
What are the most likely pathogens to cause osteomyelitis in patients with sickle cell disease?
salmonella, enterobacteriaceae, and staphylococcus species
What percentage of AIDS patients get CNS disease?
75-90%
What is the most common complaint in AIDS patients?
diarrhea
What GI infections are particularly associated with HIV?
cryptosporidium, isophoria
both are associated with watery diarrhea
How does botulism typically present?
WIth cranial nerve findings and descending paralysis
How should TB be treated?
with 4 agents including INH
What is the treatment of clinical tetanus?
airway managment, muscle relaxation, treatment of autonomic dysfunction and TIG
What are patients with foreign bodies most at risk for?
toxic shock syndrome
What are the 4 elements of negligence?
[1] Duty on part of Δ to conform to a specific standard of conduct for protection of Π against an unreasonable risk of injury;

[2] a breach of that duty by Δ;

[3] breach is actual and proximate cause of Π’s injury; and

[4] damage.
When should post exposure prophylaxis against HIV should be considered?
all occupational exposures, PEP generally only indicated for percutaneous exposure to HIV infected blood.
What should be considered with female patients (young), GI complaints and a shock like picture?
TSS
Patient with desquamating rash on hands or feet?
TSS
In patient with gastrocnemius tenderness, severe headache and a blanching rash on palms and soles
RMSF
What should be considered in a young female patient with migratory polyarthralgias, pustules on an erythematous base at the onset of menses?
disseminated GC
Patient from hypovolemic shock, abd pain from southeast asia or africia?
malaria with splenic rupture
What species of plasmodium is resistant to chloroquine?
falciparum
What should be considered in a brazilian native with addisons's syndrome and apparent TB on chest xray?
blastomycosis
What should be considered in a patient with exposure to bird or bat excretions and acute pericardial tamponade?
histoplasmosis
Patient with pain and paresthesias at bite side of any wild animal and hyperactivity?
consider rabies
In apparent phenothiazine reaction in an urban drug addict or rural southeran aa
consider tetanus
Patient with fever, rash on palms and soles?
secondary syphilis
What is the most common opportunistic infection in AIDS
pneumocystitis jiroveci pna
Most common cause of mass lesion in brain of an AIDS patient?
toxoplasmosis