Infectious Disease

Front 1

Most common cause of prostatitis in <35YO? Treatment?

Back 1

N. gonorrhea, chlamydia; Ofloxacin or Ceftriaxone PLUS Doxycycline for 14-30 days

Front 2

MCC of prostatitis in >35YO or chronic cases? Treatment?

Back 2

Enterobacteria; Cipro or TMP-SMX for 14-30 days

Front 3

MCC of PNA? Treatment?

Back 3

Strep pneumo; Beta-lactams or macrolides

Front 4

Etiologic agent suspected in aspiration PNA, EtOH abuse pts or immunocompromised pts. Treatment?

Back 4

Klebsiella pneumoniae/G- rods; Cephalosporin PLUS aminoglycoside (Gentamicin + Tobramycin)

Front 5

MCC of PNA in young adults in summer and fall; Assoc w/rash and bullous myringitis; (+) cold-agglutinin test? Treatment?

Back 5

Mycoplasma pneumonia; Macrolides OR Doxycycline

Front 6

Etiological agent suspected in SCD or COPD pts with PNA after URI; slower onset and classic ssx? Treatment?

Back 6

H. influenza; beta-lactams, TMP-SMX, 2nd or 3rd gen cephalosporin

Front 7

3 MCCs of meningitis in neonate? Empiric therapy?

Back 7

1. Strep B
2. E. coli
3. Listeria
Ampicillin + Aminoglycoside or 3rd generation cephalosporin

Front 8

2 MCCs of meningitis in child or adult? empiric therapy?

Back 8

1. S. pneumo
2. N. meningitidis
3rd gen cephalosporin OR Meropenem + Vancomycin AND dexamethasone

Front 9

Frontal lobe lesions

Back 9

Rubella

Front 10

Temporal lobe lesions

Back 10

HSV

Front 11

Parietal lobe lesions

Back 11

Toxoplasmosis

Front 12

Lesions in hippocampus

Back 12

Rabies

Front 13

Lesions in posterior fossa

Back 13

TB

Front 14

lesions affecting DCML tract

Back 14

Treponema

Front 15

Fungal cause of PNA in travelers to Southwest US or in contact with dust or soil (construction) or cave exploration? May be assx. Treatment?

Back 15

Coccidiomycosis;
Amphotericin B, Ketoconazole, Itraconazole or fluconazole

Front 16

Fungal cause of PNA in Miss or Ohio River Valleys; soil dwelling organism. Treatment?

Back 16

Blastomycosis;
Itraconazole or Ketoconazole; Amphotericin B for severe disease

Front 17

Fungal cause of PNA in mid-western US in contact with birds or bird droppings? Treatment?

Back 17

Histoplasmosis
Ketoconazole if mild, Amphotericin B if disseminated or severe

Front 18

Etiologic agent causing PNA assoc with aerosolized water affecting immunocompromised; slow onset of ssx and N/D confusion or ataxia? Treatment?

Back 18

Legionella pneumophilia
Macrolides or fluroquinolones

Front 19

MCC of osteomyelitis? Treatment?

Back 19

S. aureus is MCC; Pseudomonas (IV drug abusers) and Salmonella (SCD pts) but S. aureus is MCC in all.
Culture specific IV abx X 4-6 weeks but must also debride and irrigate tissue

Front 20

Etiologic agent and treatment for Lyme disease

Back 20

Borrelia burgdorferi via Ixodes tick
<9YO--Amoxicillin 50mg/kg/d TID X 21dd
>9YO--Doxycycline 100mg BID X 21dd or Ceftriaxone or Erythromycin

Ceftriaxone or PCN G X 14-21dd for stage 3 or disseminated dz with neurological or cardiac manifestations

Front 21

5 bacteria that cause heart block

Back 21

Lyme disease
Salmonella typhi (Typhoid)
Chaggas disease (Whipple's)
Legionella
Diphtheria

Front 22

6 diseases that E. coli can cause

Back 22

UTI
SBP
Abdominal abscess
Cholecystitis
Ascending cholangitis
Appendicitis

Front 23

Name the 7 G- encapsulated bacteria?

Hint: "Some Strange Killers Have Pretty Nice Capsules"

Back 23

Salmonella
Strep Pneumo (G+)
Klebsiella
H. Influenza
Pseudomonas
Neisseria
Cryptococcus

Front 24

2 G- that are strict anaerobes?

Back 24

H. influ and Neisseria

Front 25

3 MC etiological agents for gastroenteritis that develops within 8 hours of eating?
Hint: Due to preformed toxin

Back 25

S. aureus
Clostridium perfringes
Bacillus cereus

Front 26

Organisms associated with colon cancer?

Back 26

Strep bovis and Clostridium melanogosepticus

Front 27

Cause of multiple cerebral abscesses in a newborn?

Back 27

Citrobacter

Front 28

Bugs that can be acquired intrapartum?

Back 28

GBS
S. pneumo
HSV
N. gonorrhea
Chlamydia

Front 29

MCC of endocarditis?

Back 29

Strep viridans

Front 30

Abx coverage for ANAEROBES

Back 30

Metronidazole
Cefoxitin
Clindamycin

Front 31

Name the aminoglycosides good for treating all G-

Hint: GNATSS

Back 31

Gentamicin--causes neuropathy
Neomycin--topical incl gut surface
AmiKacin--oK for Kidneys, hepatic excretion
Tobramycin--tx CF pts
Streptomycin--TB pts and Tularemia
Spectinomycin

Front 32

Name the macrolides which are good for treating all G+, simple G- and atypicals

Hint: CEA

Back 32

Clarithromycin--dysguisia
Erythromycin--GI upset
Azithromycin--longest t1/2, good for pregnant pts, tx MAI

Front 33

Causes of bloody diarrhea?

Hint: "CASES"

Back 33

Campylobacter
Amoeba (E. histolytica)
Shigella
E. coli
Salmonella