Infectious Diseases Quiz
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Infectious Diseases Quiz

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@PoignantKansasCity4779

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Questions and Answers

What clinical presentation is most indicative of infection with Mycobacterium tuberculosis?

  • Fever, night sweats, weight loss, hemoptysis (correct)
  • Severe abdominal pain with blood in stool
  • Persistent cough with green sputum
  • Fatigue and generalized weakness
  • Which organism is associated with bloody diarrhea after eating undercooked ground beef?

  • Salmonella typhi
  • EHEC (correct)
  • Shigella
  • Campylobacter
  • Which bacterium would most likely cause fever and purulent discharge in a young sexually active patient?

  • Neisseria gonorrhea (correct)
  • Chlamydia trachomatis
  • Staphylococcus aureus
  • Escherichia coli
  • Which symptom is most characteristic of Legionella infection?

    <p>High fever with pneumonia symptoms</p> Signup and view all the answers

    What clinical feature is associated with Listeria monocytogenes infection?

    <p>Neurological symptoms in elderly</p> Signup and view all the answers

    Which organism is characterized by acid-fast staining and is known for causing lung infections in immunocompromised individuals?

    <p>Mycobacterium avium complex (MAC)</p> Signup and view all the answers

    Which condition is associated with Yersinia pestis?

    <p>RLQ pain mimicking appendicitis</p> Signup and view all the answers

    What is a key indicator of a possible Neisseria meningitidis infection?

    <p>High fevers with stiff neck and rash</p> Signup and view all the answers

    What is the expected clinical presentation of a patient with Toxoplasma infection?

    <p>Multiple ring enhancing lesions in the brain</p> Signup and view all the answers

    Which organism is associated with a painless genital lesion in the context of sexually transmitted infections?

    <p>Lymphogranuloma venereum</p> Signup and view all the answers

    Which clinical feature is characteristic of primary syphilis?

    <p>Painless genital ulcer</p> Signup and view all the answers

    What symptom is most likely associated with a Leptospira infection?

    <p>Jaundice and kidney issues</p> Signup and view all the answers

    What type of respiratory infection is typically caused by Mycoplasma pneumonia?

    <p>Nonproductive cough and diffuse infiltrate</p> Signup and view all the answers

    Which diagnostic test is commonly used for the detection of Treponema pallidum?

    <p>RPR-VDRL, FTA-ABS</p> Signup and view all the answers

    What is a classic finding in a patient with congenital syphilis?

    <p>Notched teeth and runny nose</p> Signup and view all the answers

    Which fungal infection is associated with avian exposure, such as exploring caves?

    <p>Histoplasma</p> Signup and view all the answers

    What type of organism would most likely cause itching between toes and thick nails?

    <p>Dermatophytes</p> Signup and view all the answers

    Which condition is characterized by acute angle branching hyphae and occurs in patients with low neutrophil counts?

    <p>Aspergillus</p> Signup and view all the answers

    What condition is characterized by painful vesicles around the mouth and genitals, and is caused by a common DNA virus?

    <p>Herpes simplex virus</p> Signup and view all the answers

    Which infection is associated with the presence of bloody urine and can lead to bladder squamous cell carcinoma?

    <p>Schistosoma infection</p> Signup and view all the answers

    Which virus presents with a classic presentation of a 'slapped-cheek' appearance in children?

    <p>Parvovirus B19</p> Signup and view all the answers

    What cystic infection can lead to anaphylaxis upon rupture, and is commonly associated with dogs and feces?

    <p>Echinococcus</p> Signup and view all the answers

    Which virus is known for causing congenital defects such as deafness and cataracts in infants?

    <p>Rubella virus</p> Signup and view all the answers

    Which hepatitis virus has a chronic infection profile and is primarily transmitted through blood and sexual contact?

    <p>Hepatitis B</p> Signup and view all the answers

    Which sexually transmitted virus is associated with the development of cervical cancer through strains 16 and 18?

    <p>Human Papillomavirus</p> Signup and view all the answers

    What is the cause of acute viral hepatitis characterized by self-limiting symptoms after consuming raw shellfish?

    <p>Hepatitis A</p> Signup and view all the answers

    What viral infection might present with a child's symptoms including barking cough and inspiratory stridor?

    <p>Parainfluenza virus</p> Signup and view all the answers

    Which herpes virus is associated with owl-eye inclusions and can infect AIDS patients leading to severe complications?

    <p>Cytomegalovirus</p> Signup and view all the answers

    Which condition caused by an Aedes mosquito bite is characterized by debilitating joint pain and rash?

    <p>Chikungunya</p> Signup and view all the answers

    Which infection presents with vesicular lesions in various stages of healing, commonly referred to as chickenpox?

