Podcast
Questions and Answers
Which set of symptoms would LEAST likely point towards a bacterial infection?
Which set of symptoms would LEAST likely point towards a bacterial infection?
- Absence of rash, petechiae, and lymph node enlargement (LNE).
- Presence of rash, petechiae, and elevated CRP. (correct)
- High PMN count, toxicity, and absence of LNE.
- High WBC count, elevated CRP, and toxicity.
A child presents with a limp, point bone tenderness, and limited range of motion. Which is the MOST appropriate term to use?
A child presents with a limp, point bone tenderness, and limited range of motion. Which is the MOST appropriate term to use?
- Musculoskeletal (correct)
- Hemoatological
- Central nervous system
- Gastrointestinal
A patient has a fever, pallor, and a bleeding profile. On examination, they have petechiae, ecchymosis, hepatomegaly and splenomegaly. Which system is MOST likely involved?
A patient has a fever, pallor, and a bleeding profile. On examination, they have petechiae, ecchymosis, hepatomegaly and splenomegaly. Which system is MOST likely involved?
- Hemoatological (correct)
- Central nervous system
- Gastrointestinal
- Musculoskeletal
Which finding is LEAST associated with cardiovascular involvement in a bacterial infection?
Which finding is LEAST associated with cardiovascular involvement in a bacterial infection?
A patient presents with dysuria, frequency, and suprapubic pain. Examination reveals suprapubic tenderness. Which system is MOST likely to be involved?
A patient presents with dysuria, frequency, and suprapubic pain. Examination reveals suprapubic tenderness. Which system is MOST likely to be involved?
Which of the following is the MOST likely finding in a patient with gastrointestinal involvement of a bacterial infection?
Which of the following is the MOST likely finding in a patient with gastrointestinal involvement of a bacterial infection?
A patient showing jaundice, dark urine, and anorexia is MOST likely experiencing issues primarily within which system?
A patient showing jaundice, dark urine, and anorexia is MOST likely experiencing issues primarily within which system?
Why does initiating empirical antibiotics complicate relying on cultures for microbiologic diagnosis?
Why does initiating empirical antibiotics complicate relying on cultures for microbiologic diagnosis?
A child presents with a sandpaper-like rash, circumoral pallor, and a white strawberry tongue which later turns red. High-grade fever and sore throat are also noted. Which condition is most likely?
A child presents with a sandpaper-like rash, circumoral pallor, and a white strawberry tongue which later turns red. High-grade fever and sore throat are also noted. Which condition is most likely?
Pastia's lines are associated with which of the following conditions?
Pastia's lines are associated with which of the following conditions?
A patient is suspected of having toxic shock syndrome. Which of the following antibiotics would be the MOST appropriate initial treatment?
A patient is suspected of having toxic shock syndrome. Which of the following antibiotics would be the MOST appropriate initial treatment?
A patient is experiencing skin rash, facial swelling, and difficulty breathing after being stung by a bee. Which of the following is the MOST appropriate initial treatment?
A patient is experiencing skin rash, facial swelling, and difficulty breathing after being stung by a bee. Which of the following is the MOST appropriate initial treatment?
A child presents with arthritis, a rash on the extensor surfaces of their limbs, and abdominal pain. Which of the following conditions is MOST likely?
A child presents with arthritis, a rash on the extensor surfaces of their limbs, and abdominal pain. Which of the following conditions is MOST likely?
Leakage of serum from blood vessels into the skin causes which type of rash?
Leakage of serum from blood vessels into the skin causes which type of rash?
Which of the following conditions is LEAST likely to cause a purpuric rash?
Which of the following conditions is LEAST likely to cause a purpuric rash?
A patient presents with a sudden high fever, vomiting, diarrhea, and skin peeling. Hypotension is also noted. Which condition should be suspected?
A patient presents with a sudden high fever, vomiting, diarrhea, and skin peeling. Hypotension is also noted. Which condition should be suspected?
A patient presents with a fever and a diffuse macular rash. Which of the following viruses is LEAST likely to be the cause?
A patient presents with a fever and a diffuse macular rash. Which of the following viruses is LEAST likely to be the cause?
A child is diagnosed with bronchiolitis. While several viruses can cause this condition, which of the following is the MOST common etiological agent?
A child is diagnosed with bronchiolitis. While several viruses can cause this condition, which of the following is the MOST common etiological agent?
