Shared Flashcard Set

Details

USMLE Step 1 Micro
DIT Micro
282
Medical
Graduate
05/12/2010

Additional Medical Flashcards

 


 

Cards

Term
Bacterial Structure: Mediates the adherence of bacteria to surface of cell wall
Definition
pilus/fimbria
Term
Bacterial Structure: Protects against phagocytosis
Definition
capsule
Term
Bacterial Structure: provides rigid support to bacterial cell and protects against osmotic pressure differences
Definition
peptidoglycan
Term
Bacterial Structure: space b/w the inner and outer cellular membranes in gram (-) bacteria
Definition
periplasm
Term
Bacterial Structure: bacterial form which provides resistance to dehydration, heat, and chemicals
Definition
spores
Term
Bacterial Structure: forms attachment b/w two bacteria during transfer of DNA material (aka conjugation)
Definition
sex pilus (aka F pilus)
Term
Bacterial Structure: genetic material w/in bacteria that contains genes antibiotic resistance
Definition
plasmids
Term
What exotoxin? inhibits ACh release and causes flaccid paralysis
Definition
c. botulinum
Term
What exotoxin? Lecithinase that causes gas gangrene
Definition
c. perfringins (alpha toxin)
Term
What exotoxin? Inhibits the inhibitor of adenylate cyclase
Definition
Bordatella Pertussis
Term
What exotoxin? Stimulates adenylate cyclase, Cl and H20 into gut, diarrhea
Definition
cholera toxin and heat labile toxin of ETEC
Term
What exotoxin? Destroys leukocytes
Definition
leucocitin
Term
What exotoxin? Composed of edema factor, lethal factor, and protective antigen
Definition
bacillus anthracis
Term
What exotoxin? Causes Scarlet Fever
Definition
erythtogenic/pyrogenic toxin of strep
Term
What exotoxin? Causes toxic shock syndrome
Definition
TSST
Term
What exotoxin? Inactivates EF-2
Definition
Corynobacterium diptheria (pseudomembranous pharyngitis)
Term
What exotoxin? Blocks the release of the inhibitory neurotransmitter glycine
Definition
tetanus toxin
Term
Which staph aureus toxin? hemolysis
Definition
alpha toxin, hemolysin
Term
Which staph aureus toxin? sphingomyelinase
Definition
beta toxin
Term
Effect of staph aureus toxin? Proteins A,B,C of gamma toxin
Definition
A+B=hemolysin
B+C=leukociden (breaks down leukocytes)
Term
Which staph aureus toxin? destroys leukocytes
Definition
leukociden
Term
Which staph aureus toxin? food poisoning (vomiting and diarrhea)
Definition
enterotoxins A-E
Term
Which staph aureus toxin? epithelial cell lysis, scalded skin syndrome
Definition
epidermolytic/exfoliative toxins
Term
Of Streptolysin O and S, which is oxygen stable?
Definition
S- stable
O- labile
Term
What are the 3 acute phase cytokines?
Definition
TNF-alpha, IL-1, IL-6
Term
What stain? Cryptococcus neoformans
Definition
India Ink
Term
What stain? PCP
Definition
Silver Stain
Term
What stain? Amyloid
Definition
Congo Red
Term
What stain? Chlamydia
Definition
Giemsa
Term
What is MacConkey's agar made up of and what does it grow?
Definition
bile salt and crystal violet, grows gram (-) and turns pink w/ lactose fermenters?
Term
By what method are plasmids exchanged b/w bacteria?
Definition
conjugation
Term
What 5 bacteria are encapsulated?
Definition
Klebsiella, Strep pneumo, H. influenza, Neisseria meningitidis, Salmonella
Term
Name the 2 gram (+), CAT (+), Coag (-) cocci
Definition
staph epidermis and staph saphrophyticus
Term
Name the 4 gram (+) rods/bacilli
Definition
clostridium, corynobacterium, listeria, bacillus (Cu-Cumber-Like Bacteria)
Term
gram (+) Cat (-) beta hemolytic cocci?
Definition
Group A strep--pyogenes
Group B strep--agalactiae
Term
gram (+) Cat (-) alpha hemolytic cocci?
