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39 Cards in this Set
- Front
- Back
What is the most common rickettsial infection in the U.S.?
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RMSF
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What are the most common vectors for RMSF?
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wood and dog ticks
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What is associated with pernicious anemia?
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the fish tape work diphyllobothrium latum
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What is the most common cause of septic arthritis in teenagers and young adults?
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GC arthritis
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What can be spread to humans from birds?
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psittacosis from birds infected with chlamydia psittaci
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What is the treatment of choice for acute uncomplicated malaria?
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chloroquine phosphate except in cases of chloroquine resistance
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What is the most common opportunistic infection in aids?
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pneumocystis jiroveci
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What is the most common cause of focal encephalitis in patients with AIDS?
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toxoplasma gondii
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What causes more deaths worldwide than any other ID?
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TB
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What is the major complication of pertussis?
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PNA,CNS sequela, OM and complications related to paroxysms of coughing
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How effective is the pertusis vaccine?
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80-90% effective however after 12 yrs many people lose immunity
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How often are wound cultures for C.tetani positive?
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only 1/3 of the cases and therefore are of limited diagnositic value
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Does the antitoxin TIG neutralize toxin already present in the nervous system?
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No. It also does not treat any existent symptoms
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What is toxic shock syndrome characterized by?
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fever, rash, hypotension and multisystem involvement
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What is amantadine effective in preventing?
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influenza A, not B
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What is a patient with HIV and hemoptysis most likely to have?
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pneumococcal pna or TB
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What are the most likely pathogens to cause osteomyelitis in patients with sickle cell disease?
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salmonella, enterobacteriaceae, and staphylococcus species
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What percentage of AIDS patients get CNS disease?
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75-90%
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What is the most common complaint in AIDS patients?
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diarrhea
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What GI infections are particularly associated with HIV?
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cryptosporidium, isophoria
both are associated with watery diarrhea |
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How does botulism typically present?
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WIth cranial nerve findings and descending paralysis
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How should TB be treated?
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with 4 agents including INH
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What is the treatment of clinical tetanus?
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airway managment, muscle relaxation, treatment of autonomic dysfunction and TIG
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What are patients with foreign bodies most at risk for?
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toxic shock syndrome
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What are the 4 elements of negligence?
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[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. |
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When should post exposure prophylaxis against HIV should be considered?
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all occupational exposures, PEP generally only indicated for percutaneous exposure to HIV infected blood.
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What should be considered with female patients (young), GI complaints and a shock like picture?
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TSS
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Patient with desquamating rash on hands or feet?
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TSS
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In patient with gastrocnemius tenderness, severe headache and a blanching rash on palms and soles
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RMSF
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What should be considered in a young female patient with migratory polyarthralgias, pustules on an erythematous base at the onset of menses?
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disseminated GC
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Patient from hypovolemic shock, abd pain from southeast asia or africia?
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malaria with splenic rupture
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What species of plasmodium is resistant to chloroquine?
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falciparum
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What should be considered in a brazilian native with addisons's syndrome and apparent TB on chest xray?
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blastomycosis
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What should be considered in a patient with exposure to bird or bat excretions and acute pericardial tamponade?
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histoplasmosis
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Patient with pain and paresthesias at bite side of any wild animal and hyperactivity?
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consider rabies
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In apparent phenothiazine reaction in an urban drug addict or rural southeran aa
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consider tetanus
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Patient with fever, rash on palms and soles?
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secondary syphilis
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What is the most common opportunistic infection in AIDS
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pneumocystitis jiroveci pna
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Most common cause of mass lesion in brain of an AIDS patient?
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toxoplasmosis
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