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Flashcards in extra seminar Q's Deck (65)
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1
Q

What type of immunodeficiency does malnutrition cause?

a. primary adaptive
b. secondary adaptive
c. primary innate
d. secondary innate

A

b. secondary adaptive

2
Q

What type of immunodeficiency does a phagocytic cell deficiency cause?

a. primary adaptive
b. secondary adaptive
c. primary innate
d. secondary innate

A

c. primary innate

3
Q

Which is used to treat ecthyma gangrenosum?

a. aminoglycoside + beta-lactam
b. cytotoxic drugs
c. high doses of corticosteroids
d. ketoconazole

A

a. aminoglycoside + beta-lactam

4
Q

What type of immunodeficiency does a T cell deficiency cause?

a. primary adaptive
b. secondary adaptive
c. primary innate
d. secondary innate

A

a. primary adaptive

5
Q

When are fungal infections more common?

a. 1-20 days of neutropenia
b. more than 20 days of neutropenia

A

b. more than 20 days of neutropenia

6
Q

Which is the treatment for chronic mucocutaneous candidiasis?

a. nystanin
b. ketoconazole
c. azole mouthwash

A

b. ketoconazole

A&C are for oropharyngeal candidiasis

7
Q

Which is the treatment for oropharyngeal candidiasis?

a. nystatin
b. ketoconazole
c. corticosteroids

A

a. nystatin

and azole mouthwash

8
Q

which of the following is most likely to get disseminated candidiasis?

a. colon cancer
b. HIV patients
c. leukemia or lymphoma patients

A

c. leukemia or lymphoma patients

9
Q

Which is used to treat gram-negative with empiric therapy?

a. amphotericin A
b. amphotericin B
c. vancomycin
d. anti-pseudomonal activity

A

d. anti-pseudomonal activity

10
Q

Which is used to treat gram-positive with empiric therapy?

a. amphotericin A
b. amphotericin B
c. vancomycin
d. anti-pseudomonal activity

A

c. vancomycin

11
Q

Which is used to treat fungi with empiric therapy?

a. amphotericin A
b. amphotericin B
c. vancomycin
d. anti-pseudomonal activity

A

b. amphotericin B

12
Q

Which of the following suppresses cell-mediated immunity?

a. aminoglycoside + beta-lactam
b. cytotoxic drugs
c. high doses of corticosteroids

A

b. cytotoxic drugs

13
Q

Which of the following suppresses the inflammatory response?

a. aminoglycoside + beta-lactam
b. cytotoxic drugs
c. high doses of corticosteroids

A

c. high doses of corticosteroids

14
Q

Which of the following doesn’t have a vaccine?

a. Streptococcus pneumoniae
b. Varicella-zoster virus
c. Hepatitis C

A

c. Hepatitis C

15
Q

A 65 year old patient comes to the clinic with a PUO, which of the following is the most likely diagnosis?

a. infection
b. neoplasm
c. connective tissue disorder
d. polymyalgia rheumatica

A

d. polymyalgia rheumatica

16
Q

A Pel–Ebstein fever pattern indicates which disease?

a. malaria
b. lymphoma
c. typhoid
d. brucellosis

A

b. lymphoma

17
Q

A pulse-temperature dissociation fever pattern indicates which disease?

a. malaria
b. lymphoma
c. brucellosis
d. toxoplasmosis

A

c. brucellosis

and typhoid!

18
Q

Which of the following is most common in a patient with deficient cell-mediated immunity?

a. bacterial infections
b. viral infections
c. parasitic infections

A

b. viral infections

19
Q

Which of the following is most common in a patient with neutropenia?

a. bacterial infections
b. viral infections
c. parasitic infections

A

a. bacterial infections

20
Q

Which of the following is a risk factor of biliary abscesses?

a. appendicitis
b. the elderly
c. perforations

A

b. the elderly

21
Q

Which of the following organisms produces Q fever?

a. Coxiella burnetii
b. Chlamydia pneumoniae
c. Yersinia enterocolitica

A

a. Coxiella burnetii

22
Q

fever and lymph node enlargement are indicators of

a. malaria
b. lymphoma
c. brucellosis
d. toxoplasmosis

A

d. toxoplasmosis

23
Q

A tertian & quartan fever pattern indicates which disease?

