Risk Factors for Infectious Disease and HIV

What infectious agent is associated with cervical/anal/head and neck/vocal cord cancers?

HPV

What infectious agent is associated with Kaposi Sarcoma?

HHV-8

What infectious agent is associated with Bacillary angiomatosis?

Bartonella henselae

What infectious agent is associated with Burkit’s Lymphoma and Lymphomas after transplant?

EBV

What infectious agent is associated with MALToma?

H pylori

What infectious agents are associated with HCC?

Hep B + C

What is the most important intervention associated with decreasing risk of ocular complications in measles patients?

Vitamin A supplementation

What is a likely infection due to blood transfusion?

CMV infection

What are major secondary complications of tetanus?

Pneumonia and cardiac arrest

Diabetic patient with sinus infection - what to watch out for and what to give?

Mucormycosis of sinuses - give Ampho B + debride extensively

Patient from Hawaii with conjunctivitis - what infection should you expect?

Leptospirosis

Patient presents with hemolytic condition + schizonts of malaria; what is the patient at greatest risk for?

Hypoglycemia (P. falciparum)

What is the most common cause of death in a patient with kidney transplant?

Cardiovascular dz

What is the most common cause of death in SLE?

Ischemic heart dz

What is a major opportunistic pathogen in transplant patient?

CMV

What is a major factor in determining TB treatment success?

Adhering to treatment regimen

What are the most common complications of BM transplant?

GVHD

What is the most common Infectious complication of chronic granulomatous disease?

Pneumonia

What is the most likely cause of rejection in transplant patient?

Acute rejection

What is the MCC of infection overall in transplant recipient?

CMV

What is the MCC of infection in solid organ transplant (heart, kidney, lung, pancreas)?

Candida

What is the MCC of infection in bone marrow transplant?

Aspergillus

What is the MC HIV serotype in the US?

HIV-1

What is the Most likely mechanism(MLM) of transmission of HIV in US?

Men having sex with men

What is the most likely cause of HIV in healthcare workers?

Needle stick injury

What is the Most likely cause of infection in HIV patient CD4 count of 25?

PCP pneumonia or systemic candida infection

What is the Most common neoplastic complication of HIV?

Kaposi sarcoma

What is the MCC of blindness in HIV?

CMV retinitis

What is the MCC of pneumothorax in HIV patient?

PCP infection

What is the MCC of nephrotic syndrome in African Americans?

FSGS

What is the MC malignancy in kidney transplant recipient?

SCC of the skin

What is the diagnosis 55F + started on new medication regimen + now has mouth ulcers; Dx + risk factor?

Drug-induced neutropenia (agranulocytosis)

What is the diagnosis 8F + long Hx of recurrent pulmonary infections + 6-month history of peripheral neuropathy; Dx + risk factor?

Cystic fibrosis resulting in vitamin E deficiency

What is the #1 RF for suicide?

Prior suicide attempt

What are the Most common complications of cleft lip/palate?

Otitis media

What are the Most common complications of terminal disseminated malignancy?

Cachexia

What are the Most common complications of first few hours of life in baby of diabetic mom?

Hypoglycemia

What is the MLM behind weight increase in hospitalized pts?

Increased total body sodium

What is the MCCOD in ICU?

Septic shock

What is the Boy with a genetic mutation most likely pathogenesis?

Enzyme defect

What is the MCCOD 1mo – 1 year?

SIDS

What is the MCCOD 1 – 44 years?

Motor vehicle accidents

What is the MCCOD in pt struck by lightning?

Cardiorespiratory arrest

What is a key element of speaking with a patient's family when a patient is about to die?

Don’t ask closed ended questions, ask how much they know, how much they want to know, and pick an answer that encourages conversation.

What helps decrease recurrence of flares in patients with autoimmune diseases?

Smoking cessation

What is the #1 way to decrease recurrence of otitis media?

Parental smoking cessation

What to to prevent the patient's condition 23F + works on fruit farm + doesn’t wear mask + doesn’t wear gloves + develops pinpoint pupils and salivation?

Wearing gloves

What lifestyle variable is most likely to promote healing of ulcers a 40s male with duodenal ulcers caused by H. pylori?

Smoking cessation