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ID - ABIM, STD, Prec

Genital ulcers STD Prec

QuestionAnswer
Painless genital ulcers Syphilis and lymphogranuloma venerum
Painful genital ulcers chancroid
What disease if you see Donovan bodies? Granuloma inguinale caused by klebsiella granulomatous
Genital ulcers that have pus Chancroid caused by Haemophilus ducryi and lymphogranuloma the near caused by chlamydia trachomatis
Genital ulcers that have unilateral lymphadenopathy Chancroid and Lymphogranuloma Venerum lymphadenopathy painful
Painless penile ulcer with rash on the palm, soles Syphilis, caused by treponema pallidum
How to test for herpes Simplex virus? direct-fluorescent antibody and polymerase chain reaction testing can provide results in less than 24 hours and can differentiate between HSV1, HSV2, and varicella infections, which is important when treating immunocompromised patients.
When should you do serologic testing for HSV? Performing serologic testing (HSV IgG) is not recommended to diagnose herpes virus infections, as the seroprevalence for both HSV1 and HSV2 is high, and a positive result is not indicative of active infection.
Immunocompetent patient with local zoster infection. What type of precautions? Contact precautions only
Immunocompromised patient with local zoster. What type of precautions? Contact and airborne, because immunocompromised patients is susceptible to respiratory disseminated zoster
Local zoster, rash in how many dermatomes? 1 to 2 dermatomes
Disseminated zoster, rash in how many dermatomes? Three or more dermatomes
When is a patient with zoster no longer infectious? After all the lesions have crusted over
Precautions for tuberculosis Airborne, negative pressure room
Precautions for measles Airborne, negative pressure room
Precautions for chickenpox Airborne, negative pressure room Also contact
Precautions for pertussis Droplet
Precautions for mumps Droplet
rod-shaped, oval organisms that can be seen in the cytoplasm of mononuclear phagocytes or histiocytes in tissue samples Donovan bodies from patients with granuloma inguinale. They appear deep purple when stained with Wright's stain.
Created by: christinapham
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