Big Block 6 ID Review

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HIV drug that causes insulin resistance
Cervical cancer
Southeast Asia fungus (AIDS. red pigment)
Antifungal that causes rigors and decreased GFR
Pneumonia after spelunking w/ bird droppings
Rose grower w/ lymphocutaneous infxn that spreads along lymphatic channels
Visceral larva migrans causing wheezing, hepatitis, cerebritis, eosinophilia
Skin infection w/ satellite lesions
Itchy bottom in a kid
Diarrhea after hiking/drinking from a stream
Antifungal w/ SE = Stevens Johnson, alopecia
AIDS, CD4 less than 50, wasting illness, fever, night sweats, weight loss, diarrhea, AP, LAD, HSM
US 4 corners, pulmonary edema 2-2 capillary leak, fever, myalgia
Vesiculopustular rash w/ scarring, high mortality
Spread by reduviid bug
Man from Mexico w/ pulmonary congestion, cardiomegaly, megacolon, megaesophagus
Seizures w/ ring enhancing brain lesion: from developing world
Septate hyphae at acute angles
Spread by black fly of the genus Ceruleus
Spread by ixodes tick--other than lyme
Scabby mouth in animals
Warty/verrucous ulcers on cooler body parts
Dx w/ Tzanck smear for multinucleated giant cells
AIDS, CD4 less than 50, necrotizing retinitis, hepatitis, pneumonia, encephalitis, esophagitis, polyradiculitis, explosive diarrhea
Causes Burkitt's lymphoma by upregulating anti-apoptotic proteins
Spread by sandfly
Kid w/ fever 103 for a few days, rash appeared as it resolved
Broad-based-budding
Cigar-shaped yeast w/ unequal budding
Ring worm, athlete's foot, jock itch
Sexually active 14yo w/ pearly white nodules w/ central umbilication on genitals & trunk
22yo w/ 1 wk flu-like sx, fatigue, sore throat, HSM, cervical lymphadenopathy
Spread by anopheles mosquito
Antigenic shift causes global pandemics
Fungus ball/hemoptysis after TB or cavitary lung dz
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Traveler returns from Africa w/ 1 wk cyclic fevers, HA, splenomegaly, abnl brain scan
#1 cause of liver failure in the US
Sharp substernal pain that radiates, scratchy/leathery sound at lower left sternal border. Virus = ?
Pregnant woman's hubby scoops the cat poop b/c...
Budding yeast (narrow-necked buds) w/ captain's wheel formation
Thin-based-bud and thick polysaccharide capsule
Black vomitus & councilman bodies in liver
Fever, muscle pain, eosinophilia, & periorbital edema after eating raw meat
Seizures w/ ring enhancing brain lesion: AIDS pt w/ CD4 less than 100
Pidgeon droppings, AIDS CD4 less than 50
Highlands of South America and Central America (fungus)
A bunch of adults on a cruise w/ 1-2 days gastroenteritis
Genital warts
Endemic in sheep-raising areas; cystic hydatid dz
Iron deficiency anemia
Neg HBeAg, HBsAg, IgM anti-HBc; pos anti-HBs, anti-HBc. Acute, chronic, resolved, or vaccinated?
specific test for EBV infection
Intracellular yeast w/in macrophages
Watercress
Intestinal & liver granulomas & fibrosis in Africa, South America, or Caribbean
Pseudohyphae at 20C, germ tubes @ 37
Aplastic crisis in sickle cell dz
Acute intestinal abstruction in a child in the developing world; worm crawls out the mouth during surgery
Intestinal & liver granulomas & fibrosis in East Asia
Lung manifestations after eating crabs
Vaginal itching, greenish discharge, motile trichomonads
untreated AIDs pt w/ 4w worsening hemiparesis & cognitive decline, several non-enhancing hypointense lesions in brain, nl opening pressure, elevated CSF protein & myelin basic prot
Rectal prolapse in African Child
Squamous cell bladder cancer in middle east or Africa
Rhinocerebral infection in pt w/ DKA
Erythema infectiousum (slapped cheeks)
N/V & erratic behavior --> death a few days after swimming in fresh water
B12 deficiency & abdominal symptoms
Antifungal w/ aplastic anemia as side effect
MCC viral conjunctivitis
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HIV drug class causing lactic acidosis
OH/MS river valleys including Houston
Treatment for human flukes, except fasciola
Sequalae of parvovirus in pregnant woman
Antifungal used for mucorales spp
Antifungal that must be taken w/ food
Pneumonia in SW desert/SoCal
Arizona, productive cough, endospores containing spherules
Gastroenteritis in unvaccinated kid
Spread by tsetse fly
Causes HCC by randomly integrating into genome of hepatocyte
Irregular nonseptate hyphae w/ wide angles
LMN paralysis, fecal-oral spread
Host can auto-infect w/ helminth causing larva currents
Thrush (think AIDS CD4 less than 200)
Rhinorrea, cough, low grade fever
Sexually active women w/ painful vesicle, negative Tzanck smear & VDRL
Lymphatic filariasis
Antifungals that inhibit 1,3-glucan synthase & thus formation of fungal cell wall
Causes ATLL via tax gene transactivation of cellular genes
Causes HCC indirectly 2-2 chronic inflammation
Eat raw fish in Asia, then RUQ pain, fever, hepatomegaly
Resp. alkalosis w/ hypoxia & inc. A-a gradient (dyspnea on exertion); bilat interstitial infiltrates in AIDS w/ CD4
Causes Kaposi's sarcoma, with HIV
Southeastern & midwestern US (Arkansas, beaver dam in Wisconsin). Fungus
Antifungal w/ a visual (LSD) side effect
Causes cancer directly by inactivating P53 & Rb
Fever, cough, HA, shaking chills, inflamed tick bite, tetrad configuration w/in RBCs, no RBC pigment
Rash is the major reason for discontinuing this class of HIV drugs
Spread by deerfly
Imigrant child from romania w/ conjunctivitis, periorbital swelling, coughing, runny nose and high fever, small lesions w/ blue white centers in mouth
Soil-transmitted helminth infecting 800 million
Pharyngitis + vesicles in throat

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