A patient exhibits a fever accompanied by a rash characterized by small, pinpoint hemorrhages. Which type of rash is MOST consistent with this presentation?
A patient exhibits a fever accompanied by a rash characterized by small, pinpoint hemorrhages. Which type of rash is MOST consistent with this presentation?
Which of the following is a pathognomonic enanthema associated with measles (Rubeola)?
Which of the following is a pathognomonic enanthema associated with measles (Rubeola)?
Healthcare providers are investigating a cluster of acute gastroenteritis cases. Which group of viruses should be considered as potential causative agents?
Healthcare providers are investigating a cluster of acute gastroenteritis cases. Which group of viruses should be considered as potential causative agents?
A patient presents with cough, coryza, conjunctivitis, and Koplik spots. Which of the following stages of Measles is the patient MOST likely in?
A patient presents with cough, coryza, conjunctivitis, and Koplik spots. Which of the following stages of Measles is the patient MOST likely in?
Which of the following viruses is primarily associated with causing croup?
Which of the following viruses is primarily associated with causing croup?
A public health agency is tracing the source of a measles outbreak. During which period is an individual infected with measles MOST contagious?
A public health agency is tracing the source of a measles outbreak. During which period is an individual infected with measles MOST contagious?
A child presents with a macular rash, otitis media, and mouth ulcers. Which of the following complications is most directly associated with the described presentation, necessitating specific monitoring?
A child presents with a macular rash, otitis media, and mouth ulcers. Which of the following complications is most directly associated with the described presentation, necessitating specific monitoring?
A 10-month-old infant is diagnosed with measles. Which preventive measure should be prioritized for their unvaccinated younger sibling?
A 10-month-old infant is diagnosed with measles. Which preventive measure should be prioritized for their unvaccinated younger sibling?
A child exhibits a 'slapped cheek' appearance and a lacy rash on their limbs. Which of the following activities should be limited to prevent recurrence of the rash?
A child exhibits a 'slapped cheek' appearance and a lacy rash on their limbs. Which of the following activities should be limited to prevent recurrence of the rash?
An infant presents with a high fever that resolves abruptly as a rash appears. What is the most likely causative agent of this condition?
An infant presents with a high fever that resolves abruptly as a rash appears. What is the most likely causative agent of this condition?
A teenager is diagnosed with infectious mononucleosis and presents with splenomegaly. Which activity should they avoid for the next few weeks?
A teenager is diagnosed with infectious mononucleosis and presents with splenomegaly. Which activity should they avoid for the next few weeks?
After being diagnosed with measles, a child develops secondary bacterial bronchopneumonia. Which therapeutic intervention is most appropriate at this stage?
After being diagnosed with measles, a child develops secondary bacterial bronchopneumonia. Which therapeutic intervention is most appropriate at this stage?
A pregnant woman is exposed to a child with a confirmed case of Rubella. What is the primary concern regarding this exposure?
A pregnant woman is exposed to a child with a confirmed case of Rubella. What is the primary concern regarding this exposure?
A child who has been diagnosed with infectious mononucleosis starts experiencing difficulty in breathing. What immediate intervention should be considered?
A child who has been diagnosed with infectious mononucleosis starts experiencing difficulty in breathing. What immediate intervention should be considered?
A 6-year-old child presents with joint pain following a recent bout of Erythema infectiosum. What management approach is the most appropriate?
A 6-year-old child presents with joint pain following a recent bout of Erythema infectiosum. What management approach is the most appropriate?
Following a measles infection, a child experiences prolonged diarrhea leading to secondary malnutrition. What is the most important intervention to address the malnutrition?
Following a measles infection, a child experiences prolonged diarrhea leading to secondary malnutrition. What is the most important intervention to address the malnutrition?
Which of the following diseases is NOT typically associated with causing pharyngitis?
Which of the following diseases is NOT typically associated with causing pharyngitis?
If a patient is suspected of having an airborne disease requiring specific precautions, which set of diseases would be of primary concern based on the provided information?
If a patient is suspected of having an airborne disease requiring specific precautions, which set of diseases would be of primary concern based on the provided information?
A patient presents with symptoms of impetigo and suspected scabies. Which type of precaution is MOST appropriate to implement?
A patient presents with symptoms of impetigo and suspected scabies. Which type of precaution is MOST appropriate to implement?
In managing a patient with a multidrug-resistant organism (MDRO) and a wound infection, what type of precautions should be strictly followed to prevent the spread of infection to other patients and healthcare workers?
