Science Quiz / Block 6 ID

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HIV pts, renal transplant pts, TNF-inhibitor pts at risk for
Calabar swellings (transient inflammatory rxns)
Essential therapy of invasive pulmonary aspergillosis
28 yo w/ proximal nailbed whiteness, previously healthy
3 mo infant, irritable, feeds poorly, frequent vomit, 45th percentile weight, 96th percentile head circumference, white-yellow chorioretinal lesions, intracranial calcifications on
Amorphous branching
Large glycogen-like vacuoles
MCC corneal blindness in United States
Barking cough, steeple sign on imaging
3 day measles
Liver fluke that lives in copulo throughout life, tends to get trapped in tissue and organs, granulomas form around them (TH2 response)
Outbreak related to water spraying
Right angle branching
Transmitted fecal-orally, disrupts alpha motor neuron
Pt w/ newly diagnosed multiple myeloma (B-cell defect) presents w/ lobal pneumonia
Treatment for recurring HSV2
Anti-HBsAg and no Anti-HBcAg
AIDS pt w/ bad headache
Drug that works on beta-1,3 fungal wall
Infant wheezing, autumn
6 yo develops new onset enuresis, mother notices he wiggles in his chair more at the dinner table, scratching bottom
Hydrops in 1st trimester
67-year-old man in SICU on broad-spectrum antibiotics with mechanical ventilation and RUL infiltrate
Helminth that migrates thru alveoli, bronchioles, bronchi, trachea, get coughed up and swallowed again. Only the second time they enter the gut do they become adult worms.
Fever, seizures, pneumonia in winter
30 yo male returning from hiking trip with foul-smelling diarrhea, flatulence. Tx?
Brain biopsy shows astrogliosis, spongiform changes, neuronal loss, no inflammatory response
Fewer than 20 RNA copies/mL
Rotavirus core antigen
Superinfection in HBV pt w/ HDV, acute or chronic?
Side effects of SJS, alopecia, nausea, vomiting
Cardiomegaly, megacolon
Small child w/ itchy hands and feet
MRI of liver shows large cyst, non-infiltrative; aspiration, scolidical agent injection, reaspiration
23 yo female 'practically lives on sushi', vitamin B12 deficiency
Apical cavitary lesion in 48-year-old man released from prison 3 years ago
Binds to ergosterol and disrupts cell membrane
'Big cryptosporidium', causes watery diarrhea, fatigue
32 yo w/ HIV, fever, fatigue, miliary pattern in lung
35 yo immigrant presents with new onset seizures
72 yo w/ laparotomy, kidney failure + broad spectrum abx, fever, + for yeast and germ tubes
32 yo AIDS pt w/ disseminated histo gets hypertension, hypokalemia, edema due to toxicity from?
Renal transplant recipient on cyclosporine, prednisone & mycophenolate with nodular RLL infiltrate and seizure
Post-surgical empyema
Community outbreak of pneumonias traced to faulty grocery store vegetable display case sprayers
7 yo brought to ER w/ 2 day history of fever, abdominal pain, diarrhea, puppy had diarrhea 2 weeks ago, stool negative for oocysts/parasites
Cysts in meat
AIDS/HIV, skin lesions after visit to Thailand
Larvae in stool
Eosinophilic alveolar exudate
48 yo male w/ foul-smelling, non-bloody diarrhea 2 months after backpacking
28 yo African-American living in SoCal, fever, weight loss, skin lesions, supraclavicular lymph node
Mono spot test (+)
68 yo male w/ COPD, exacerbation, CXR infiltrate
GMS or immunofluorescent stain of sputum
Autoinfection characteristic of what worm?
Protozoan diarrhea in HIV pt
Starry sky, lumpy jaw, African child
Freshwater lakes
Direct contact w/ characteristic lesion does not lead to transmission
Prophylaxis at CD4 ~200
Acute respiratory, keratoconjunctivitis, diarrhea
MCC pneumonia in HIV patients
48 yo female w/ AML and chemo tx, fever w/ hemoptysis + chest pain
Visited the 4 Corners, SOB
Nonseptate, branch at right angles
Tsetse fly
DNA virus replicating in cytoplasm
Antigen used for HIV-1 testing at blood banks
Harbored by bamboo rats
Farmer moving hay, gets fever
Baby born with limb hypoplasia
Kid w/ lesions at different spots at different times
What test do you order after a + saliva rapid HIV test?
Candida kruseii resistant to what kind of antifungal?
Zookeeper w/ abrupt onset neurological deficits
Congenital infxn from maternal contact w/ cat feces
24 yo with 2 days bloody diarrhea after travel
24 yo w/ fever, tachycardia, lung base rales, cardiomegaly, ST-T changes
Sore throat, fever, desquamating rash that feels like sandpaper
Single-stranded DNA virus
Mechanical ventilation in hospital in elderly or alcoholic, cavities in lung, currant jelly sputum
Broad-based bud
Pt drank water that ran through animal farm, acid fast staining of pt's feces showed protozoan resistant to chlorine
Thrush treatment
56 yo male w/ COPD + diabetes, rapid weight loss, brown productive sputum, RUL infiltrate + branching
Mucocutaneous satellite lesions
28 yo athlete with itchy feet
28 yo from SoCal, fever, skin lesions, supraclavicular lymph node; round w/ endospores
MCC common cold
ssDNA virus
Diarrhea in children
Empyema from rupture of hepatic abscess into pleural cavity
Congenital infxn, mono-like illness in adults, pneumonia in immunocompromised, no reactivation in immunocompetent adults
Ameboflagellate associated w/ Enterobius infxn, linked to chronic abdominal pain
Elderly wheezing
HBsAg(-), IgM anti-HBc(-), total anti-HBc(+), anti-HBs(+)
Sore throat, bad breath, +/- submandibular swelling
Virus with non-neutralizing antibodies that enhance virus uptake into monocytes/macrophages
38 yo female, obtunded w/ acidosis and high glucose, oral lesions
South American
Dry cough, fever, malaise, myalgia
Bacterial diarrhea in HIV pt
Slapped-cheek rash, fever, lacy rash on extremities
IVDU w/ fever and pleuritic chest pain, purulent/productive cough, diffuse infiltrate on CXR
Treatment for RSV
Ixodes tick
Headaches, nuchal rigidity, fever, CSF gram stain negative
Raw oysters, fever, nausea, vomiting
Endocarditis, septic emboli, nodular pulmonary infiltrates
MCC viral meningitis
Sore throat, pseudomembrane on exam
58 yo male w/ AML and neutropenia experiencing flashing lights and scotomas due to?