    <p>Varicella</p> Signup and view all the answers

    A patient presents with itchy lesions in the hair, body, or pubic areas. This condition is likely caused by which organism?

    <p>Pediculus humanus</p> Signup and view all the answers

    Which RNA virus is known for causing severe hemorrhagic fever and is transmitted by mosquito bites?

    <p>Dengue Virus</p> Signup and view all the answers

    Which organism presents with trypomastigotes observed in a blood smear and causes various organ enlargement?

    <p>T.cruzi</p> Signup and view all the answers

    What parasite is known for causing fever and anemia and is notably found in individuals who have not traveled outside of the United States?

    <p>P.vivax</p> Signup and view all the answers

    Which organism is transmitted via the bite of a black fly and is associated with causing blindness?

    <p>Onchocerca</p> Signup and view all the answers

    Which helminth is characterized by thick, knobby coated, oval-shaped eggs and is associated with lung and gastrointestinal symptoms?

    <p>Ascaris lumbricoides</p> Signup and view all the answers

    Which organism's infection is linked to the consumption of undercooked pork and can lead to the development of cysts in the brain?

    <p>Taenia solium</p> Signup and view all the answers

    Which bacterium is most likely responsible for severe watery diarrhea after travel to another country?

    <p>Vibrio cholera</p> Signup and view all the answers

    What is the mechanism by which Clostridium tetani leads to spastic paralysis?

    <p>Prevention of GABA and glycine release</p> Signup and view all the answers

    Which bacterium can cause necrosis of the skin alongside crepitus?

    <p>Clostridium perfringens</p> Signup and view all the answers

    What is a notable clinical finding in a patient infected with Staphylococcus aureus after recent nose surgery?

    <p>Fever, rash, and hypotension</p> Signup and view all the answers

    Which organism is typically responsible for causing descending flaccid paralysis in adults after the consumption of canned food?

    <p>Clostridium botulinum</p> Signup and view all the answers

    Which clinical presentation is commonly associated with Mycobacterium leprae?

    <p>Lion-like face and skin lesions</p> Signup and view all the answers

    What is a key clinical feature of Bacillus cereus infection?

    <p>Nausea and vomiting 1-5 hours after eating rice</p> Signup and view all the answers

    Which of the following organisms is characterized by a branching gram-positive rod and is known to cause lung infections?

    <p>Nocardia</p> Signup and view all the answers

    Which organism is most likely to cause hemoptysis in a patient with a history of night sweats and weight loss?

    <p>Mycobacterium tuberculosis</p> Signup and view all the answers

    What would most likely present as a thumbprint sign on a lateral neck X-ray?

    <p>Haemophilus influenzae infection</p> Signup and view all the answers

    Which condition is commonly associated with the consumption of undercooked poultry or contact with dogs?

    <p>Campylobacter infection</p> Signup and view all the answers

    Which organism is known for causing bloody, mucoid stool through the invasion of M cells?

    <p>Shigella</p> Signup and view all the answers

    What symptom is typically associated with Legionella pneumonia?

    <p>Fever, abdominal pain, and diarrhea</p> Signup and view all the answers

    What organism is most likely associated with a bulls-eye rash following a tick bite?

    <p>Borrelia</p> Signup and view all the answers

    Which clinical presentation is indicative of an infection with Histoplasma?

    <p>Cave exploration with bird droppings</p> Signup and view all the answers

    A patient presents with dull abdominal pain and bloody diarrhea. Which organism is likely responsible?

    <p>Entamoeba histolytica</p> Signup and view all the answers

    Which organism is characterized by thick, white vaginal discharge and is typically diagnosed using clue cells?

    <p>Gardnerella</p> Signup and view all the answers

    What clinical feature is typically seen in patients with tertiary syphilis?

    <p>Puppilary constriction</p> Signup and view all the answers

    What is a common reservoir for the organism that causes leptospirosis?

    <p>Rats</p> Signup and view all the answers

    Which of the following is known for causing opportunistic infections in AIDS patients, particularly pulmonary infections?

    <p>Pneumocystis jirovecii</p> Signup and view all the answers

    Which presentation is indicative of a Candida albicans infection?

    <p>White patches in the mouth</p> Signup and view all the answers

    Which organism primarily causes a non-productive cough and shows a classic finding of being devoid of a cell wall?

    <p>Mycoplasma pneumonia</p> Signup and view all the answers

    Which fungal organism is characterized by broad-based budding and is typically found in the eastern central United States?

    <p>Blastomyces</p> Signup and view all the answers

    What condition is characterized by the presence of fleshy, cauliflower-shaped genital lesions?

    <p>HPV 6 and 11</p> Signup and view all the answers

    Which virus is associated with severe lymphoid hyperplasia and may cause postcoital bleeding due to a friable cervix mass?