In managing a patient with a multidrug-resistant organism (MDRO) and a wound infection, what type of precautions should be strictly followed to prevent the spread of infection to other patients and healthcare workers?
A patient is diagnosed with malaria after traveling to Yemen. Which of the following signs and symptoms would MOST likely be associated with the acute phase of the disease?
A patient is diagnosed with malaria after traveling to Yemen. Which of the following signs and symptoms would MOST likely be associated with the acute phase of the disease?
If a patient with malaria develops cerebral malaria, which stage of malaria progression is indicated?
If a patient with malaria develops cerebral malaria, which stage of malaria progression is indicated?
A researcher is investigating the life cycle of the malaria parasite. In which phase does schizogony occur?
A researcher is investigating the life cycle of the malaria parasite. In which phase does schizogony occur?
Which of the following control measures would be MOST effective in preventing the transmission of malaria in an endemic area?
Which of the following control measures would be MOST effective in preventing the transmission of malaria in an endemic area?
A patient with Leishmaniasis presents with anemia, fever, and bleeding tendencies. What is the MOST appropriate initial management strategy?
A patient with Leishmaniasis presents with anemia, fever, and bleeding tendencies. What is the MOST appropriate initial management strategy?
Following treatment for Leishmaniasis, when is the OPTIMAL time to repeat a bone marrow aspiration (BMA) to assess treatment efficacy?
Following treatment for Leishmaniasis, when is the OPTIMAL time to repeat a bone marrow aspiration (BMA) to assess treatment efficacy?
In Dengue Hemorrhagic Fever (DHF), what is the PRIMARY mechanism contributing to hypovolemia?
In Dengue Hemorrhagic Fever (DHF), what is the PRIMARY mechanism contributing to hypovolemia?
A patient presents with fever, headache, rash and muscle pain, and is suspected of having Dengue Fever. Which of the following is the MOST appropriate initial diagnostic investigation?
A patient presents with fever, headache, rash and muscle pain, and is suspected of having Dengue Fever. Which of the following is the MOST appropriate initial diagnostic investigation?
A patient with Dengue Hemorrhagic Fever (DHF) develops hypotension and altered level of consciousness. According to the WHO classification, which stage of illness is the patient MOST likely experiencing?
A patient with Dengue Hemorrhagic Fever (DHF) develops hypotension and altered level of consciousness. According to the WHO classification, which stage of illness is the patient MOST likely experiencing?
Which of the following scenarios BEST describes the synergistic effect contributing to bleeding in Dengue Hemorrhagic Fever (DHF)?
Which of the following scenarios BEST describes the synergistic effect contributing to bleeding in Dengue Hemorrhagic Fever (DHF)?
What is the MOST likely cause of metabolic acidosis in a patient with severe Dengue Hemorrhagic Fever?
What is the MOST likely cause of metabolic acidosis in a patient with severe Dengue Hemorrhagic Fever?
Which mosquito species is the PRIMARY vector responsible for transmitting the Dengue virus?
Which mosquito species is the PRIMARY vector responsible for transmitting the Dengue virus?
Flashcards
Bacterial Infection Symptoms
Bacterial Infection Symptoms
Common signs include fever, pallor, and bleeding tendencies.
Tachycardia
Tachycardia
An abnormally fast heart rate, often over 100 bpm.
Hepatomegaly
Hepatomegaly
Enlargement of the liver, often seen in infections.
