First Aid Step 2: Infectious Disease

Front 1

The three most common causes of fever of unknown origin

Back 1

Infection, cancer, and autoimmune disease

Front 2

Four signs and symptoms of streptococcal pharyngitis

Back 2

Fever, pharyngeal erythema, tonsillar exudate, and LACK of cough

Front 3

A nonsuppurative complication of streptococcal infection that can NOT be prevented by treatment of the primary infection

Back 3

Postinfectious glomerulonephitis

Front 4

Asplenic patients are particularly susceptible to these organisms

Back 4

Encapsulated organisms-pneumococcus, menigococcus, Haemophilus influenzae, Klebsiella

Front 5

The number of bacteria on a clean catch urine sample needed to dx a UTI

Back 5

10 to the 5th bacteria/mL

Front 6

Which healthy population is susceptible to UTI's

Back 6

Pregnant women. Treat aggressively b/c of potential complications

Front 7

A pt from Cali/Arizona presents w/ fever, malaise, cough, and night sweats. Dx? Tx?

Back 7

Coccidioidomycosis. Amphotericin B.

Front 8

Painless chancre

Back 8

primary syphilis

Front 9

A blueberry muffin rash is characteristic of what congenital infection?

Back 9

Rubella

Front 10

Meningitis in neonates? tx?

Back 10

Group B strep, E. coli, Listeria. Tx w/ gentamicin + ampicillin

Front 11

Meningitis in infants? Tx?

Back 11

Strep pneumonia, Neiserria meningitis, H. influenzae. Tx w/ cefotaxime + vanco

Front 12

What should always be done prior to lumbar puncture

Back 12

Check for elevated ICP; ie look for papilledema

Front 13

CSF findings: Low glucose, PMN predominance

Back 13

Bacterial meningitis

Front 14

CSF findings: Normal glucose, lymphocytic predominance

Back 14

Aspectic (aka viral) meningitis

Front 15

CSF findings: Numerous RBCs in serial CSF sampling

Back 15

SAH

Front 16

CSF findings:Increased gamma globulins

Back 16

MS

Front 17

Initially presents w/ a pruritis papule w/ regiounal lymphadenopathy; evolved intoa black eschar after 7-10 days? Tx?

Back 17

Cutaneous anthrax. Tx with Penicillin G or ciproflaxacin

Front 18

Findings in tertiary syphillis

Back 18

Tabes dorsalis, gneral paresis, gummas, Argyl Robertson pupil, aortitis, aortic root aneurysms

Front 19

Characteristics of secondary Lyme disease

Back 19

Arthralgias, migratory polyarthropathies, Bell's palsy (often b/l) and myocarditis

Front 20

Cold agglutinins

Back 20

Mycoplasma

Front 21

A 24 y.o. man presents w/ soft white plaques on his toungue and the back of his throat. Dx? w/u? Tx?

Back 21

Candidal thrush. w/u should inclue an HIV test. Treat w/ nystatin oral suspension

Front 22

Begin PCP prophylaxis at what CD4 count? MAC prophylaxis at what CD4 count?

Back 22

PCP at CD4< 200 w/ TMP-SMX; MAC at <50-100 w/ clarithromycin/azithromycin

Front 23

Risk factor for pyelonephritis

Back 23

Pregnancy, vesicoureteral reflux, anatomic anomalies, indwelling catheters, and kidney stones

Front 24

Neutropenic nadir post chemotherapy

Back 24

7-10 days

Front 25

Erythema migrans

Back 25

Lesion of primary Lyme disease

Front 26

Classic physical findings for endocarditis.

Back 26

Fever, heart murmur, Osler nodes, Janeway lesions, splinter hemorrages, and Roth's spots

Front 27

Aplastic crisis in sickle cell disease precipiated by what?

Back 27

Parvovirus B19

Front 28

Ring-enhancing lesion on CT w/ seizures

Back 28

Taenia solium (cysticercosis)

Front 29

Branching ros in oral infection

Back 29

Actinomyces israelii

Front 30

Painful chancroid

Back 30

Haemophilus ducreyi

Front 31

Dog or cat bite

Back 31

Pasteurella multocida

Front 32

Gardener

Back 32

Sporothrix schenckii

Front 33

Pregnant women w/ pets

Back 33

Toxoplasma gondii

Front 34

Meningitis in adults

Back 34

Neisseria meningitidis

Front 35

Meningitis in elderly

Back 35

Strep. pneumoniae

Front 36

Alcoholic w. pneumonia

Back 36

Klebsiella

Front 37

Current Jelly sputum

Back 37

Klebsiella

Front 38

Infection in burn victims

Back 38

Pseudomonas

Front 39

Osteomyelitis from foot wound puncture

Back 39

Pseudomonas

Front 40

Osteromyelitis in a sickle cell pt

Back 40

Salmonella

Front 41

A 55 y.o. man who is a smoker and heavy drinker presents w/ a new cough and flulike symptoms. Gram stain shows no organisms; silver stain of sputum shows gram-negative rods. Dx?

Back 41

Legionella pneumonia

Front 42

A middle aged man presents w/ acute-onset monoarticular joint pain and b/l Bell's palsy. Dx? Tx?

Back 42

Lyme disease from Ixodes Tick; treat w/ doxycycline

Front 43

A pt develops endocarditis three weeks after receiving a prosthetic heart valve. What organism do you suspect?

Back 43

S. aurues or S. epidermidis