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51 Cards in this Set
- Front
- Back
gm negative coccobacilli
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haemophilus
|
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gram negative rod
plump thick mucoid capsule |
klebsiella
|
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gm positive spore forming rod
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clostridium
bacillus |
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gm positive with sulfur granules
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actinomyces (look for in pt with PID and IUD), neck mass, cervical adenitis
|
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silver stain
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PCP
|
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gold standard pna diagnostic
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sputum culture
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abx for pseudomonas
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anti pseudomonal penicillins plus aminoglycoside
aztreonam imipenem |
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CXR mycoplasma pna
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patchy
diffuse bronchopneumonia looks worse than pt feels |
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bood finidng with mycoplasma pna
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cold agglutinin antibody titers
can cause hemolysis |
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name two drugs that can be used to treat atypical pna
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macrolide (azithromycin)
quinolone (levofloxacin) |
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bood finding of chlamydia pna
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negative cold agglutinin antibody titers
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histologic finding of CMV pna
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intracellular inclusion bodies
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treatment CMV pna
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ganciclovir or foscarnet
|
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cd4 below which pt susceptible to PCP pna
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200
|
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list 2 drugs to treat PCP
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tmp smx
pentamidine |
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sporothrix treatment
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KI
ketoconazole |
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aplastic crisis in sickle cell
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parvo B19
|
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pna after cave exploring
pna after being around bird droppings in ohio or mississippi river valleys |
histo
|
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pna
pt has silicosis |
TB
|
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b12 deficiency with abdonimal sx
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diphyllobothrium latum
|
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fever
muscle pain eosinophilia periorbital edema pt ate raw mat |
trichinella spiralis
|
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treatment for cat bite
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prophylactic ampicillin vs pasturella
|
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slaughterhouse worker has a fever
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brucellosis
|
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seizure
ring enhancing lesion on CT |
taenia solium (cysticercosis)
toxo |
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which syphillis tests remain posistive for life
|
FTA ABS and MHA TP
|
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describe secondary syphillis
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condyloma lata
lymphadenopathy rash including palms and soles |
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cv complication of tertiary syphilis
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thoracic
aortic aneurysm |
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late neuro complication of measles
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subacute sclerosing panencephalitis
|
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high fever, then days later rash on chest
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roseola infantum
HHV-6 kids under 3 rash and fever don't coexist really |
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vzv biopsy
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scrape base of vesicle
see multinucleated giant cells |
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please discuss how to diagnose kawasaki
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under 5yo
fever >5d bilat conjunctivitis changes in lips tongue oral mucosa strawberry tongue cervical LA arthralgia |
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why don't we want our under 5 yearolds to get kawasakis
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their hearts
MI coronary artery aneyrusm tx asa and ivig ONE OF FEW ASA INDICATIONS IN KIDS |
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RMSF rash spread
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palmssoles ankles intowards trunk and in yo FACE
|
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RMSF treatmetn
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tetracycline
chloramphenicol |
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list 2 most common causes of croup
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paraflu
influenza barking cough |
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age of kid with croup
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1-2y
|
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age of kid with epiglottitis
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2-5y
|
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organism causing most epiglottitis
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h. flu
|
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first best step after dx epigottitis
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SECURE AN AIRWAY. or at least be prepped to do so
do not touch the throat. |
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what infectious bug causes bronchiolitis?
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RSV
|
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age of kid with bronchiolitis
|
RSV
0-18 mo |
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sx bronchiolitis
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normal viral URI
then rapid respirations incercostal retraction wheezes on expiration flat diaphragms diffuse hyperinflation |
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treatment bronchiolitis
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supportive. may give ribavirin with severe sx
|
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list five major jones criteria for rheumatic fever
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1. migratory polyarthritis
2. carditis 3. chorea 4. erythema marginatum 5. subcutaneous nodules |
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list some minor jones criteria for rheumatic fever
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increased ESR
increased CRP increased WBC increased ASO arthralgia long PR |
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most common cause of endometritis
|
streptococcus
treat amoxicillin ampicillin |
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active tb tx
|
tree agents for 2 months
then drop pyrazinamide and just give inh and rifampin for 4 mo |
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tx for ppd converters neg to pos
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inh for 6-12 mo
|
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kid under 5 is exposed to tb and has a negative ppd
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inh for 3 mo
|
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which is more specific for pancreatic issue: amylase or lipase?
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lipase! boards may try to trick you with isolated elevation of amylase, which has myriad etiologies.
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what disease classically causes a false positive VDRL
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lupus!
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