a. malaria
b. lymphoma
c. typhoid
d. brucellosis

A

a. malaria

24
Q

Patient who recently traveled to the middle east has a fever, which of the following is the most likely diagnosis?

a. SARS
b. MERS
c. Typhoid
d. Dengue

A

b. MERS

25
Q

Patient who recently traveled to Africa has a fever, which of the following is the most likely diagnosis?

a. SARS
b. Meningococcal meningitis
c. MERS
d. Japanese B encephalitis

A

b. Meningococcal meningitis

26
Q

Which country is endemic for hepatic schistosomiasis?

a. australia
b. china
d. india

A

b. china

india= urinary schistosomiasis

27
Q

Patient who recently traveled to Southern China has a fever, which of the following is the most likely diagnosis?

a. Meningococcal meningitis
b. MERS
c. Japanese B encephalitis
d. ebola

A

c. Japanese B encephalitis

28
Q

Where is ebola endemic today?

a. southern america
b. china
c. congo
d. middle east

A

c. congo

29
Q

Where is the Zika virus endemic today?

a. southern america
b. china
c. congo
d. mongolia

A

a. southern america

30
Q

Where is the Brucellosis endemic?

a. southern america
b. china
c. congo
d. mongolia

A

d. mongolia

middle east & turkey too

31
Q

Patient has leukocytosis, which of the following is most likely?

a. bacterial infections
b. viral infections
c. parasitic infections

A

a. bacterial infections

32
Q

Patient has Eosinophilia, which of the following is most likely?

a. bacterial infections
b. viral infections
c. parasitic infections

A

c. parasitic infections

33
Q

Patient has Lymphocytosis, which of the following is most likely?

a. bacterial infections
b. viral infections
c. parasitic infections

A

b. viral infections

34
Q

A fever pattern that has two peaks separated by afebrile interval indicates which disease?

a. malaria
b. lymphoma
c. brucellosis
d. dengue

A

d. dengue

35
Q

Patient who recently traveled to Africa has a fever, which of the following is the most likely diagnosis?

a. Japanese B encephalitis
b. MERS
c. Yellow fever
d. SARS

A

c. Yellow fever

36
Q

Which of the following is an invasive bacterial pathogen?

a. V. cholerae
b. C. jejuni
c. ETEC

A

b. C. jejuni

and Shigella

37
Q

Which of the following organisms would result in toxins in the stool?

a. V. cholerae
b. C. jejuni
c. C. difficile
d. EPEC

A

c. C. difficile

38
Q

Which of the following are organisms spread by the airborne route?

a. Mycobacterium tuberculosis
b. Escherichia
c. Visceral leishmaniasis

A

a. Mycobacterium tuberculosis

39
Q

Which of the following are organisms spread by the airborne route?

a. varicella zoster virus
b. parvovirus
c. cytomegalovirus

A

a. varicella zoster virus

40
Q

A healthy patient is admitted to the hospital and within an hour, he presented with an infection. Which of the following is most accurate?

a. community-associated infection
b. hospital-associated infection

A

a. community-associated infection

he got it from the community then came to the hospital

41
Q

Patient presents with MRSA, tests show it has mec type 1, 2, &3. Where did the patient most likely get the infection?

a. community
b. hospital

A

b. hospital

community aquired MRSA has mec type 4 &5

42
Q

Football player comes in with skin lesions and a skin infection, which MRSA type does he have?

a. CA-MRSA
b. HA-MRSA

A

a. CA-MRSA

43
Q

Hospital-associated respiratory tract infections usually affect

a. upper respiratory tract
b. lower respiratory tract

A

b. lower respiratory tract

44
Q

Which of the following is the most common cause of septicemia?

a. Pneumonia
b. Kidney infection
c. UTI

A

c. UTI

45
Q

Which of the following can grow in the fridge?

a. C. botulinum
b. L. monocytogenes
c. Bacillus cereus
d. Campylobacter jejuni

A

b. L. monocytogenes

and Y. enterocolitica

46
Q

Which of the following causes vomiting?