CNS problems w/ pulmonary manifestation
40 yo female, pain on right chest, vesicular rash on T8 dermatome
Liver capsule infxn, RUQ pain
Chronic anemia
Nodules on arm after Arbor Day activities
Characterized by a large nucleus, a prominent kinetoplast, and a short axoneme by light microscopy
Headache, scratchy throat, runny nose, fever
9 mo w/ fever that goes away, followed by skin rash
22 yo female w/ aggressive acne, given doxycycline, develops pruritic/curdy vaginal discharge
72 yo smoker w/ outpatient squamous lung cancer, total occlusion of RUL bronchus, 2 weeks later presents w/ fever, cough, bad-tasting sputum, RUL consolidation
Flu season
Cutaneous larva migrans, 'creeping eruption'
MC congenital infection
DNA virus that replicates in the cytoplasm
Double-stranded RNA virus
Virus w/ complete elimination from host
Left upper lobe infiltrate in patient with newly diagnosed multiple myeloma
Fever, back pain
38 yo Peruvian immigrant, difficulty swallowing liquids, dilated esophagus, peristalsis absent
HepB vaccine type
MCC sporadic viral encephalitis
Neutropenic leukemic patient on broad-spectrum antibiotic with wedge-shaped RLL peripheral infiltrate and hemoptysis
Scrape with KOH prep, hyphae among epithelial cells
Baby born with patent ductus arteriosus, blueberry muffin rash
Fever + rash, normal UA/CBC
MCC pneumonia in burn victim
True or False: RPR detects AB to outer membrane proteins of T. pallidum
Respiratory illness in spring
Violaceous papules and nodules on the face and ear
Blueberry muffin rash in infant
Corneal scarring on exam, hyperpigmentation of skin
5 day hike in US, large-volume diarrhea 4 days later, persists 11 days, periumbilical pain, flagellate in stool
Erythema infectiosum rash
Side effects of visual scotomas, transaminase elevations
SE Asia, AIDS patient
Virus that blocks binding to Fc and blocks opsonization
Renal failure pt receiving desferrioxamine chelation at risk for
Aedes aegytpi mosquito
25 yo female, 2 days of headache, pain on urination, genital ulceration w/ vesicular lesions
Anti-HBsAg and Anti-HBcAg
55 yo from Arkansas, after hunting/fishing, warty facial lesion
Viral diarrhea in HIV pt
Visceral larva migrans
Rapidly progressing pre-senile dementia, myoclonus, gait disturbance
COPD patient with cavitary lung disease, lives in Mississippi River Valley
High fever, black vomitus, jaundice
Allylamine that inhibits squalene epoxidase, activity against dimorphic fungi
Treatment of onchocerciasis
32 yo AIDS pt with 2 weeks of fever, dry cough, exertional tachypnea
9 yo female w/ 2 days fever, headache, vomiting, stiff neck; normal UA/CBC/glucose, slightly elevated protein + lymphocytes
Child w/ sore throat, vesicles on hands, feet, mouth
Romaña sign (unilateral painless periorbital swelling)
67 yo male with prostate cancer. To suppress adrenals, high dose what?
39 yo alcoholic w/ fever, productive cough, halitosis
True or False: In general, height of RPR is associated w/ dz activity
Class of viruses that has single polyprotein cleaved into smaller proteins
System symptoms followed by appearance of grouped vesicles on erythematous base on genitals
Red papule enlarges to ulcer w/ granulomatous base and heaped up margins
CF patient suddenly deteriorates
Black fly
15 yo w/ sore throat, generalized LAD, HSM, negative rapid strep
Reduviid bug
Treatment for varicella lesions
Apical cavities, risk factors, night sweats
MCC pneumonia in CF patients
2 weeks after possible HIV exposure, ELISA test negative. Next test?
Freshwater cercariae
Dewdrop on rose petal rash, began on chest
MCC viral conjunctivitis
41 yo male w/ oral thrush, cervical LAD, single contrast enhancing lesion in frontal lobe
18 yo female w/ sore throat, fatigue, fever, atypical lymphocytes
Capsule stains w/ India Ink
Young person infected with HBV, acute or chronic?
Enlarged cervical lymph nodes (Winterbottom sign)
Purple skin lesions in AIDS patient
Alcoholic w/ apical lower lobe or upper lobe infiltrate
3 mo malnourished, 2 days watery diarrhea, fever, dehydration
48 yo asthma pt, RUL infiltrate, CXR w/ LLL infiltrate, respiratory alkalosis, peripheral eosinophilia

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