    <p>HPV 16</p> Signup and view all the answers

    What is the primary mode of transmission for Hepatitis B virus?

    <p>Blood, sexual contact, and perinatal transmission</p> Signup and view all the answers

    What condition is most likely to result from a schistosomiasis infection?

    <p>Bladder squamous cell carcinoma</p> Signup and view all the answers

    Which clinical presentation is most characteristic of an HIV infection leading to neurological complications?

    <p>Demyelinated plaques with memory decline</p> Signup and view all the answers

    Which virus is known to cause 'slapped-cheek' appearance in children?

    <p>Parvovirus</p> Signup and view all the answers

    Which of the following viruses is associated with owl-eye inclusions in tissue pathology?

    <p>CMV</p> Signup and view all the answers

    Infection with which organism is likely to lead to anaphylaxis upon cyst rupture?

    <p>Echinococcus</p> Signup and view all the answers

    Which hepatitis virus requires another virus for infection and is primarily transmitted via blood?

    <p>Hep D</p> Signup and view all the answers

    Which organism is indicated by terminal spines on its eggs?

    <p>Schistosoma</p> Signup and view all the answers

    A patient presents with acute fever and watery diarrhea after consuming contaminated food. Which virus is the likely cause?

    <p>Rotavirus</p> Signup and view all the answers

    Which viral infection is characterized by a prodromal phase followed by a rash, particularly involving the palms and soles?

    <p>Coxsackie Virus</p> Signup and view all the answers

    Which condition is associated with an AIDS patient who develops dark purple lesions on the body?

    <p>Kaposi Sarcoma</p> Signup and view all the answers

    What is the characteristic sign of an infection with Zoster virus?

    <p>Painful vesicles that do not cross the midline</p> Signup and view all the answers

    Study Notes

    Microbiology - Bacteria

    • Corynebacterium diphtheriae: Sore throat, grey pseudomembranes, inactivation of EF-2.
    • Pseudomonas aeruginosa: Black eschar on skin, inactivation of EF-2.
    • Vibrio cholera: Travel to another country, severe watery diarrhea, activates Gs → CAMP.
    • Clostridium tetani: Step on a dirty nail, spastic paralysis, lock jaw (trismus), bent spine (opisthotonus), toxin prevents release of GABA and glycine.
    • Clostridium botulinum: Baby eats honey, adult eats canned food, descending flaccid paralysis, diplopia, dyspnea, toxin cleaves snare and inhibits NT release.
    • Clostridium perfringens: Necrosis of skin, crepitus, toxin degrades tissue and membranes.
    • Clostridium difficile: Diarrhea after antibiotic use or hospitalization.
    • Staphylococcus aureus: Recent nose surgery or young female on menses, fever, rash, hypotension, toxin cross-links TCR to MHC II.
    • Staphylococcus epidermidis: Infects catheters, valves, biofilm production.
    • Staphylococcus saprophyticus: Second cause of UTI (painful, frequent urination) in young females.
    • Streptococcus pneumoniae: Red, bulging tympanic membrane, ear pain, infection after recent dentist visit.
    • Streptococcus viridans (S. mutans and S. mitis): Similar to Streptococcus pneumoniae.
    • Streptococcus pyogenes: Sore throat with white exudate, no cough, M protein Ab, molecular mimicry.
    • Streptococcus agalactiae (Group B Strep): Baby with meningitis, pneumonia or sepsis, screen mom at 35-37 wk pregnancy.
    • Streptococcus Bovis (gallolyticus): Underlying colon cancer in patient with fever and new murmur.
    • Bacillus cereus: N/V 1-5 hours after eating rice, unpasteurized dairy, deli, tumbling motility, grows at low temp.
    • Listeria: Unpasteurized dairy, deli, tumbling motility, grows at low temp.
    • Nocardia: Branching G+ rod, acid-fast staining, lung infection.
    • Actinomyces: Branching G+ rod, yellow sulfur granules, face infection after dentist.
    • Mycobacterium tuberculosis: Fever, night sweats, weight loss, hemoptysis, caseating necrosis, IFNgamma for granulomas, acid fast, cavitation at apex of lung.
    • MAC (Mycobacterium avium complex): AIDS patient with CD4 < 50, skin and nerves affected, immigrant, lion like face.
    • Mycobacterium laprae: Similar to MAC in presentation.

    Microbiology - Fungi

    • Histoplasma: Mississippi and Ohio, macrophages filled with pathogen, exploring caves, bird and bat droppings.
    • Blastomyces: Eastern, central US, broad-based budding.
    • Coccidioides: California, Arizona, circle-shaped spherules filled with endospores.
    • Dermatophytes (Microsporum, Trichophyton, Epidermophyton): Itching between toes, thick nails, flower-shaped scaly, itchy lesions on head/body/inguinal region.
    • Tinea versicolor: Hypopigmented spots on back, spaghetti and meatball.
    • Candida albicans: White patches in mouth that scrape off, white thick vaginal discharge.