Definition
strep pneumo
strep viridans
Term
Name the 2 gram (+) branching filaments
Definition
Nocardia
Actinomyces
Term
What 3 infections does strep agalactiae (Group B) cause om neonates?
Definition
sepsis, meningitis, pneumonia
Term
What type of strep viridans is most prominant in dental plaques?
Definition
s. mutans
Term
What 2 bugs can cause cellulitis?
Definition
staph aureus and strep pyogenes
Term
Which strep is indicated in glomerulonephritis?
Definition
strep pyogenes
Term
What antibiotic causes "red man's syndrome"?
Definition
Vancomycin
Term
What b-lactamase resistant drug is added to amoxicillin to increase its efficacy?
Definition
Clauvanic acid + amoxicillin = augmentin
Term
Which antibacterials increase the nephrotoxicity of aminoglycosides?
Definition
cephalosporins
Term
What antibiotic is called the "aminoglycoside pretender"?
Definition
Aztreonam
Term
What antibiotic do you treat syphilis with?
Definition
Penicillin G (IV)
Term
What is the single dose treatment for gonorrhea?
Definition
ceftriaxone
Term
What are the 2 gram (-) oxidase (+) cocci? Which one ferments maltose?
Definition
Neisseria Meningitidis (ferments) and Neisseria gonorrhea (does NOT ferment).
Term
Name 3 gram (-) rods that ferment lactose.
Definition
Klebsiella, E. coli, and Serratia
Term
What is the only non-fermenting gram (-) rod that is oxidase positive?
Definition
pseudomonas
Term
Name 3 gram (-) rods that are nonfermenters and are oxidase (-)
Definition
shigella, salmonella, and proteus
Term
What are the 4 gram (-) "coccoid" rods?
Definition
H. Influenzae, Bordatella Pertussis, Brucella, and Pasteurella (negative Bruce is Bored with the Flu in a Pasture)
Term
What zoonotic bacteria is associated with a cat scratch?
Definition
Bartonella henselae
Term
What zoonotic bacteria is associated with dog/cat bites?
Definition
Pasturella multocida
Term
What zoonotic bacteria is associated with puppy feces?
Definition
Yersinia enterocolitica
Term
What zoonotic bacteria is associated with animal urine?
Definition
Leptospira
Term
What zoonotic bacteria is associated with rat bites?
Definition
spirillum minus
Term
What do you stain Legionella pneumoniae with?
Definition
Silver stain
Term
What gram (-) bacteria? Osteomyelitis in a pt w/ Diabetes Mellitus
Definition
Pseudomonas
Term
What gram (-) bacteria? Sepsis, DIC, adrenal hemorrhage
Definition
Neisseria Meningitidis
Term
What gram (-) bacteria? 5 y/o w/ drooling, pharyngitis, and thumb sign on X-ray
Definition
H. Influenza (Type B)
Term
What gram (-) bacteria? Alcoholic with aspiration pneumonia
Definition
Klebsiella
Term
What gram (-) bacteria? Child w/ new puppy develops abdominal pain
Definition
Yersinia
Term
What 2 enzymes to obligate anaerobes lack?
Definition
Catalase and SOD
Term
What gram (-) bacteria? burn wound infxn
Definition
pseudomonas
Term
What gram (-) bacteria? Motile organism that causes UTI
Definition
proteus
Term
What gram (-) bacteria? Life threatening meningitis and PURPURA
Definition
Neisseria Meningitidis
Term
What gram (-) bacteria? Common cause of both pneumonia and UTI's
Definition
klebsiella
Term
What gram (-) bacteria? Corneal infxns in contact lens wearers
Definition
pseudomonas
Term
What is the most common organism in the large intestine?
Definition
Bacteroides Fragillis
Term
What 2 pathologies come to mind when you see bilateral bells palsy?
Definition
Lyme Dz and Guillan-Barre
Term
What are the toxicities of Vancomycin? hint: "NOT"
Definition
Nephrotoxicity, Ototoxicity, Thrombophlebitis
Term
What are the main toxicities of Aminoglycosides? Hint: "NOT"
Definition
Nephrotoxicity, Ototoxicity, Teratogen
Term
What are the 30s protein synthesis inhibitors?
