Rr Firstaid Step2 Ck - Infectious Disease

Front 1

The 3 most common causes of fever of unknown origin (FUO).

Back 1

infection
cancer
autoimmune disease

Front 2

4 signs & symptoms of Streptococcal pharyngitis.

Back 2

fever
pharyngeal erythema
tonsillar exudate
lack of cough

Front 3

A nonsuppurative complication of Streptococcal infection that is not altered by treatment of 1° infection.

Back 3

Postinfectious glomerulonephritis

Front 4

Asplenic patients are particularly susceptible to these organisms.

Back 4

ENCAPSULATED ORGANISMS:

pneumococcus
meningococcus
Haemophilus influezae
Klebsiella

Front 5

The number of bacterial culture on a clean-catch specimen to diagnose a UTI.

Back 5

10^5 bacteria/mL

Front 6

Which healthy population is susceptible to UTIs?

Back 6

Pregnant women.
Treat this group aggressively because of potential complications

Front 7

A patient from California or Arizona presents w/ fever, malaise, cough, & night sweats. Diagnosis? Treatment?

Back 7

Coccidioidiomycosis;
Amphotericin B

Front 8

NONpainful chancre.

Back 8

1° syphilis

Front 9

A "blueberry rash" is characteristic of what congenital infection?

Back 9

Rubella

Front 10

Meningitis in infants.
Causes? Treatment?

Back 10

pneumococcus
meningococcus
H. influenzae

Treat w/ cefotaxime & vancomycin

Front 11

What should always be done prior to lumbar puncture?

Back 11

Check for ⇧intracranial pressure;
look for papilledema

Front 12

CSF finding(s): low glucose, PMN predominance

Back 12

Bacterial meningitis

Front 13

CSF finding(s): normal glucose, lymphocytic predominance

Back 13

Aseptic (viral) meningitis

Front 14

CSF finding(s): numerous RBCs in serial CSF samples

Back 14

Subarachnoid hemorrhage (SAH)

Front 15

CSF finding(s): ⇧gamma globulins

Back 15

Multiple sclerosis (MS)

Front 16

Initially presents w/ a pruitic papule w/ regional lymphadenopathy & evolves into a black eschar after 7-10 days. Treatment?

Back 16

Cutaneous anthrax;
penicillin G or ciprofloxacin

Front 17

Findings in 3° syphilis.

Back 17

tabes dorsalis,
general paresis,
gummas,
Argyll Robertson pupil,
aortitis,
aortic root aneurysms

Front 18

Characteristics of 2° Lyme disease.

Back 18

arthralgias,
migratory polyarthropathies,
Bell's palsy
myocarditis

Front 19

Cold agglutinins.

Back 19

Mycoplasma

Front 20

Meningitis in neonates.
Causes? Treatment?

Back 20

Group B Strep
E. coli
Listeria

Treat w/ gentimicin & ampicillin

Front 21

A 24 y/o male presents w/ soft white plaques on his tongue & the back of his throat.
Diagnosis? Workup? Treatment?

Back 21

Candidal thrush.

Workup should include an HIV test.

Treat w/ nystatin oral suspension

Front 22

Begin Pneumocystis carinii pneumonia (PCP) prophylaxis in an HIV-positive patient at what CD4 count?

Mycobacterium avium-intracellulare (MAI) prophalaxis?

Back 22

for PCP: ≤ 200 (w/TMP)

for MAI: ≤ 50-100 (w/ clarithromycin/azithromycin)

Front 23

Risk factors for pyenephritis.

Back 23

pregnancy
vesicoureteral reflux
anatomic anomalies
indwelling catheters
kidney stones

Front 24

Neutropenic nadir postchemotherapy. When?

Back 24

7-10 days

Front 25

Erythema migrans. What is it?

Back 25

Lesion of 1° Lyme disease.

Front 26

Classic physical findings for endocarditis.

Back 26

fever
heart murmur
Osler's nodes
splinter hemorrhages
Janeway lesions
Roth's spots

Front 27

Aplastic crisis in sickle cell disease. What virus?

Back 27

Parvovirus B19

Front 28

Ring-enhancing brain lesion on CT w/ seizures.

Back 28

Taenia solium (cystcercosis)

Front 29

Name the organism:

branching rods in oral infection

Back 29

Actinomyces israelii

Front 30

Name the organism:

PAINFUL chancroid

Back 30

Haemophilus ducreyi

Front 31

Name the organism:

dog or cat bite

Back 31

Pasturella multocida

Front 32

Name the organism:

gardener

Back 32

Sporothrix schenckii

Front 33

Name the organism:

pregnant woman w/ pets

Back 33

Toxoplasma gondii

Front 34

Name the organism:

meningitis in ADULTS

Back 34

Neisseria meningitidis

Front 35

Name the organism:

menigitis in ELDERLY

Back 35

Streptococcus pneumoniae

Front 36

Name the organism:

alcoholic w/ pneumonia

Back 36

Klebsiella

Front 37

Name the organism:

"currant jelly" sputum

Back 37

Klebsiella

Front 38

Name the organism:

infection in burn victims

Back 38

Psuedomonas

Front 39

Name the organism:

osteomyelitis from foot wound puncture

Back 39

Pseudomonas

Front 40

Name the organism:

osteomyelitis in a sickle cell patient

Back 40

Salmonella

Front 41

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

Back 41

Legionella pneumonia

Front 42

A middle-aged man presents w/ acute-onset monoarticular joint pain & bilateral Bell's palsy.
What is the likely diagnosis, & how did he get it? Treatment?

Back 42

Lyme disease from Ixodes tick

Treat w/ doxycycline

Front 43

A patient develops endocarditis 3 weeks after receiving a prosthetic heart valve. Waht organism is suspected?

Back 43

Staph aureus or Staph epidermidis