    Microbiology - Viruses

    • HSV: Painful vesicles around mouth, genitals or finger, latent, recurrent, enveloped DS DNA virus.
    • HPV 6 and 11: Fleshy, cauliflower-shaped genital lesions, postcoital bleeding.
    • HPV 16 and 18: Similar to HPV 6 and 11.
    • JC Virus - PML: HIV pt with demyelinated plaques + memory decline.
    • Parvovirus: Non-enveloped SS DNA, newborn with hydrops fetalis, child with red cheeks, look like they got slapped, low Hb, Hct, reticulocytes in SS pt.
    • Zoster: Elder pt with painful vesicles on one side of trunk, doesn't cross midline.
    • EBV: Teenager with sore throat, enlarged liver and spleen, avoid sports, infects B cells, atypical T cells seen on PBS.
    • CMV: AIDS pt with esophagitis and retinitis, owl's eye inclusions.
    • HHV 6/7: Baby gets a fever first, then gets rash later
    • HHV 8: AIDS pt gets dark purple lesions on the body
    • Rhinovirus: Common cold, uses ICAM-1 receptor.

    Microbiology - Parasites

    • Giardia: Fatty smelly diarrhea after hiking/camping.
    • Entamoeba histolytica: RUQ pain and bloody diarrhea, liver abscesses, flask-shaped ulcers.
    • Cryptosporidium: AIDS pt + watery diarrhea, acid-fast staining.
    • Toxoplasma: Cat feces or undercooked meat, AIDS pt + multiple ring enhancing lesions in brain, baby + intracranial calcifications.

    Microbiology - Other Parasites, and Fungi

    • Naegleria fowleri: Death after swimming, pathogen gets into cribriform plate.
    • T. brucei: Transmitted by Tsetse fly, fever, sleepy, trypomastigote seen in blood smear.
    • P. vivax/ovale: Travel outside of US, fever comes and goes, anemia, ring form in RBCs, hypnozoite in liver.
    • Babesia: No travel outside of US, fever, anemia, tetrads/cross form in RBCs.
    • T. cruzi: Travel to South America, big heart, colon, esophagus and eyes, trypomastigote seen in blood smear.
    • Leishmania: Transmitted by sandfly, organ or skin lesions, amastigotes in macrophages.
    • Trichomonas: Green vaginal discharge, punctate hemorrhages on cervix (strawberry cervix), motile organisms on wet mount.
    • Enterobius vermicularis: Child with itchy bum, eggs seen on tape test,

    Microbiology - Other

    • Ascaris lumbricoides: Lung and GI, thick, knobby coated, oval shaped eggs, lung, GI, skin, larvae in feces.
    • Strongyloides stercoralis: Lung, GI, skin, larvae in feces.
    • Ancylostoma, Necator (hookworm): Walking barefoot at the beach, low Hb, Hct and MCV, itchy foot with picture of serpiginous rash on foot.
    • Trichinella: Eat undercooked pork, muscle pain.
    • Onchocerca: Black fly, blindness.
    • Wuchereria and Brugia: Worm invades lymph nodes, lymphedema.
    • Taenia solium: Eat undercooked pork, cysts in the brain, seizures.
    • D. latum: Eat raw fish, causes B12 deficiency.
    • Echinococcus: Eat dog feces, egg shell calcifications and cysts in liver, anaphylaxis can occur due to rupture of cysts.
    • Schistosoma: Water with snails, immigrant, bloody urine, bladder squamous cell carcinoma, terminal spine on egg.
    • Clonorchis: Eat raw fish, cause gallstones and cholangiocarcinoma.
    • Sarcoptes scabiei: Itching between fingers and toes.
    • Lice (Pediculus humanus): Itchy head, body or pubic itching.
    • Mycoplasma pneumonia: Young, healthy pt gets non-productive cough and diffuse infiltrate in lungs, lacks cell wall, grows on Eaton agar, IgM, cold agglutination.
    • Gardnerella - Bacterial vaginosis: Female has thin, grey, fishy vaginal discharge, epithelial cells covered in bacteria (clue cells).
    • Measles, Rubeola: Cough, coryza, conjunctivitis, Koplik spots in mouth, fever, rash. Paramyxovirus.
    • Rubella: Fever, rash, lymphadenopathy, baby with deafness, cataracts, and PDA. Togavirus.
    • COVID-19: Fever, dry cough, SOB, loss of taste and smell.

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