Definition
"AT"...A-Aminoglycosides, T-Tetracyclines
Term
What are the 50s protein synthesis inhibitors?
Definition
"CCLE" Clindamycin, Chloramphenicol, Linezolid, Erythromycin (macrolides)
Term
What should you never take with Tetracyclines?
Definition
milk, antacids, divalent cations (Ca2+, Mg2+,Fe2+, etc)
Term
What are the 3 major clinical uses of macrolides?
Definition
"PUS"...Pneumonia, UTI's, and STDs
Term
What 2 groups of antibiotics are associated w/ "N-O-T" toxicity?
Definition
Nephrotoxicity, Ototoxicity and Thrombophlebitis (Vancomycin) OR Teratogen (Aminoglycosides)
Term
What are the side effects of floroquinolones? What is the MOA?
Definition
Inhibits DNA gyrase...causes tendonitis in adults and muscle cramps and myalgias in kids
Term
Produces a myonecrotic lecithiase (Phospholipase C) that lyses erythrocytes, platelets, leukocytes, and endothelial cells
Definition
Alpha toxin of Clostridium perfringens (gas gangrene)
Term
How does Parvovirus often present in adults (ie. schoolteacher)?
Definition
Arthralgias and arthritis similar to Rheumatoid Arthritis (lasts 1-2 wks)
Term
Coughing episodes followed by a rapid/deep inspiration of air?
Definition
Bordatella Pertussis
Term
Which rickettsial sp has properties unique f/ other rickettsiae? What are these differences?
Definition
Coxiella (Q fever)... NO vector, NO rash, NO Weil-Felix rxn...spores are aerosolized
Term
What do you treat Chlamydial infxns with?
Definition
Macrolides or tetracyclines
Term
What mycobacterial spp causes pulmonary TB-like symptoms in COPD pts?
Definition
m. kasaii
Term
What are the rickettsial traid of symptoms?
Definition
headache, fever, rash
Term
Name one virus and one bacteria that cause high titers of cold agglutinins
Definition
mycoplasma pneumonia and EBV ...(IgM)
Term
What antibiotic would you use to treat mycoplasma pneumoniae?
Definition
macrolides
Term
What antibiotic would you use to treat Rocky Mtn Spotted Fever?
Definition
doxycycline
Term
What antibiotic would you use to treat early Lyme Dz?
Definition
doxycycline
Term
What antibiotic would you use to treat late Lyme Dz?
Definition
ceftriaxone
Term
What antibiotic would you use to treat Syphilis?
Definition
Penicillin G (IV)
Term
What antibiotic would you use to treat Leprosy (3 dugs)
Definition
RCD... Rifampin + Clofazamine + Dapsone
Term
What antibiotic increases to nephrotoxicity of aminoglycosides?
Definition
cephalosporins
Term
What are the 1st generation cephalosporins used for?
Definition
"PEcK +"...Proteus, E.coli, Klebsiella and gram (+)
Term
What are the 2nd generation cephalosporins used for?
Definition
"HEN PEcK +"... H.flu, Enterobacter, Neisseria, Proteus, E.coli, Klebsiella, Serratia and gram (+)
Term
What are the 3rd generation cephalosporins used for?
Definition
serious gram (-)...
Term
What two conditions is Cefepime used for?
Definition
Pseudomonas and gram (+)
Term
Name 3 bacteria are known for forming spores?
Definition
clostridium, anthracis bacillis, coxiella
Term
Which 2 bacteria are know for being obligate intracellular bacteria? Why?
