Science Quiz / Block 6 ID

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

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