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65 Cards in this Set
- Front
- Back
Prevention Bacterial Meningitis |
Health education Immunization: Bi, Tri, Quadrivalant not result in Herd Immunitu
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Control of Bacterial Meningitis |
Report to LHO Isolation Concurrent disinfection Protection of contacts- Rifampicin - Investigation of contacts Specifc Treatment
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Drug: Does NOT cause Prolactinemia: |
Resperpine |
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Drug: Treatment of Opoid dependency |
Methadone |
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Buprenorphine: |
Partial Agonist at u Receptor |
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Tolerance occurs to all of Actions of Opoids EXCEPT |
Miosis |
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New born develops respiratory depression in postoperative wards: result of? |
opoids |
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Naltrexone used in treatment of _____ of Opoid addiction |
Overdose
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NOT an Opoid Agonist |
Ketamine
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Pregnant tonic clonic seizures uses Phenobaritone stops 4 month into pregnancy: |
Decision wrong for risk of Teratogenacity toxicity is highest at first trimester |
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Fetal Hydantoin Syndrome seen in pregnancy + |
Phenytoin |
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Effect of Valproate EXCEPT |
Osteomalacia |
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Enhances levels of Levodopa in Parkinson's |
Entacapone |
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History of Head injury , NOT to use for analgesia |
morphine |
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Chronic treatment of Epelipsy , S/E hirtruism & gingval Hyperplasia |
Phenytoin |
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Entacapone useful in Levodopa-carbidopa treatment b/c |
Decreases formation of 3-OMD |
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Antiepeliptic drug used for treatment of Post herpetic neuralgia |
Gaba pentin |
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Tramadol |
opoid analgesc |
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Abcensce seizure |
Ethosuxamide |
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Headache Aspirin => severe shortness of breathe Responsible? |
Leukotriends |
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Action of Aspirin at lowest dose |
Antiplatelet |
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Acute inflammatory swelling of lower limb: NOT useful ? |
Paracetamol |
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Post-operative pain, NSAIDS: |
Ketoralic |
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Child +Viral infection + high fever C/I NSAIDS? |
Aspirin |
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Parkinsonism: Levodopa + vit b => |
Decreased Efficacy |
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Selegilline: NOT |
a MOA-A inhibitor |
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Granulomatous amebic meningo-encephalitis (GAM) is caused by: |
Acanthamoeba Castellani |
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Protozoan + Nuclear Chromatin particles |
Entamoeba histolytica |
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Trypsonomiasis Lab Diagnosis? |
Aspirate Chancre Csf Examination |
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NOT a pathogenic free living amoeba |
Entamoeba Histolytica |
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Plasmodium Falciparum does NOT |
produces single infection of the RBCs. |
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A woman + returned from Africa+paroxysmal attacks of chills, fever, and sweating last a day or two at a time and recur every 36 to 48 h. Examination of a stained blood : ring like and crescent-like forms within red blood cells. |
Plasmodium falciparum |
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Protozoan flagellated |
N. fowleri |
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Primary amoebic meningo-encephalitis (PAM) |
N.fowleri
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Spine like psuedopods trophozoite |
Acanthamoeba castellani |
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Polymorphic pattern of Trypomastigote |
Trypanosoma gambiense |
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WRONG : neiseria meningitis: |
coagulase production |
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All of the Meningococci ,pneumococci has |
Capsule
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Case: Brain abscess after teeth removal: |
Aneurobic streptococci |
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Neiseria meningitis : |
Produce enzymes: igA oxidase, oxidase CAN"T Exotoxin |
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Case: young boy +missed immunzation + Meningitis+ CSF ^^ polymorphs & Gram stain -ve poliomorphic rods, Isolation on chocolate agar |
H. influenza VF: Polysacchride capsule |
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Newborn + meningitis+ short gram +ve rods |
Neisseria onocytoges (form mother birth canal, unpasterized milk) (Lesteria monocytogenes?) |
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H.influenza confirm |
chocolate agar x and v factor |
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Neonatal meningitis + bulging of ant frotal +gp B stretoticocci: Patho? |
capsule invade csf , dont have anticapsular 'specif" Ab,-> negative opsonization " enhance Phagocytosis" |
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Lesteria monocytogenes infect young child with all vaccines for septic meningitis |
No vacc for lesteria, e.coli, strepto A & B |
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Child died of septic shock , gram -ve isolated in blodd & csf fever, hypotenstion |
"meningococci" Cultre?; Modified thayer martin medium imp VF: Endotoxin : lipooligosacchride |
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Rabies virus |
Causes late manifestation: previleged site: away from immunity ACTIVE PASSIVE and Active vacc |
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Child bitten dog with Rabies: Delayed immunity? |
replicate at privileged site |
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N.meningitis: |
facultativea anaerobe has oxidase enzyme |
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Immunocompromised +/ temporal lobe lesion + Multinucleated giant cell (intranucleus) |
Inclusion bodies, herpis simplex virus |
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Meningitis seen with |
C5-C9 deffincency "genetics" |
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Defense mechanism to prione |
changing the nomad configuration of normal prion |
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Prions not activated by ultraviolet rays |
sensitive to autoclave |
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Meningiococcal vaccine which one to be given to child |
Congugated |
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one Ag com + B lymphocyte IgM +no memory cells othres mp t ce;; dependent protein ( conjugate vaccine) |
T-cell dependent |
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Teeth extraction after one moth with brain abscess |
Anaerobic infect : bacteroides, Anaerobic streptococci |
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characters of arboVirus: |
(study all ) |
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N. meningitis grow best at |
Facculitative |
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child with increase fever, neck stiffness " bacterial meningitis " csf with increased WBC count 98% polymorphous 'bacterial infection' Gram stain polymorphic -ve rods child missed some vaccine |
Hemophilis influenza infection |
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Fever G -ve polymorphic coccobacilli, neck stiffness, lab: isolation with |
x and v factor in chocolate agar |
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Neonate came to emerge with fever and bulging of ant frontanale LP is taken and CSF is isolated and found group B streptococci agalactia . this disease transmitted during birth through vagina birth canal Mechanism to allow it to pass to the blood? |
Capsule which : -inh opsoization, -inh phagocytosis => more invasion => reach CNS |
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septic meningitis ( Hypothension , fever , petechial hemorrhage) Endotoxin |
lipopolysacchride oligosaccaride lipid A |
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case with desiminated vesicular leis one, by herpis Simplex virus,Confirm by acyclovir ,a nd doing lab test to Dx by |
PCR |
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Progressive multifocal incephalopathy caused by slow viral |
Polio virus, it invades all the brain |
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Temporal lobe lesion of immune compromised pt MRI , biopsy show multi nucleated giant cells and intranuclear inclusion bodies. |
Herpis Simplex infection
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