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22 Cards in this Set
- Front
- Back
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alcoholic vomits gastric contents and develops foul-smelling sputum.
WHAT ORGANISMS ARE MOST LIKELY? |
anaerobes
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Middle aged male presents with acute onset monarticular joint pain and bilateral Bell's palsy.
WHAT IS THE LIKELY DISEASE AND HOW DID HE GET IT? |
Lyme disease
bit from Ixodes tick |
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Patient with Mycoplasma pneumoniae exhibits cryoagglutinins during recovery phase.
WHAT TYPE OF IMMUNOGLOBULINS ARE REACTING? |
IgM
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UA of patient shows WBC casts.
WHAT IS THE DIAGNOSIS? |
pyelonephritis
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Young Child presents with tetany and candidiasis. Hypocalcemia and immunosuppression are found.
WHAT CELL IS DEFICIENT? |
T cell
(DiGeorge syndrome) |
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Patient presents with "rose gardener's" scenario (thorn prick with ulcers along lymphatic drainage)
WHAT IS THE INFECTIOUS BUG? |
Sporothrix schenckii
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25 yr old medical student has a burning feeling in his gut after meals. Biopsy of gastric mucosa shows gram-negative rods.
WHAT IS THE LIKELY ORGANISM? |
H. pylori
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32 yr old male has "cauliflower" skin lesions. Tissue biopsy shows broad-based budding yeasts.
WHAT IS THE LIKELY ORGANISM? |
Blastomyces
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Breast feeding woman suddenly develops redness adn swelling of her right breast. On examination, it is found to be a fluctuant mass.
WHAT IS THE DIAGNOSIS? |
Mastitis caused by S. aureus
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Young child has recurrent lung infections and granulomatous lesions.
WHAT IS THE DEFECT IN NEUTROPHILS? |
NADPH oxidase
(chronic granulomatous disease) |
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20 yr old college student presents with lymphadenopathy, fever and hepatosplenomegaly. His serum agglutinates sheep RBCs.
WHAT CELL IS INFECTED? |
B cell
(EBV, infectious mononucleosis) |
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One hour after eating custard at a picnic, a whole family begins to vomit. After 10 hrs they were better.
WHAT IS THE ORGANISM? |
S. aureus
(produces preformed enterotoxin) |
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Infant becomes flaccid after eating honey.
WHAT ORGANISM IS IMPLICATED AND WHAT IS THE MECHANISM OF ACTION? |
Clostridium botulinum, inhibited release of ACh
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Man presents with squamous vell carcinoma of the penis.
HE HAD EXPOSURE TO WHAT VIRUS? |
HPV
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Patient develops endocarditis three weeks after receiving a prosthetic heart valve.
WHAT ORGANISM IS SUSPECTED? |
S. aureus or S. epidermidis
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Full term neonate of uneventful delivery becomes mentally retarded and hyperactive and has a musty odor.
WHAT IS THE DIAGNOSIS? |
PKU
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Stressed executive comes home from work, consumes 7 or 8 martinis in rapid succession before dinner and becomes hypoglycemic.
WHAT IS THE MECHANISM? |
NADH increase prevents gluconeogenesis by shunting pyruvate and oxaloacetate to lactate and malate.
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2 yr old girl has an increase in abdominal firth, failure to thrive, and skin and hair depigmentation.
WHAT IS THE DIAGNOSIS? |
Kwashiorkor
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Alcoholic develops a rash, diarrhea and altered mental status.
WHAT IS THE VITAMIN DEFICIENCY? |
Vitamin B3 - niacin
(Pellagra) |
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20 yr old male presents with idiopathic hyperbilirubinemia.
WHAT IS THE MOST COMMON CAUSE? |
Gilbert's disease
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51 yr old man has black spots on his sclera and has noted that his urine turns black when he is standing.
WHAT IS THE DIAGNOSIS? |
Alkaptonuria
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25 yr old male complains of severe chest pain and has xanthomas of his Achilles tendons.
WHAT IS THE DISEASE AND WHERE IS THE DEFECT? |
Familial hypercholesterolemia (type IIa)
defect is in the LDL receptor |
