Science Quiz / Block 6 ID

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

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Created Jun 6, 2012ReportNominate
Tags:Clickable Quiz, block, organism

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