Definition
Rickettsia and chlamydia (can't make their own ATP)
Term
Which fungus? Found in SW U.S., including West Texas and California
Definition
Coccidiodes
Term
Which fungus? Found in Mississippi and Ohio River basins
Definition
Histoplasmosis
Term
Which fungus? Causes "San Joaquin Valley Fever"
Definition
Coccidiodes
Term
Which fungus? Found in rural Latin America
Definition
Paracoccidiodes
Term
Which fungus? Assoc'd w/ plant thorns and superficial injury
Definition
Sporothrix
Term
Which fungus? Found in states east of the Mississippi River
Definition
Blastomycoses
Term
Which fungus? Found in bird and bat droppings
Definition
histoplasmosis
Term
Which fungus? mold form contains barrel-shaped arthroconidia
Definition
coccidiodes
Term
Which fungus? broad based budding of yeast
Definition
blastomycoses
Term
Which fungus? Multiple budding of yeast form
Definition
Paracoccidiodes
Term
Which fungus? Causes diaper rash
Definition
candida
Term
Which fungus? septate hyphae at 45 degree angles
Definition
aspergillis
Term
Which fungus? non-septate hyphae at 90 degree angles
Definition
mucor
Term
Which fungus? yeast known for causing meningitis in AIDS pts
Definition
cryptococcus
Term
Which fungus? "Cauliflower skin lesions"
Definition
Blastomycosis
Term
Which fungus? Ascending lymphangitis
Definition
sporothrix
Term
What do you treat sporothrix infections with? (2)
Definition
Itroconazole or potassium iodide
Term
Name 5 infections that are associated with birds...
Definition
1. cyptococcus
2. histoplasmosis
3. chlamydia psittacii
4. H1N1 (Avian flu)
5. West Nile Virus
Term
Which antifungal? interferes w/ microtubule formation
Definition
griseofulvin
Term
Which antifungal? "swish and swallow" for oral candidiasis
Definition
nystatin
Term
Which antifungal? cell wall synthesis inhibitor used in invasive aspergillosis
Definition
ASPergillus, cASPofungin
Term
Which antifungal? binds ergosterol, makes pores in the membrane
Definition
Amphotericin B and nystatin
Term
Which antifungal? Inhibits ergosterol synthesis
Definition
azoles and terbinafine
Term
Which antifungal? most common treatment for onychomycosis (2)
Definition
griseofulvin or terbinafine
Term
Which antifungal? side effects include arrhythmias and nephrotoxicity
Definition
Amphotericin B
Term
Which antifungal? Deposits in keratin-containing tissues
Definition
griseofulvin
Term
Which antifungal? Inhibits hormone synthesis and cytochrome P450
Definition
ketoconazole
Term
Which antifungal? side effect is liver dysfunction (2)
Definition
azoles and griseofulvin
Term
Which antifungal? teratogenic/carcinogenic
Definition
griseofulvin
Term
Which antifungal? used for cryptococcal meningitis in AIDS pts
Definition
fluconazole (or itrathecal Amphotericin B)
Term
Which antifungal? converted to fluorouracil, inhibits DNA synthesis
Definition
flucytosine
Term
Which antifungal? DOC for sporotrichosis
Definition
itraconazole
Term
Which antifungal? can be used intrathecally for fungal meningitis
Definition
Amphotericin B
Term
Which antifungal? INDUCES P450
Definition
griseofulvin
Term
What protozoa? causes malaria
Definition
plasmodium spp
Term
What protozoa? most common protzoal infxn in U.S. (2)
Definition
giardia and trich vaginalis
Term
What protozoa? Cause of Chagas Dz
Definition
Typanosoma cruzi
Term
What protozoa? Amoebic dysentary
Definition
entanoeba histolytica
Term
What protozoa? African Sleeping sickness
Definition
Tryp rhodensis or gambiense
Term
What protozoa? diarrhea in campers and hikers
Definition
giardia
Term
What protozoa? transmitted by sandflies
Definition
leishmaniasis
Term
What protozoa? Patient who visited Mexico presents w/ bloody stool
Definition
e. histolytica
Term
What protozoa? can lead to liver damage and jaundice
Definition
e. histolytica
Term
Malaria life-cycle stage? looks like a diamond ring
Definition
trophozoite
Term
Malaria life-cycle stage? ruptures the cell host
Definition
merozoite
Term
Malaria life-cycle stage? replicating intracellularly
Definition
schizont
Term
Malaria life-cycle stage? Form injected by the anopheles mosquito
Definition
sporozoite
Term
Malaria life-cycle stage? banana-shaped
Definition
gametocyte
Term
Which helminth? most common helminthic infxn in the U.S...
