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13 Cards in this Set
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A 37 year old woman presents to the emergency department with bloody diarrhea, cramps and fever. Lab results indicate the presence of fecal leukocytes and gram-negative microaerophilic rods.
What is the best treatment? 1. Antibiotics & fluids 2. Antimotility agents & fluids 3. Fluids alone 4. Fluids, antibiotics & antimotility agents What is the most likely etiology? 1. Campylobacter jejuni 2. Clostridium difficile 3. Escherichia coli EHEC 4. Helicobacter pylori 5. Shigella What is the most likely complication? 1. Antibiotic-associated diarrhea 2. Guillain-Barre syndrome 3. Hemolytic-uremic syndrome 4. Hemorrhagic colitis 5. Subacute endocarditis |
1. Antibiotics & fluids
1. Campylobacter jejuni 2. Guillain-Barre syndrome |
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A 22 year old male presents to his physician with watery diarrhea. No fecal leukocytes are present in a stool sample. A Gram-positive rod is cultured from the stool sample. What is the most likely etiology?
1. Clostridium perfringens 2. Escherichia coli EHEC 3. Vibrio parahaemolyticus 4. Staphylococcus aureus 5. Yersinia enterocolitica |
1. Clostridium perfringens
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A 37 year old woman presents to the emergency department with bloody diarrhea, cramps and fever. Lab results indicate that fecal leukocytes are not present. A Gram-negative rod is cultured from the stool sample. What is the most likely etiology?
1. Campylobacter jejuni 2. Clostridium difficile 3. Escherichia coli ETEC 4. Helicobacter pylori 5. Non-typhoidal Salmonella |
5. Non-typhoidal Salmonella
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A 62 year old woman presents to her physician with fever, chills, headache, muscle pain, abdominal pain and constipation. Examination is remarkable for scattered very small red lesions on her trunk. A Gram-negative rod is cultured from a blood sample. What is the most likely etiology?
1. Clostridium botulinum 2. Listeria monocytogenes 3. Salmonella typhi 4. Streptococcus (viridans group) 5. Vibrio vulnificus |
3. Salmonella typhi
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A 24 year old male presents to his physician with a urethral discharge and dysuria. Gram-negative cocci were observed in a Gram-stain of the discharge. What is the most likely etiology?
1. Chlamydia trachomatis 2. Haemophilus ducreyi 3. Neisseria gonorrhoeae 4. Treponema pallidum |
3. Neisseria gonorrhoeae
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A 24 year old male presents to his physician with a urethral discharge and dysuria. No bacteria were observed in a Gram-stain of the discharge. What is the most likely etiology?
1. Chlamydia trachomatis 2. Haemophilus ducreyi 3. Neisseria gonorrhoeae 4. Treponema pallidum |
1. Chlamydia trachomatis
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A 24 year old female presents to her physician with a vaginal discharge and dysuria. What is the most sensitive method of diagnosing chlamydia?
1. Culture vaginal discharge 2. Culture cervical epithelial cells 3. Gram-stain of cervical epithelial cells 4. PCR of urine sample |
4. PCR of urine sample
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If you suspected the woman had gonorrhea, how would you diagnose it?
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Culture or nucleic acid techniques (cannot use gram stain for women. Only for men)
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How would your handling of the case differ if the patient was a 14 year old female instead of a 24 year old female?
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Culture and nucleic acid techniques (everything you can)
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A 24 year old male presents to his physician with a urethral discharge and dysuria. No bacteria were observed in a Gram-stain of the discharge. What is the most likely etiology?
1. Chlamydia trachomatis 2. Haemophilus ducreyi 3. Neisseria gonorrhoeae 4. Treponema pallidum |
1. Chlamydia trachomatis
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A 24 year old male presents to his physician with a sore throat, fever and a rash over his entire body. The VDRL test was positive. What is the most likely etiology?
1. Chlamydia trachomatis 2. Haemophilus ducreyi 3. Neisseria gonorrhoeae 4. Treponema pallidum |
4. Treponema pallidum
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A 24 year old male presents to his physician with a sore throat, fever and a rash over his entire body. The VDRL test was positive. What is the most likely diagnosis?
1. Primary syphilis 2. Secondary syphilis 3. Tertiary syphilis |
2. Secondary syphilis
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A 24 year old male presents to his physician with a painful ulcer on his penis. What is the most likely etiology?
1. Chlamydia trachomatis 2. Haemophilus ducreyi 3. Neisseria gonorrhoeae 4. Treponema pallidum |
2. Haemophilus ducreyi
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