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Flashcards in PANCE/PANRE Deck (44)
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1

This TB drug can cause hepatitis and peripheral neuropathy (which can be prevented by giving with B6)

Isoniazid

2

This TB drug causes orange colored secretions as a SE

Rifampin

3

Candida esophagitis DOC

Fluconazole

4

Associated with intracellular RBC parasites seen on peripheral thin and thick smears

Malaria

5

Associated with pathognomonic TETRAD inclusions**** seen within RBCs

Babesiosis

6

Rickettsia rickettsii
**fevers, chills, myalgia with a red maculopapular rash that starts at the wrists and ankles, spreading to the palms and soles as well as centrally

rocky mountain spotted fever

7

Borrelia burgdorferi
*erythema migrants, arthritis, neurological and cardiac symptoms

Lyme disease

8

A PPD of ____ mm is considered positive in an HIV patient, or pts with granulomas seen on XRay

5

(induration only! NOT erythema)

9

A PPD of ___mm is needed for a positive in a pt with no risk factors

15

(induration only!! not erythema!!)

10

A PPD of ___mm is needed for a positive result in a prisoner who is at risk for TB exposure

10

11

A PPD of ___mm is a positive result for a health care worker

10

12

Malaria DOC

Chloroquine

13

Kaposi sarcoma (human herpesvirus 8) is seen in...

immunodeficient pts (ie AIDS)

14

Administering macrolides too quickly can cause...

Red Man syndrome

15

Darkfield microscopy is a direct method to diagnose...

syphilis

16

Treponema pallidum is a spirochete and the causative agent of...

syphilis

17

India ink is used in the diagnosis of...

Cryptococcus neoformans

(can also use Cryptococcal antigen)

18

Isoniazid plus pyridoxine (B6) for duration of 9 months is the treatment for...

positive PPD with negative Xray

(not active TB)

19

Pt with high fevers, HA, joint pain and CP.
ECG shows second degree heart block
Lumbar puncture consistent with lyme meningitis

DOC?

IV ceftriaxone

20

43 yo male went camping where he hunted and ate rabbits. 5 days later he develops HA, fever and nausea. On his hand, there is an ulcerated papule with a central eschar and tender regional lymphadenopathy. There is also splenomegaly and diarrhea. What is likely the dx?

Tularemia

21

Caused by Francisella tolerances, a gm negative coccobacilli

*transmitted via tick or inset bite or from handling rodent or rabbit tissues

Tularemia

22

This CNS histologic finding is seen in a patient with rhabdovirus (rabies)

Negri bodies

23

Leads to encephalitis
*definitive diagnosis is the presence of NEGRI BODIES** in the brain, especially in the hippocampus

Rhabdovirus (rabies)

24

Eosinophilic inclusions in the cytoplasm of neurons

Negri bodies (seen in rabies)

25

An 11 yo boy presents to the pediatric clinic with persistent temperatures. Exam shows significant lymphadenopathy, giving the child a "bull neck" appearance. There are gray/white membrane on the posterior pharynx that bleed when scraped. What is the management of choice?

Diphtheria antitoxin plus Penicillin

26

Treatment for baby who develops botulism from eating honey

botulism antitoxin with respiratory support

27

Infant who is vomiting and physical exam shows: flaccid paralysis, dry mouth, feeble cry, fixed dilated pupils. Dx?

Botulism

28

65 yo female who spent 2 months on Martha's Vineyard presents to the urgent care with gradual onset of fever, chills and jaundice. No rash present. Labs show hemolytic anemia. Peripheral smear shows parasites within RBCs in a tetrad formation. Likely dx?

Babesiosis

29

Parasitic infection see in the northeast US that infects RBCs

**tetrad seen in RBCs!!
hemolytic anemia

Babesiosis

30

43 yo male presents to clinic with a 5 day hx of profound diarrhea. Describes bowel movements at grey, without odor, blood or pus. Tells you he just got back 2 days ago from New Orleans and he ate local crawfish and shellfish. No rash on exam. Vitals show high grade fever and a pulse rate of 128 bp. Likely dx?

Cholera