Definition
pinworms
Term
Which helminth? Snail host, "swimmer's itch"
Definition
schistosoma
Term
Which helminth? Most common predisposing factor for bladder cancer in 3rd world countries
Definition
schistosoma
Term
Which helminth? contracted by eating undercooked fish and causes an inflammation of the biliary tract
Definition
clonorchis sinensis
Term
Which helminth? enters into the skin f/ soil and goes f/ blood to lungs until coughed up and swallowed
Definition
strongyloides
Term
Which helminth? hookworm
Definition
ancylostoma
Term
Which helminth? roundworm
Definition
ascaris
Term
Which helminth? contracted by eating undercooked crabmeat and causes inflammation and secondary bacterial infxn of the lung
Definition
Paragonimus westermani
Term
Which helminth? pork tapeworm
Definition
taenia solium
Term
Which helminth? lymphatic filariasis
Definition
Wuchereria bancrofti
Term
Which helminth? adult pt f/ mexico w/ new onset seizures and brain calcifications
Definition
taenia solium
Term
What do you treat Leishmaniasis with
Definition
sodium stibogluconate
Term
What do you treat most all flukes and tapeworms with?
Definition
Praziquantel
Term
What do you treat Chagas' dz with?
Definition
Nifurtimox
Term
What do you treat pediculosis capitus with? (2)
Definition
Permethrin cream or pyrethin
Term
What infxn is transmitted by the tsetse fly?
Definition
Tryp. gabensi and rhodense (African Sleeping sickness)
Term
Extotoxin usually presents with early neurological symptoms of the cranial nerves...ie. decreased gag reflex and blurry vision
Definition
clostridium botulinum
Term
Dx? Immigrant f/ Nicaragua presents with difficulty swallowing and constipation. She is tacchycardic and shows a heart block in EKG
Definition
Chagas Dz (Trypanosoma cruzi)
Term
Dx? Little boy with normal thymic shadow, but increased susceptibility to bacterial and fungal infections
Definition
Chronic granulomatous dz
Term
What causes heterophile negative mono?
Definition
CMV
Term
Gram (+) rod with tumbling motility?
Definition
Listeria
Term
Dx? Woman in a riverside village comes to clinic w/ itchy hyperpigmented skin lesions. She also has decreased visual accuity in he right eye
Definition
Onchocerciasis (River Blindness)..caused by nematode (roundworm)
Term
Dx? Woman gets intensely itchy skin after wading in a freshwater river in Africa
Definition
Schistosomiasis
Term
What is the pneumonic for the bugs that tetracyclines are used to treat? What does it stand for?
Definition
"VACUUM THe BedRoom"... Vibrio, Acne, Chlamydia, Ureplasma, Urealyticum, Mycoplasma pneumonia, Tularemia, H.pylori, Borrelia burgdorferi, Rickettsia
Term
What is the pneumonic for the use of macrolides? What does it stand for?
Definition
"USA"...URI's, STDs, and Atypical pneumonias
Term
What is the virus and is it DNA or RNA? erythema infectiosum
Definition
DNA: Parvo B19
Term
What is the virus and is it DNA or RNA? heterophil(+) mononucleosis
Definition
DNA: EBV
Term
What is the virus and is it DNA or RNA? can cause conjunctivitis or diarrhea
Definition
DNA: adenovirus
Term
What is the virus and is it DNA or RNA? enlarged cell w/ owl's eye inclusions
Definition
DNA: CMV
Term
What is the virus and is it DNA or RNA? identified w/ a Pap smear
Definition
DNA: HPV
Term
What is the virus and is it DNA or RNA? milkmaid blisters
Definition
DNA: vaccinia (cowpox)
Term
What is the virus and is it DNA or RNA? gingivostomatitis
Definition
DNA: HSV-1
Term
What is the virus and is it DNA or RNA? Burkitt's Lymphoma and nasopharyngeal carcinoma
Definition
DNA: EBV
Term
What is the virus and is it DNA or RNA? Hides in the sensory ganglia of S2 and S3
Definition
DNA: HSV-2
Term
What is the virus and is it DNA or RNA? Hides in the trigeminal ganglia
Definition
DNA: HSV-1
Term
What is the virus and is it DNA or RNA? Hides in the dorsal root ganglia (3)
Definition
DNA: HSV-1, HSV-2, VZV
Term
What is the virus and is it DNA or RNA? Viral family of JC virus
Definition

Jesus cured polio

DNA: poliomavirus

Term
What is the virus and is it DNA or RNA? Downey cells
Definition
DNA: EBV
Term
What is the virus and is it DNA or RNA? human progressive multifocal leukencephalopathy
Definition
DNA: JC virus
Term
What is the virus and is it DNA or RNA? Oral hairy leukoplakia
Definition
DNA: EBV
Term
What is the only DNA virus that is NOT double stranded?
