[qwiz style=”width: auto !important; min-height: auto !important; border-width: 4px !important; border-color: #0099cc !important; ” align=”center”]

[h] Pulmonology Flashcards

[i] Master this session in just 5 minutes.

[q] ……. is – Gram-positive cocci in chains, Catalase negative, β-hemolytic on blood agar, Bacitracin sensitive and Pyrrolidonyl arylamidase (PYR) positive.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IFN0cmVwdG9jb2NjdXMgcHlvZ2VuZXMgKEdyb3VwIEEgU3RyZXB0b2NvY2N1czsgR0FTKS4=

[q] M protein is one of the cell surface proteins of S. pyogenes and represents the most important virulence factor. It enables the bacteria to colonize skin and ……?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IGluaGliaXQgcGhhZ29jeXRvc2lzLg==[Qq]

[q] Streptolysin O (SLO) is a highly immunogenic protein and induces specific antibody formation (its detection is the basis for the anti-streptolysin O test). Antibodies to Streptolysin O (ASO) titer of > 200 is significant for …….?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IHJoZXVtYXRpYyBmZXZlci4=[Qq]

[q] What is the most likely diagnosis?

14 years old child presenting with rash that appears on the neck, armpits, and groin that subsequently generalizes to the rest of the body (palms and soles are spared) that resembles sandpaper-like” rash, strawberry tongue, circumoral pallor, 3 days after streptococcal pharyngitis?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IFNjYXJsZXQgZmV2ZXIu[Qq]

[q] ……… is blistering eruption eventually leading to formation of a golden yellow crust (honey-crusted lesion), is usually seen in children and newborns, frequently occurs periorally, and can be caused by either Staphylococcuseureus and/or Streptococcus pyogenes.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IEltcGV0aWdvLg==[Qq]

[q] Cellulitis and erysipelas manifest as areas of skin erythema, edema, and warmth. They differ in that erysipelas involves …….., whereas cellulitis involves the ……?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IHRoZSB1cHBlciBkZXJtaXMgYW5kIHN1cGVyZmljaWFsIGx5bXBoYXRpY3MsIGRlZXBlciBkZXJtaXMgYW5kIHN1YmN1dGFuZW91cyBmYXQu[Qq]

[q] …… follows pharyngitis but not skin infection, whereas …… is preceded by either skin or throat infection.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IEFSRiwgQUdOLg==[Qq]

[q] Many patients with rheumatic heart disease eventually require cardiac surgery but early treatment of streptococcal pharyngitis with …… will decrease the need for cardiac surgery in these patients.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IExvbmcgYWN0aW5nIHBlbmljaWxsaW4u[Qq]

[q] Antibodies to M protein of Streptococcus pyogenes cross-react with epitopes on heart myosin and sacrolemmal membrane proteins causing ……..?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IEFSRi4=

[q] What is the most likely diagnosis?

18 Years old patient presenting with Hypertension, hematuria, nephritic range proteinuria, and RBC casts in the urine following a GAS infection?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IEFjdXRlIHBvc3RzdHJlcHRvY29jY2FsIGdsb21lcnVsb25lcGhyaXRpcy4=[Qq]

[q] The renal damage in Acute poststreptococcal glomerulonephritis is due to ……… deposition on the glomerular basement membrane and activation of complement.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IEFnLUFiIGltbXVuZSBjb21wbGV4ZXMu[Qq]

[q] ……. is – Gram-positive cocci, B-hemolytic on blood agar, Bacitracin resistant, Hippurate test positive, and CAMP test positive.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IFN0cmVwdG9jb2NjdXMgYWdhbGFjdGlhZSAoR3JvdXAgQiBTdHJlcHRvY29jY2k7IEdCUyku[Qq]

[q] …….. produces CAMP factor, which enlarges the area of hemolysis formed by S. aureus.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IFN0cmVwdG9jb2NjdXMgYWdhbGFjdGlhZSAoR3JvdXAgQiBTdHJlcHRvY29jY2k7IEdCUyku[Qq]

[q] In women who culture positive for GBS or in women who have had an infant affected by GBS in the past, intrapartum …….. is indicated to prevent neonatal GBS sepsis, pneumonia and meningitis. The incidence of group B streptococcal disease in babies less than a week old is declining due to these recommendations.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IFBlbmljaWxsaW4vQW1waWNpbGxpbi4=[Qq]

[q] …… is – Gram-positive cocci, α hemolytic, and Optochin resistant.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IFZpcmlkaWFucyBTdHJlcHRvY29jY2kgKFMuIFNhbmd1aXMsIFMuIE11dGFucyku[Qq]

[q] S. mutans dextran-mediated adherence glues oral flora onto teeth, causing ……..?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IGRlbnRhbCBjYXJpZXMu[Qq]

[q] ……. is – Gram-positive Lancet-shaped diplococcic, α hemolysis on blood agar, and Optochin sensitive.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IFN0cmVwdG9jb2NjdXMgcG5ldW1vbmlhZS4=[Qq]

[q] The most important virulence factor of Streptococcus pneumoniae is the ……. which is antiphagocytic.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IHBvbHlzYWNjaGFyaWRlIGNhcHN1bGUu[Qq]

[q] ………. is most common cause of typical pneumonia (especially in sixth decade of life), Adult meningitis, and otitis media and sinusitis in children.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IFN0cmVwdG9jb2NjdXMgcG5ldW1vbmlhZS4=[Qq]

[q] ……… is the most common cause of bacterial meningitis in adults of all ages. On CSF Gram stain, lancet-shaped Gram-positive cocci are found in pairs.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IFN0cmVwdG9jb2NjdXMgcG5ldW1vbmlhZS4=[Qq]

[q] ……. is a Gram-positive cocci in chains, Catalase-negative, gamma-hemolytic (no hemolysis on blood agar), can grow in hypertonic 6.5% NaCl and bile (lab test), PYR test positive.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IEVudGVyb2NvY2NpIChFbnRlcm9jb2NjdXMgZmFlY2FsaXMvZmFlY2l1bSku[Qq]

[q] ………. are normal colonic flora that are penicillin G resistant and cause UTI, biliary tract infections, and subacute endocarditis following GI/GU procedures (Colonoscopy, Cystoscopy).

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IEVudGVyb2NvY2NpIChFLiBmYWVjYWxpcyBhbmQgRS4gZmFlY2l1bSku[Qq]

[q] ……. is a Gram-positive cocci in chains, Catalase-negative, gamma-hemolytic (no hemolysis on blood agar), can grow in bile but not on 6.5% NaCl, PYR test negative.

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IFN0cmVwdG9jb2NjdXMgZ2FsbG9seXRpY3VzIChmb3JtZXJseSBTIGJvdmlzKS4=[Qq]

[q] Every patient with S. bovis bacteremia with or without endocarditis should be examined for  ………?

[c]IFNob3cgbWUgdG hlIGFuc3dlcg==[Qq]

[f]IEdJIHRyYWN0IG1hbGlnbmFuY3kgKGNvbG9uIGNhbmNlciku

74KnIEJvdmlzIGluIHRoZSBibG9vZCA9IGNhbmNlciBpbiB0aGUgY29sb24u[Qq]

[x][restart]

[/qwiz]