a. heat stable B. cereus toxin
b. heat labile B. cereus toxin

A

a. heat stable B. cereus toxin

B causes diarrhea

47
Q

Which of the following release a toxin during the sporulation of the spore?

a. Clostridium perfringens
b. Clostridium botulinum

A

a. Clostridium perfringens

48
Q

Which of the following does a patient most likely have if he consumed shell-fish and presented with food poisoning?

a. C. perfringens
b. C. botulinum
c. V. cholerae
d. B. cereus

A

c. V. cholerae

49
Q

Which of the following is most associated with fried rice?

a. C. perfringens
b. C. botulinum
c. V. cholerae
d. B. cereus

A

d. B. cereus

50
Q

Which of the following release a toxin during the germination of the spore?

a. Clostridium perfringens
b. Clostridium botulinum

A

b. Clostridium botulinum

51
Q

Which of the following is most likely found in brackish water?

a. Y. enterocolitica
b. V. parahaemolyticus
c. V. cholerae
d. B. cereus

A

b. V. parahaemolyticus

52
Q

Which of the following caused the 2015 outbreak of diarrhea in Mexican restaurants?

a. EIEC
b. EHEC
c. EPEC
d. ETEC

A

b. EHEC

also known as
STEC = Shiga toxin-producing E. coli
VTEC = Verotoxin-producing E. coli

53
Q

Which TWO Salmonella serotype caused the alfalfa sprout associated, foodborne infections?

a. typhimurium
b. enteritidis
c. Muenchen
d. Kentucky

A

c. Muenchen
&
d. Kentucky

54
Q

Which of the following is associated with floppy baby syndrome?

a. C. perfringens
b. C. botulinum
c. V. cholerae
d. B. cereus

A

b. C. botulinum

55
Q

Which of the following is associated with thermostable direct hemolysin (TDH)?

a. Y. enterocolitica
b. B. cereus
c. V. cholerae
d. V. parahaemolyticus

A

d. V. parahaemolyticus

TDH demonstrated in Wagatsuma agar

56
Q

Patient comes in with pain resembling acute appendicitis, which of the following is most likely?

a. Y. enterocolitica
b. B. cereus
c. V. cholerae
d. V. parahaemolyticus

A

a. Y. enterocolitica

mesenteric lymphadenitis that resembles acute appendicitis

57
Q

Which staph spp is the most likely cause of UTI’s?

a. S. aureus
b. S. saprophyticus
c. S. epidermidis
d. S. homonis
e. S. capitis

A

b. S. saprophyticus

58
Q

Which of the following is NOT caused by Staph. aureus?

a. folliculitis
b. carbuncle
c. furuncle
d. erysipelas

A

d. erysipelas

59
Q

Which of the following is not caused by Streptococci group A?

a. necrotizing fasciitis
b. cellulitis
c. furuncle
d. impetigo

A

c. furuncle

60
Q

Which of the following is the most common cause of Impetigo in a 8-year-old child?

a. S. aureus
b. S. pyogenes
c. propionibacterium

A

b. S. pyogenes

61
Q

Which of the following occurs because the bacteria get into the skin via a skin break?

a. folliculitis
b. carbuncle
c. cellulitis
d. erysipelas

A

c. cellulitis

caused by either S. pyogenes or S. aureus

62
Q

Which of the following toxins produces scalded skin syndrome?

a. exfoliatin
b. toxic shock syndrome toxin-1
c. pore-forming toxins
d. diphtheria toxin

A

a. exfoliatin

63
Q

Which of the following is used to treat flesh-eating bacteria?

a. coxacillin
b. vancomycin
c. teicoplanin
d. benzyl penicilin

A

d. benzyl penicilin

64
Q

Which of the following causes acne?

a. S. aureus
b. S. pyogenes
c. S. epidermidis
d. propionibacterium

A

c. propionibacterium

65
Q

Which of the following is called the “flesh-eating bacteria”?

a. S. aureus
b. S. pyogenes
c. S. epidermidis
d. propionibacterium

A

b. S. pyogenes