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USMLE I - Micro

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Animal exposure + jaundice + renal =   Leptospirosis  
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What is the MC late manifestation of Lyme dz   Joint involvement  
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What is the MC cardiac sequelae of Lyme dz   AV node block  
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What is the MC neurologic sequelae of Lyme dz   7th CN palsy (Bell’s)  
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What dz is also carried by Ixodes tick and present w/ hemolytic anemia   Babesiosis  
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What dz is also carried by Ixodes tick and presents w/ elevated LFTs, low platelets, low WBCs   Erlichiosis  
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Pt returned from trip abroad and has hemolysis plus GI complaints   malaria  
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What respiratory bug has branching weakly acid fast and gram positive filaments   Nocardia  
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What branching filamentous bacteria affects the respiratory system of immunocompetent pts   Actinomyces  
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Pt went to wet areas of Ohio/Mississippi river valley. Has palate/oral ulcers pancytopenia and splenomegaly. Dx   Histoplasmosis  
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What other respiratory dz does Histoplasmosis mimic   TB  
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Pt came from rural Southeast with pulmonary complaint and bone lesions   Blastomycosis  
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Pt had GU/Gu procedure and now has subacute endocaritis, what organism   E. faecalis  
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Bacterial endocardx in pt w/ colonic malignancy   Strep bovis  
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Endocardx in pt with prosthetic valve   Staph epi  
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Non flagellated protozoa causing DILATED cardiomyopathy   T. cruzi  
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Fever, chest pain, heart failure. Dx and bug   Myocardx / coxsackie  
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Diarrhea post travel   ETEC  
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What actually causes food poisoning   Preformed heat stable toxin of S. aureus  
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What actually causes food poisoning of re-heated rice   Preformed toxin of B. cereus  
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Late onset watery diarrhea from food poisoning   Clostridium PERFRINGENS (spores need to germinate and release toxin)  
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Copious watery diarrhea   V. cholera  
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Blood diarrhea, animal/pet to human transmission   Campylobacter jejuni  
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Raw poultry / eggs / recent abroad travel, fever, ab cramps, BLOODY diarrhea, spots on ab   Salmonella  
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Bloody diarrhea, appendicitis like pain   Yersinia enterolytica  
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Invades mesenteric veins and cause liver abscesses   Entamoeba histolytica  
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Hepatitis type where there is AVERSION to smoking   Hep A  
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South America, travel, dysphagia, constricted distal esophagus   T. cruzi  
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UTI, hospitalized pt w/ urinary catheter   Klebsiella pneu / E. faecalis  
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Most highly resistant bug causing subacute endocarditis and hospital catheter acquired UTI   E. faecalis  
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Stages of syphilis   Painless chancre; condyloma lata macular lesions; CNS deterioration and aortic aneurysms  
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Positive Tzanck, multinucleated cells w/ intranuclear inclusions   HSV-2  
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Three etio of common cold   Rhino, corona, adeno  
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Pharyngitis, pink eye, pt in summer camp or military or college dorm   ADENOvirus  
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PNA w/ broad based bud, chronic, granulomas in lungs   Blasto  
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PNA in SW USA/mexico   Coccidioides  
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PNA-like, hemoptysis, animal hair/hide   B. anthrax  
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Mild PNA, animal hide   Coxiella  
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PNA related to water reservoir in elderly and smokers   Legionella  
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PNA w/ Anemia, DRY persistent cough, INTERSTITIAL infiltration   Mycoplasma pneu  
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PNA w/ LOBAR consolidation, rusty sputum   Strep pneu  
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Impetigo   S. aureus  
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Erysipelas   Strep pyo  
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Rash begins on palm and spreads to trunk   Rickettsia (RMSF)  
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Abscess following trauma to neck/head, draining sinus tracts   Actinomyces  
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Animal bite, osteomyelitis   Pasteurella  
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