qbank m&I 7 04062006
Terms
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- A research laboratory studying virus life cycles has created a continuous culture of bovine kidney fibroblasts that are suitable hosts for a large variety of viral agents. In one experiment, the nuclei of these cells are removed by cytosurgery, and vario
- Poliovirus
- Six days after receiving several flea bites in a rat-infested shed in Southeastern New Mexico, a homeless 24-year-old man develops fever, chills, and a rash that spreads from his abdomen to cover his extremities. He is seen at the local hospital emergenc
- ENdemic typhus
- A 68-year-old man presents to his physician with complaints of fatigue and night sweats. Physical examination is remarkable for generalized lymphadenopathy and hepatosplenomegaly. A complete blood count shows anemia, thrombocytopenia, and neutropenia. A
- CD 19 and CD 20
- A 28-year-old male intravenous drug user presents with a febrile illness that has lasted 2 weeks. He also complains of chills, weakness, dyspnea, cough, arthralgia, diarrhea, and abdominal pain. On examination, a heart murmur is present, and small, tende
- Staphylococcus aureus
- A 22-year-old male military recruit complains of a headache and stiff neck. He is examined, blood is drawn, and a lumbar puncture performed. The glucose in the CSF is 100 mg/dL, and the serum glucose is 120 mg/dL. The CSF shows 3 lymphocytes and 0 neutro
- There is no evidence for meningitis
- A 67-year-o0ld woman in a skilled nursing facility complains of flu-like symptoms. After several days, she develops high fever, dyspnea, and a productive cough. The nurses also notice mental status changes, and she is transported to the nearby community
- Staphylococcus aureus
- A sexually active 25-year-old man develops epididymitis and orchitis. Needle biopsy demonstrates a prominent leukocytic infiltrate with numerous neutrophils. Which of the following organisms is the most likely cause of this man's infection?
- Neisseria gonorrhoeae
- A 67-year-old man with moderate renal dysfunction presents with influenza-like symptoms. The patient also has a red macular rash that first appeared on the ankles, then spread centrally. He reports nausea, vomiting, and profound restlessness. He states t
- Doxycycline
- A 57-year-old fisherman with a history of alcoholism is hospitalized in Gulfport, Mississippi with a 1-day history of severe, watery diarrhea after eating several raw oysters. He is badly dehydrated on admission, and has numerous fluid-filled vesicular l
- Vibrio vulnificus
- A man presents to a dermatologist because of a severe mucocutaneous rash that involves most of his body, including his palms and soles. Questioning revleas that he is a merchant marine who, several months previously, had an encounter with a prostitute in
- Treponemia palldium
- A number of encapsulated organisms are capable of entering the body across the respiratory mucosa. If these organisms enter the bloodstream, delivery to the meninges is a risk. Streptococcus pneumoniae, Hemophilus influenzae, Neisseria meningitidis, and
- IgG-mediated osponization in the spleen
- A 24-year-old man presents with fever, rash, a mild headache, and a sore throat. He denies HIV risk factors, although he is sexually active. On examination, his temperature is 100.8 degrees Fahrenheit, and his pulse is 90/minute. There is a diffuse, eryt
- The VDRL titer would fall
- A 25-year-old man presents with a high fever and generalized malaise. His condition deteriorates so rapidly that his friends decide to take him to the emergency department 24 hours after the onset of symptoms. He has a history of intravenous drug abuse.
- Staphylococcus aureus
- A biology teacher from North Carolina regularly spends her summer vacations leading nature walks through an arboretum on Cape Cod in Massachusetts. Two weeks after her arrival on the island, she calls in sick, complaining of fever, headache, and muscle s
- Anaplasma phagocytophilum
- A 10-year-old boy is attending summer camp in Texas. After 2 weeks of camp, he complains of a sore throat, headache, cough, and malaise. On physical examination, he also has a low-grade fever, and keratoconjunctivitis. Within hours, several other campers
- Adenovirus