Infectious Diseases Quiz
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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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    Step 1 Micro Review PDF

    Description

    Test your knowledge on various infectious diseases and the organisms responsible for them. This quiz covers key clinical presentations, associated symptoms, and specific pathogens linked to significant conditions. Perfect for students in microbiology or medicine!

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