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16 Cards in this Set
- Front
- Back
These are nontender, hemorrhagic lesions on the palms and soles and indicate endocartitis:
A. Oslers nodes B. Splinter hemorrhages C. Janeway lesions D. Ecthyma gangrenosum F. Carbuncles |
C. Janeway lesions
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Which of the following are common manifestations of endocarditis?
A. Fever B. Positive blood cultures C. Renal failure D. Splenomegaly E. All of the above |
E. All of the above
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What is embolic phenomena?
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Major arterial emboli or septic pulmonary emboli
Leads to mycotic aneurysm or intracranial hemorrhages, laneway lesions, & splinter hemorrhages |
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Where anatomically do you find splinter hemorrhages?
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Under the nails
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Which of the following are nodules on the pads of fingers?
A. Osler's nodes B. Splinter hemorrhages C. Janeway lesions D. Ethyma gangenosum E. Carbuncles |
A. Osler's nodes
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Which of the following are retinal hemorrhages with white or pale centers?
A. Roth spots B. Conjunctival hemorrhages C. Splinter hemorrhages D. Scleral icterus |
A. Roth spots
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Which of the following lead to yellowing of the eye?
A. Roth spots B. Conjunctival hemorrhages C. Splinter hemorrhages D. Scleral icterus |
D. Scleral icterus
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What are the two most common bugs that cause endocarditis?
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Streptococci (60%)
Staphylococci (25-35%) |
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Five complications of candidemia:
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Septic arthritis, coetaneous lesions, endocarditis
Endophthalmitis, osteomyelitis |
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Should you be concerned if you see Candida growing in a patient's urine?
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No
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Which of the following would NOT increase a patient's risk for cadidemia?
A. Bowel disease B. Long-term IV access C. Use of broad spectrum antibiotics D. Total parenteral nutrition E. Leukocytosis |
E. Leukocytosis
This is an indicator of candidiasis, but not a cause of the infection |
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Five indicators of invasive candidiasis:
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Persistent fever despite broad antibiotics
Colonization at multiple sites Candiduria in the absence of catheterization Profound leukocytosis Presence of risk factors for candidiasis (immunocompromised, etc) |
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Which of the following are papuled-blotches of different colors (red, brown, black, purple) and are found on the skin?
A. Bacterial abscess B. Kaposi sarcoma C. Fungal abscess D. Melanoma E. Mycobacterial abscess |
B. Kaposi sarcoma
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What is the bug that causes Kaposi sarcomas?
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Human Herpesvirus-8
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Which bug has been found in atherosclerotic plaques and has been indicated as a cause of exacerbating MI's?
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Chlamydia pneumoniae
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What are three drugs that are effective against Chlamydia?
Which drug classes should you definitely avoid? |
Tetracyclines, Macrolides, and Quinolones are good choices
Avoid Penicillins and Cephalosporins |