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Flashcards in ID Deck (103)
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1

White curd like vaginal discharge should make you think of what diagnosis?

vaginal candida infection

2

owl eye inclusion bodies should make you think of what diagnosis?

Cytomegalovirus

3

if you have a patient with positive blood cultures for candida what is the first line drug?

amphotericin B

4

what is the treatment for pertussis?

erythromycin x 7 days

5

a leukemia patient has a CT of the liver which shows punched out lesions. Dx?

hepatosplenic candida

6

what disease dose Rickettsia rickettsii cause?

rocky mountain spotted fever

7

an india ink stain showing cysts should make you think of what?

Cryptococcosis

8

an HIV pt presents with a nonproductive cough and a chest x ray showing diffuse interstitial infiltrates. Dx?

pneumocystis jiroveci pneumonia (PCJ)

9

honey and babies should make you think of what?

botulism

10

what type of organism causes botulism?

gram + rod, clostridium botulinum

11

what is the treatment for botulism?

antitoxin

12

a patient presents to the ER with acute progressive weakness, diploplia and a very dry mouth. what organism may be causing this?

clostridium botulinum

13

rice water stool

cholera

14

is diphtheria gram + or -?

gram positive

15

a stuck on grey membrane in the pharynx should make you think of what diagnosis?

diphtheria

16

what are the four steps in treating diphtheria?

antitoxin, penicillin, remove membrane, report the case to the CDC

17

what is the clinical name for whopping cough?

pertussis

18

what type of organism is tetanus?

a gram + rod, clostridium tetani

19

a pt ate out last night and today has cramping and bloody diarrhea. most likely organism?

salmonella

20

diarrhea with blood and mucus should make you think of what?

shigella

21

what is the best test to dx malaria?

peripheral blood smear

22

what organism has been linked to reactive arthritis?

shigella, also remember that reactive arthritis has a positive HLA-B27

23

what is the tx for shigella?

bactrim or fluoroquinolones

24

what organism causes lyme disease?

borrelia burgdorferi

25

what is the minimum amount of time needed for a tick to transfer lyme disease to a human?

24 hours

26

what is the drug of choice to treat lyme disease in kids or pregnant women

amoxicillin

27

what is the drug of choice to treat C. difficile?

metronidizole (flagyl)

28

A patient was in the woods yesterday and today presents with erythema migrans. What is the most likely diagnosis?

lyme disease

29

what drug is used to tx or prophylax malaria?

chloroquine

30

A patient was camping a few days ago and now has a rash that began on his wrists and ankles. What is the most likely diagnosis?

rocky mountain spotted fever