Definition
Parvovirus B19
Term
What is the only DNA virus that does not replicate in the nucleus?
Definition
Pox (carries own DNA-dependent RNA-polymerase)
Term
What is the pneumonic for the DNA viruses and what does it stand for?
Definition
"HHAPPPPy"...Hepadna, Herpes, Adeno, Pox, Parvo, Papilloma, Polyoma (jc)
Term
What is the virus and is it DNA or RNA? roseola
Definition
DNA: HHV-6
Term
What is the virus and is it DNA or RNA? Heterophil-negative mononucleosis
Definition
DNA: CMV
Term
What is the virus and is it DNA or RNA? hand, foot, and mouth disease
Definition
RNA: Coxsackievirus
Term
What is the virus and is it DNA or RNA? "break bone fever"
Definition
RNA: Dengue (flavivirus)
Term
What is the virus and is it DNA or RNA? characteristic barking seal cough
Definition
RNA: Croup (parainfluenza)
Term
What is the virus and is it DNA or RNA? African hemorrhagic fever
Definition
RNA: Ebola, Marburg (filoviruses)
Term
What is the virus and is it DNA or RNA? "common cold" (2)
Definition
RNA: coronavirus, rhinovirus
Term
What is the virus and is it DNA or RNA? Fever, jaundice, black vomit
Definition
RNA: Yellow fever (flavivirus)
Term
What is the virus and is it DNA or RNA? childhood diarrhea in winter months
Definition
RNA: rotavirus
Term
What is the virus and is it DNA or RNA? asthma sounding infxn in infants (esp. premies)
Definition
RNA: RSV
Term
What is the virus and is it DNA or RNA? Aseptic meningitis in summer months (3)
Definition
RNA: Echovirus and coxsackie (both are picomaviruses)...also enterovirus
Term
What is the virus and is it DNA or RNA? tourniquet test in the field helps to dx hemorrhagic dz
Definition
RNA: Dengue (flavivirus)
Term
What is the virus and is it DNA or RNA? infects motor neurons of the anterior horn (2)
Definition
RNA: Poliovirus and West Nile Virus
Term
A 25 yo man w/ squamous cell carcinoma of the penis has exposure to what virus?
Definition
HPV 16, 18
Term
A 20 yo college student presents w/ lymphadenopathy, fever, and hepatosplenomegaly. His serum agglutinates sheep RBC's. What type of cells are infected?
Definition
EBV...Although abnormal T cells are seen, B cells are the cells that are infected
Term
How does rabies virus travel through the CNS so that it can cause fatal encephalitis w/ seizures?
Definition
Travels retrograde, UP neurons
Term
What are the lymphoangiogenic growth factors/cytokines associated w/ Kaposi's sarcoma?
Definition
TNF-alpha, IL-6, PDGF
Term
What viral infxn will show a "steeple sign" on xray?
Definition
Parainfluenza (Croup)
Term
What is given as passive immunizations to prevent RSV bronchiolitis in premature infants in winter months?
