q bank M&I 4 03242006
Terms
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- A 2-day-old baby girl suddenly develops abdominal distention, progressive pallid cyanosis, and irregular respirations. The newborn also has "refused" to breast-feed for the past 18 hours. If the mother was treated for a serious infection with a
- Chloramphenicol
- A previously healthy 18-month-old girl is brought to the office with 2 days of irritability, poor appetite, and pulling at her left ear. She has no known allergies, and her vaccinations are up-to-date. On examination, the child's temperature is 102.8 F.
- polyribitol phosphate
- A 35-year-old Cajun man living in the bayous of the Mississippi River basin near New Orleans develops a tuberculosis-like illness with formation of masses within the lungs. PPD is negative, but the histoplasmin skin test is positive. CT-guided biopsy of
- 2-5 micrometer yeast with a thin cell wall but no true capsule
- A Washington, D.C., letter carrier is brought to the emergency department of a local hospital by his wife, who fears that he is having a heart attack. The man is suffering severe substernal pain accompanied by a fever of 40 C (104 F) and cough. ON radiog
- stationary phase
- A 54-year-old man presents with complaints of shortness of breath, a sore tongue, and a "pins-and-needles" sensation in his feet. Laboratory examination revelas macrocytosis, anemia, and hypersegmented neutrophils. Antibodies to intrinsic facto
- DR5
- A sexually active 18-year-old woman presents with a fever of 38.9 C (102 F) for the past 24 hours and lower abdominal pain and anorexia for the past 5 days. ON physical examination, there is generalized tenderness of the abdomen, and the cervix is erythe
- Iodine-staining intraepithelial inclusion bodies
- Approximately 1 week after starting therapy for a complicated urinary tract infection caused by Proteus mirabilis, a 13-year-old girl develops leg cramps, myalgia, and arthralgias. Which of the following medications was this patient most likely prescribe
- lomefloxacin
- A 35-year old man develops hemiparesis, ataxia, homonymous hemianopa, and cognitive deterioration. An MRI of the brain demonstrates widespread areas of abnormal T2 signal in the white matter. An electroencephalogram is remarkable for diffuse slowing over
- AIDS
- A bacterium cultured from the bloodstream of an HIV-positive patient is determined by electron microscopy to possess an envelope. The basic structure of the envelop is diagrammed above. The culture isolate is subjected to Gram's staining. Provided that t
- Safranin
- A 3-year-old male presents with a skin rash and epistaxis. He has had several, severe sinopulmonary infections. A careful history reveals that his maternal uncle died of bleeding complications following an emergency cholecystectomy. What additional findi
- low platelet count and low serum IgM levels
- A 24-year-old woman presents with a 3-day history of fever, chills, chest pain, and cough productive of reddish-brown sputum. Past medical history includes a splenectomy 1 year ago. A chest x-ray film indicates consolidation of the right lower lobe. Bloo
- IgG antibodies to a surface acidic polysaccharide
- A British dairy farmer develops fever with chills, myalgia,s headache, skin rash, and vomiting. He is quite ill and is hospitalized. Blood cultures demonstrate tightly coiled, thin, flexible spirochetes shaped like a Shepherd's crook. The spirochetes are
- Leptospira interrogans
- A high school student badly burned in an automobile accident develops a skin lesions on the burn area during his hospitalization. Which of the following best describes the causative agent?
- An oxidase-postive, aerobic, gram-negative bacillus
- A newborn infant has multiple, hemorrhagic, cutaneous lesions and does not respond to sound. Head CT scan shows periventricular calcifications. Which of the following infectious agents is the most likely cause of this child's presentation?
- cytomegalovirus
- A 9-month-old infant is brought to the Health Department to receive the second dose of OPV (ORAL POLIO VACCINE), 2 weeks after the first vaccination. The child has mild diarrhea, so the decision is made to defer further immunizations. Bacteriologic exami
- poliovirus
- A 55-year-old woman with type 2 diabetes seeks treatment from her primary care physician for painful, burning urination. She is given a course of ampicillin, but returns to her physician a week later with complaints of fever and flank pain. At the time o
- lipid A
- A neonate is born at term with multiple problems. He is small for gestational age and has cataracts, hepatosplenomegaly, and thrombocytopenia with purpura. Further studies demonstrate patent ductus arteriosus, bone lucency, pneumonia, and meningoencephal
- congenital rubella
- A young military recruit scheduled for overseas assignment begins a course of immunization. The corpsman administering the inoculations warns the private that one of these immunizations is likely to cause swelling and inflammation 24-48 hours after injec
- tetanus
- A 3-year-old child with cystic fibrosis presents with weight loss, irritability, and a chronic productive cough. On physical exam, he is febrile and lung exam reveals intercostal retractions, wheezing, rhonchi, and rales. Chest x-ray demonstrates pathy i
- otitis externa
- A 14-year-old patient is brough in by his parents because of a sore throat. ON physical examination, he is febirle, and has pharyngeal erythemia with a tonsillar absscess. A throat culture on sheep blood agar yields colonies of gram-positive cocci that a
- Staphylococcus aureus
- An 18-year-old man is evaulated for possible immunodeficiency disease because of a life-long history of chronic lung infections, recurrent otitis media, and multiple episodes of bacterial meningitis. While total IgG is normal, the patient is found to hav
- IgA
- An 8-year-old child is brought in by her mother with complaints of crampy abdominal pain, nausea, and mild diarrhea for approximately 2 weeks. The day before this visit, she vomited up a cylindrical white worm 30 cm in length, which the mother preserved
- ingestion of eggs from human feces