My Pance Infectious Disease

Front 1

histoplasmosis is found where (geographically)

Back 1

ohio or mississippi river valleys

Front 2

histoplasma capsultam si/symp mimic what dz

Back 2

TB

Front 3

pts being treated with INH must be advised to avoid what other med

Back 3

acetaminophen (both are hepatotoxic)

Front 4

kopliks spots are diagnostic for

Back 4

rubeola

Front 5

cough + coryza + conjunctivitis in pt with fever and rash is what R word

Back 5

rubeola

Front 6

which immunization would not be given to a 20y.o with no prior hx of immunizations

Back 6

polio

Front 7

what adult immunization can you NOT give in gluteus

Back 7

hep B

Front 8

what is usual presenting complaint in early lyme disease

Back 8

erythema chronicum migrans rash

Front 9

what is the hemorrhagic fever virus associated with ARDS

Back 9

Hanta

Front 10

pts with mono and grossly enlarged tonsils should be treated with

Back 10

steroids

Front 11

hiv primarily affect which type of immunity

Back 11

cellular

Front 12

MOA of AZT in HIV tx

Back 12

inhibits reverse transcriptase and alters viral DNA so that it cannot replicate

Front 13

acute HIV infection is most similar to

Back 13

mono (b/c of the lymphadenopathy, the flu is not the best answer)

Front 14

the most common CXR finding in pt with PCP pneumonia is

Back 14

normal

Front 15

HIV pt c fever & severe HA x hrs. AAOx3 & gives coherent hx. no papilledema or meningismus....dx

Back 15

cryptococcal meningitis (usu dont have typical findings of regular meningitis)

Front 16

when should HIV infected pt receive prophylaxis against PCP

Back 16

when CD4 <200

Front 17

when to start mycobacterium avium complex prophylaxis in HIV pt

Back 17

when CD4 is < 75

Front 18

when to start CMV prophylaxis in HIV pt

Back 18

when CD4 is < 50

Front 19

PA has needle stick from HIV + pt with undectable viral load. how do you manage situation

Back 19

zidovudine + lamivudine x 4 wks (add protease inhibitor such as indinavir if HIV pt has advanced dz or high viral load)

Front 20

common side effect of indinavir

Back 20

kidney stones

Front 21

pt with HIV gives birth to term infant & rec'd three drug prophylaxis during pregnancy...what should you do with the infant

Back 21

continue combo therapy for 1-2 wks

Front 22

blood of infant born to HIV + mom will have moms antibodies for how long

Back 22

10 months

Front 23

hallmark of tertiary syphillis

Back 23

superficial painless gummas

Front 24

diarrhea of Giardia....bloody or not

Back 24

not (assoc with greasy malodorous stools)

Front 25

what caution should you take if you think pt has strep + mono

Back 25

do not give amoxicillin or ampicillin to tx strep bc will cause rash if pt has mono

Front 26

describe rash of Rocky mountain spotted fever

Back 26

begins 3-6 days after exposure; maculopapular rash that begins on wrists and ankles then spreads to trunk

Front 27

tx for acute clostridium tetani infection

Back 27

tetanus immune globulin, tetanus toxoid, and metronidazole

Front 28

tx for bartonella henslae (fever, lymphadenopathy after cat bite aka cat scratch fever)

Back 28

none needed (will resolve on own)

Front 29

what is lymphogranuloma venereum caused by

Back 29

chlamydia trachomatis

Front 30

HIV results in reduction of which type of cells

Back 30

helper inducer T cells

Front 31

GI infection most likely to be associated with the sequellae of gillian barre syndrome

Back 31

campylobacter jejuni

Front 32

re: needle stick from HIV pt
what factor carries the greatest risk for the transmission of HIV

Back 32

depth of injury

Front 33

depth of induration of PPD to be + in HIV pt

Back 33

5 mm

Front 34

park rangers or any others who are exposed to soil around the Ohio River Valley are susceptible to catch what inf dz

Back 34

Blastomycosis

Front 35

MCC of fungal meningitis

Back 35

Cryptococcus

Front 36

lab test needed to dx malaria

Back 36

blood smear

Front 37

What is Fitz-Hugh-Curtis Syndrome

Back 37

perihepatic gonorrhea (infxn goes from fallopian tubes to liver)

Front 38

2 types of condyloma and what dzs do they represent

Back 38

condyloma lata--syphillis
condyloma accuminata--HPV

Front 39

Donovan bodies on Wright stain; assoc with painful genital lesions

Back 39

Granuloma Inguinale

Front 40

screening vs confirmatory tests for syphillis

Back 40

screening: VDRL or RPR
Confirmatory: FTA-ABS

Front 41

MCC of meningitis
Preterm-1 mo:
>1mo:
> 50y/o:

Back 41

Preterm-1 mo: strep agalactiae (group B strep)
>1mo to age 50: strep pneumo
> 50y/o or comorbidities: strep pneumo & Listeria

Front 42

Erysipelas usu caused by what bacteria

Back 42

strep pyogenes

Front 43

afebrile + bloody diarrhea is usu

Back 43

E. Coli

Front 44

Gram neg S shaped rod that is most common cause of infectious diarrhea in US

Back 44

campylobacter jejuni