Definition
Palivizumab
Term
Which antiviral(s)? prophylaxis for influenza A (2)
Definition
Zanamivir, oseltamivir
Term
Which antiviral(s)? Inhibits CMV DNA polymerase (2)
Definition
Gancyclovir and Foscarnet
Term
Which antiviral(s)? used in treatment for Chronic Hep C (2)
Definition
IFN-alpha + ribaviron
Term
Which antiviral(s)? first-line for HSV or EBV
Definition
Acyclovir
Term
Which antiviral(s)? Blocks viral penetration and uncoating (2)
Definition
Amantadine and Rimantadine
Term
Which antiviral(s)? Inhibits DNA polymerase when phosphorylated by viral thymidine kinase (class)
Definition
"--cyclovir"s
Term
Which antiretroviral? CCR5 Antagonist (inhibits gp120 conformational change)
Definition
Maraviroc
Term
Which antiretroviral? Inhibits HIV-1 integrase enzyme
Definition
Raltegravir
Term
Which antiretroviral(s)? SE: lactic acidosis
Definition
NRTI's (**EXCEPT for abacavir)
Term
What is the only NRTI that does not cause lactic acidosis?
Definition
Abacavir
Term
Which antiretroviral(s)? SE: GI intolerance (1 class, 1 drug)
Definition
- Protease Inhibitors
- Zidovudine
Term
Which antiretroviral(s)? Cause pancreatitis (4)
Definition
NRTI: Stavudine, Didanosine, Zalcitabine
PI: Ritonavir
Term
Which antiretroviral(s)? SE: Peripheral neuropathy
Definition

"DSZ...Dead Sensory Zone"

NRTI: Didanosine, Stavudine,Zalcitabine

Term
Which antiretroviral(s)? SE: Megaloblastic anemia
Definition
Zidovudine
Term
Which antiretroviral(s)? SE: rash (class)
Definition
NNRTI's
Term
Which antiretroviral(s)? SE: hypErglycemia, diabetes Mel, lipid abnormalities (3)
Definition
PI: Saquinavir, Indinavir, Amprenavir
("Amps Indians to Sasquatches")
Term
Which antiretroviral(s)? bone marrow suppression
Definition
Zidovudine
Term
Which antiretroviral(s)? Given to pregnant women w/ HIV (2)
Definition
HAART or Zidovudine
Term
Which antiretroviral(s)? Regimen for occupational HIV exposure (2)
Definition
Zidovudine + Lamivudine
Term
Which antiretroviral(s)? Inhibits cyt P450 (class)
Definition
Protease Inhibitors
Term
What virus? negri bodies
Definition
rabies (rhabdovirus)
Term
What causes the "thumb sign" on Xray?
Definition
Epiglottitis (H. influenza)
Term
Which antiviral inhibits CMV DNA polymerase? (2)
Definition
Gancyclovir or Foscarnet
Term
What does it mean? HBsAg
Definition
Active dz
Term
What does it mean? HBsAb
Definition
Recovery f/ exposure
Term
What does it mean? HBcAg
Definition
New disease
Term
What does it mean? HBcAb
Definition
Hx of disease
Term
What does it mean? HBeAg
Definition
Contagiousness
Term
What does it mean? (-)HBsAg, (+)HBsAb, (+)HBcAb
Definition
Complete recovery
Term
What does it mean? (-)HBsAg, (-)HBsAb, (+)HBcAb
Definition
Window period (in window period all you will see is HBcAb...you have a current hx)
Term
What does it mean? (+)HBsAg, (-)HBsAb, (+)HBcAb-IgM
Definition
Acute infection
Term
What does it mean? (+)HBsAg, (-)HBsAb, (+)HBcAb-IgG
Definition
Chronic Infxn
Term
What does it mean? (-)HBsAg, (+)HBsAb, (-)HBcAb
Definition
Vaccination/immunity
Term
What are the 2 HIV envelope proteins and what are the drugs that interfere with them?
