Term
| 3 MCCs of fever of unknown origin (FUO) |
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Definition
-Infection
-Cancer
-Autoimmune disease |
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Term
| Four signs and symptoms of Strep pharyngitis? |
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Definition
Fever
Pharyngeal erythema
Tonsillar exudate
Lack of cough |
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Term
| A nonsuppurative complication of streptosoccal infection that is not altered by treatment of primary infection. |
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Definition
| Post-infectious glomerulonephritis |
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Term
| The MC predisposing factor for acute sinusitis. |
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Definition
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Term
| Asplenic patients are particularly susceptible to these organisms: |
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Definition
Encapsulated organisms
SHiNK
-S. Pneumo
-H. influenza
-N. meningitidis
-Klebsiella |
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Term
| The number of bacteria needed on a clean-catch specimen to diagnose a UTI |
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Definition
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Term
| Which healthy population is susceptible to UTIs? |
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Definition
Pregnant women
-Treat this group aggressively because of potential complications.
-Treat asymptomatic bacteriuria only in pregnancy |
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Term
A patient from California or Arizona presents with fever, malaise, cough and night sweats.
Diagnosis?
Treatment? |
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Definition
Dx: Coccidiodomyocisis
Tx: Ampho B |
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Term
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Definition
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Term
| A "blueberry muffin" rash is characteristic of what congenital infection |
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Definition
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Term
Meningitis in neonates.
-Causes?
-Treatment? |
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Definition
Causes: GBS, E. coli, Listeria
Tx: Ampicillin + Gentamycin |
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|
Term
Meningitis in infants.
-Causes?
-Treatment? |
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Definition
Causes: S. pneumo, N. meningitidis, H. influenza
Tx: Cefotaxime + Vancomycin |
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Term
| What should always be done prior to LP? |
|
Definition
| Check for signs of Increased ICP (Papilledema) |
|
|
Term
What Dx is associated with each of the following CSF Findings:
-Low glucose, PMN predominance |
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Definition
|
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Term
What Dx is associated with each of the following CSF Findings:
-Normal glucose. Lymphocyte predominance |
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Definition
| Viral (Aseptic) meningitis |
|
|
Term
What Dx is associated with each of the following CSF Findings:
-Numerous RBCs in serial CSF samples |
|
Definition
| Subarachnoid Hemorrhage (SAH) |
|
|
Term
What Dx is associated with each of the following CSF Findings:
-Increased Gamma globulins |
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Definition
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Term
Initially presents with a pruritic papule with regional lymphadenopathy. Evolves into a black eschar after 7-10 days.
Dx?
Tx? |
|
Definition
Dx: Cutaneous anthrax
Tx: PCN-G or Ciprofloxacin |
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|
Term
| Findings in tertiary syphilis? |
|
Definition
-Tabes dorsalis
-General paresis
-Gumma
-Argyll-Robertson Pupil (accommodates but does not react)
-Aortitis ("tree bark")
-Aortic root aneurysms |
|
|
Term
| Characteristics of secondary lyme disease |
|
Definition
Arthralgias
Migratory polyarthropathies
Bell's palsy
Myocarditis |
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|
Term
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Definition
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Term
A 24yo man presents with soft white plaques on his tongue and the back of his throat.
Dx?
Work up?
Tx? |
|
Definition
Dx: Candidal thrush
W/u: HIV test
Tx: Nystatin oral suspension |
|
|
Term
At what CD4 count should the following prophylaxis be initiated in an HIV+ patient?
-PCP?
-M. avium intracellulare complex? |
|
Definition
PCP: 200 (TMP-SMX)
MAC: 50-100 (Azithromycin or Clarithromycin) |
|
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Term
| Risk factors for pyelonephritis. |
|
Definition
-Pregnancy
-Vesicoureteral reflux
-Anatomic anomalies
-indwelling catheters
-Kidney stones |
|
|
Term
| Neutropenic nadir postchemotherapy |
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Definition
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Term
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Definition
| Lesions of primary lyme disease |
|
|
Term
| Classic physical findings for endocarditis |
|
Definition
Fever
Heart murmur
Osler's Nodes
Splinter hemorrhages
Janeway lesions
Roth's spots |
|
|
Term
| Aplastic crisis in sickle cell disease |
|
Definition
|
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Term
| Ring-enhancing brain lesion on CT with seizures |
|
Definition
Taenia solium (Cysticercosis)
[What about Toxoplasmosis??] |
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|
Term
Name the organism based on the following descriptions:
1. Branching rods in oral infection.
2. Weakly gram positive, partially acid-fast in lung infection.
3. Painful chancroid
4. Dog or cat bite
5. Gardener
6. Raw pork and skeletal muscle cysts |
|
Definition
1. Actinomyces israelii
2. Nocardia asteroides
3. Haemophilus ducreyi
4. Pasteurella multocida
5. Sporothrix schenckii
6. Trichinella spiralis |
|
|
Term
Name the organism based on the following descriptions:
1. Sheepherders with liver cysts
2. Perianal itching
3. Pregnant women with pets
4. Meningitis in adults
5. Meningitis in elderly
6. Meningoencephalitis in AIDS patients |
|
Definition
1. Echinococcus granulosus
2. Enterobius vermicularis
3. Toxoplasma gondii (cats in specific)
4. Neisseria meningitidis
5. Strep pneumo
6. Cryptococcus neoformans |
|
|
Term
Name the organism based on the following descriptions:
1. Alcoholic with pneumonia
2. "Currant-Jelly" sputum
3. Malignant external otitis
4. Infection in burn victims
5. Osteomyelitis from a foot wound puncture
6. Osteomyelitis in a sickle cell patient |
|
Definition
1. Klebsiella (or anaerobic if vomits)
2. Klebsiella
3. Pseudomonas
4. Pseudomonas
5. Pseudomonas
6. Salmonella |
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Term
| A 55yo man who is a smoker and a heavy drinker presents with a new cough and flulike symptoms. Gram stain shows no organisms; silver stain of sputum shows gram negative rods. What is the diagnosis? |
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Definition
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Term
A middle-aged man presents with acute-onset monoarticular joint pain and bilateral bell's palsy. What is the likely diagnosis and how did he get it?
Treatment? |
|
Definition
Dx: Lyme disease from Ixodes tick bite
Tx: Doxycycline |
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Term
| A patient develops endocarditis 3 weeks after receiving a prosthetic heart valve. What organisms is suspected? |
|
Definition
| S. aureus or S. epidermidis |
|
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Term
| A patient develops endocarditis in a native valve after having a dental cleaning. |
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Definition
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