Petechiae
Petechiae
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Empirical Antibiotics
Empirical Antibiotics
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Blood Cultures
Blood Cultures
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Kernig Sign
Kernig Sign
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Nuchal Rigidity
Nuchal Rigidity
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Viruses that cause croup
Viruses that cause croup
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Viruses causing bronchiolitis
Viruses causing bronchiolitis
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Viruses causing pneumonia
Viruses causing pneumonia
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SARS virus
SARS virus
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Viruses causing gastroenteritis
Viruses causing gastroenteritis
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Viruses causing hepatitis
Viruses causing hepatitis
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Macular rash
Macular rash
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Measles characteristic
Measles characteristic
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Pharyngitis
Pharyngitis
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Transmission: Airborne
Transmission: Airborne
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Contact Precautions
Contact Precautions
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Malaria Epidemiology
Malaria Epidemiology
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Malaria Causative Organisms
Malaria Causative Organisms
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Malaria Symptoms (Acute)
Malaria Symptoms (Acute)
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Severe Malaria Complications
Severe Malaria Complications
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Malaria Life Cycle
Malaria Life Cycle
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Macular rash progression
Macular rash progression
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Complications of viral infections
Complications of viral infections
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CNS complications
CNS complications
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Immune amnesia
Immune amnesia
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Rubella transmission
Rubella transmission
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Roseola infantum clinical picture
Roseola infantum clinical picture
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Infectious mononucleosis symptoms
Infectious mononucleosis symptoms
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Management of viral infections
Management of viral infections
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Vaccine preventable diseases
Vaccine preventable diseases
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Erythema infectiosum features
Erythema infectiosum features
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Scarlet Fever Symptoms
Scarlet Fever Symptoms
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Pastia’s Lines
Pastia’s Lines
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Strawberry Tongue Stages
Strawberry Tongue Stages
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Toxic Shock Syndrome Causes
Toxic Shock Syndrome Causes
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Clinical Signs of Toxic Shock
Clinical Signs of Toxic Shock
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Urticarial Rash Cause
Urticarial Rash Cause
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Purpuric Rash Definition
Purpuric Rash Definition
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Management of Anaphylactic Shock
Management of Anaphylactic Shock
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Electrolytes
Electrolytes
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Dengue Fever Symptoms
Dengue Fever Symptoms
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Dengue Hemorrhagic Fever (DHF)
Dengue Hemorrhagic Fever (DHF)
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Dengue Shock Syndrome (DSS)
Dengue Shock Syndrome (DSS)
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Capillary Damage Mechanism
Capillary Damage Mechanism
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Fluid Redistribution
Fluid Redistribution
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Pancytopenia
Pancytopenia
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Stibogluconate
Stibogluconate
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Study Notes
Classification of Infections
- Infections are classified by the involved system (e.g., respiratory system, gastrointestinal tract, central nervous system, or musculoskeletal system)
- Infections can also be classified according to the type of microbe causing them (e.g., bacterial, viral, parasitic, or fungal)
Causes of Fever in Children
- Autoimmune diseases
- Malignant diseases
- Infectious diseases
Advantages of Fever
- Protective role in the immune system
- Inhibits the growth and replication of microbes
- Aids in the body's acute-phase reaction
- Enhances the function of white blood cells (WBCs)
- Lymphocytes
- Interferon production
- Bactericidal activity of neutrophils
- Monocyte maturation into macrophages
- Promotion of lymphocyte antibody production
- Decreases the availability of free iron for bacterial replication
Normal Temperature
- The normal temperature range is 36.5-37.2°C.
Sites of Temperature Measurement
- Oral
- Rectal
- Axillary
- Tympanic
Fever Classification
- Normal: 36.5-37.2°C
- Hypothermia: <35°C
- Low grade: 37.3-37.8°C
- Moderate: 37.9-39.4°C
- High grade: 39.5-40.5°C
- Hyperpyrexia: >40.5°C
Important Definitions
- Bacteremia: Presence of bacteria in the bloodstream.
- Sepsis: Systemic response to infection.
- Septicemia: Severe sepsis affecting the central nervous system, circulatory system, and disseminated intravascular coagulation (DIC).
- Fever of unknown origin: Fever lasting more than 14 days, despite a history, physical examination, and investigations failing to identify a cause.
Bacterial Infections in Infants (<3 months)
- Urinary tract infection (UTI): Escherichia coli (E. coli)
- Pneumonia: Group B Streptococcus (GBS), Streptococcus pneumoniae, Staphylococcus aureus
- Meningitis: Streptococcus pneumoniae, Haemophilus influenzae, GBS
- Septic arthritis: Staphylococcus aureus, GBS
- Bacteremia: GBS, E. coli, Listeria monocytogenes
Evaluation of Fever Causes
- Upper respiratory tract issues (e.g., rhinorrhea, sore throat, cough, drooling, stridor, trismus, sinus pain, tooth pain, hoarse voice, ear pain)
- Lower respiratory tract issues (e.g., cough, chest pain, dyspnea, sputum)
- Cardiovascular problems (e.g., tachycardia, hypotension, cardiomegaly)
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Description
Test your knowledge of bacterial infections with this quiz. Questions cover symptoms, affected systems (cardiovascular, gastrointestinal, etc.), and the impact of empirical antibiotic use on diagnosis. Improve your understanding of diagnostic approaches.