Science Quiz / Block 6 ID

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

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

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