Definition
1. gp41: Enfurvatide
2. gp120: Maravirac
Term
What infectious agent? food poisoning as a result of mayonnaise sitting out too long
Definition
staph aureus
Term
What infectious agent? diarrhea caused by gram (-) nonmotile organism that does NOT ferment lactose
Definition
shigella
Term
What infectious agent? rice-water stools
Definition
v. cholera or ETEC
Term
What infectious agent? Diarrhea caused by C or S-shaped organism
Definition
campylobacter
Term
What is the infectious agent? diarrhea caused by gram (-) MOTILE organism that does NOT ferment lactose
Definition
salmonella
Term
What is the infectious agent? diarrhea caused by gram (-) lactose fermenting bacteria, no fever
Definition
e.coli
Term
What is the infectious agent? can cause interstitial pneumonia among bird handlers
Definition
chlamydia psittacii
Term
What is the infectious agent? most common cause of pneumonia in children 1yo or younger
Definition
RSV
Term
What is the infectious agent? Most common cause of pneumonia (2) in neonates (<28days)
Definition
E.coli and Group B Strep
Term
What is the infectious agent? Most common cause of viral pneumonia
Definition
RSV
Term
What is the infectious agent? Endogenous flora in 20% of adults
Definition
strep pneumo
Term
What is the infectious agent? Pontiac fever
Definition
Legionella
Term
What is the infectious agent? Common pneumonia in ventilator pts and CF pts
Definition
pseudomonas
Term
What is the infectious agent? "strawberry cervix"
Definition
trichomonas
Term
What is the infectious agent? Triangular flagellated moving organisms on a wet prep after a Pap smear
Definition
trichomonas
Term
What is the infectious agent? clue cells
Definition
bacterial vaginitis
Term
An adolescent presents w/ cough and rust-colored sputum, what does the gram stain of the sputum show?
Definition
gram (+) diplococci....strep pneumo
Term
An older male pt has blood in his urine and renal stones. What organism is most likely for the pts stones?
Definition
Proteus spp (urease +)
Term
What are the 4 most common causes of UTI's?
Definition
1. e.coli
2. staph saphrolyticus
3. proteus
4. klebsiella
Term
What is the pneumonic for microbes that can pass f/ the mother to the fetus and what are they?
Definition
"TORCHeS"... Toxo, parvO, Rubella, CMV, HIV/Herpes, Syphilis
Term
What would the pressure, protein, and glucose look like in a pt w/ TB meningitis
Definition
(same as fungal)...high pressure, high protein, low glucose, high lymphocytes
Term
Which antiretroviral class? "--navir"
Definition
protease inhibitors
Term
What SE is common to all protease inhibitors?
Definition
Inhibits p450 and causes GI disturbances
Term
What SE is common to all NNRTI's?
Definition
severe rash
Term
Which antiretroviral class? "--VIR--"
Definition
NNRTI's (neVIRapine, delaVIRdine, efaVIRenz)
Term
Name the 6 live attenuated vaccines
Definition
"MMR, Sabine has small yellow chickens" MMR, Sabin's polio, Smallpox, Yellow fever, chickenpox, Intranasal flu
Term
What are Councilman cells and what do they indicate?
Definition
Apoptotic liver cells; they indicate viral hepatitis such as caused by Yellow Fever
Term
What part of the viral life cycle is blocked by amantadine
Definition
viral uncoating
Term
What part of the viral life cycle is blocked by acyclovir?
Definition
Nucleotide synthesis (blocks viral DNA polymerase)
Term
Name 4 antibiotic classes that are safe during pregnancy
Definition
Penicillns, Cephalosporins, Macrolides, Nitrofurantoin
Term
Which antibiotic? SE: cartilage damage in children
Definition
fluoroquinolones
Term
Which antibiotic? SE: tendonitis
Definition
fluoroquinolones
Term
Which antibiotic? Treatment for gram (-) rods in pts w/ renal insufficiency
Definition
aztreonam
Term
Which antibiotic? used as solo prophylaxis against TB
Definition
Isoniazid
Term
Which DNA viral family? Brick-shaped complexes
Definition
"stacked BOXes"
POXvirus
Term
Which is the only DNA virus that does not replicate in the nucleus? Where and how does it replicate?
Definition
Poxvirus: carries its own DNA-dependent RNA polymerase. Replicates in the cytoplasm
Term
What is Scarlet fever caused by and how does it present?
Definition
strep pyogenes: Erythematous sandpaper-like rash with fever and sore throat, "strawberry tongue"
Term
Bacterial genetics: involves the transfer of a portion of DNA from one bacterium to the chromosome of another bacterium by means of a viral infection
Definition
transduction
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