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22 Cards in this Set

  • Front
  • Back
alcoholic vomits gastric contents and develops foul-smelling sputum.

WHAT ORGANISMS ARE MOST LIKELY?
anaerobes
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
Patient with Mycoplasma pneumoniae exhibits cryoagglutinins during recovery phase.

WHAT TYPE OF IMMUNOGLOBULINS ARE REACTING?
IgM
UA of patient shows WBC casts.

WHAT IS THE DIAGNOSIS?
pyelonephritis
Young Child presents with tetany and candidiasis. Hypocalcemia and immunosuppression are found.

WHAT CELL IS DEFICIENT?
T cell

(DiGeorge syndrome)
Patient presents with "rose gardener's" scenario (thorn prick with ulcers along lymphatic drainage)

WHAT IS THE INFECTIOUS BUG?
Sporothrix schenckii
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
32 yr old male has "cauliflower" skin lesions. Tissue biopsy shows broad-based budding yeasts.

WHAT IS THE LIKELY ORGANISM?
Blastomyces
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
Young child has recurrent lung infections and granulomatous lesions.

WHAT IS THE DEFECT IN NEUTROPHILS?
NADPH oxidase

(chronic granulomatous disease)
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)
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)
Infant becomes flaccid after eating honey.

WHAT ORGANISM IS IMPLICATED AND WHAT IS THE MECHANISM OF ACTION?
Clostridium botulinum, inhibited release of ACh
Man presents with squamous vell carcinoma of the penis.

HE HAD EXPOSURE TO WHAT VIRUS?
HPV
Patient develops endocarditis three weeks after receiving a prosthetic heart valve.

WHAT ORGANISM IS SUSPECTED?
S. aureus or S. epidermidis
Full term neonate of uneventful delivery becomes mentally retarded and hyperactive and has a musty odor.

WHAT IS THE DIAGNOSIS?
PKU
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.
2 yr old girl has an increase in abdominal firth, failure to thrive, and skin and hair depigmentation.

WHAT IS THE DIAGNOSIS?
Kwashiorkor
Alcoholic develops a rash, diarrhea and altered mental status.

WHAT IS THE VITAMIN DEFICIENCY?
Vitamin B3 - niacin

(Pellagra)
20 yr old male presents with idiopathic hyperbilirubinemia.

WHAT IS THE MOST COMMON CAUSE?
Gilbert's disease
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
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