Chlamydia, Mycoplasma And Ricketsial ;clinical Medicine Exam 3

15 Questions | Total Attempts: 290

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Multiple choice review quiz for clinical exam review 3


Questions and Answers
  • 1. 
    All of the following are true of Chlamydia Trachomits infections except what?
    • A. 

      Is the leading cause of Female Sterility in the US today

    • B. 

      Initial vesicular or ulcerative lesion often goes unnoticed

    • C. 

      Draining sinuses (inguinal buboes) are present

    • D. 

      Patient will present with crackles in lungs and splenomegaly

    • E. 

      IGM antibodies will be present

  • 2. 
    A patient reports to the er complaining of a red macular rash on the ankles and wrist for the last day and influenza like sx for 4 days (chills, fever, severe headache and myalgia) The rash has now spread centrally and become petechial.A urinalysis reveals proteinuria and hematuria. Based on the following sx what condition would the patient most likely have?
    • A. 

      Rocky Mountain Spotted Fever

    • B. 

      Q Fever

    • C. 

      Chlamydia Pssitica

    • D. 

      Kawasaki Syndrome

    • E. 

      Toxoplasmosis

  • 3. 
    "Mucocutaneous lymphnode syndrome" is also known as what?
    • A. 

      Q Fever

    • B. 

      Kawasaki Syndrome

    • C. 

      Rocky Mountain Spotted fever

    • D. 

      Mycoplasma Pneumonia

    • E. 

      Chlamydia trachomatis

  • 4. 
    A patient presents to the ER c/o fever,chills. epistaxis, and splenomegaly. You ausciltate both lungs and you hear crackles. After taking an in depth and exhausting physical you find out nothing that jumps out at you. The patient does work for the Zoo and feeds allot of different animals especially birds.  What disease would you suspect the pt is suffering from?
    • A. 

      Mycoplasma Pneumonia

    • B. 

      Q Fever

    • C. 

      Chlamydia Trachomatis

    • D. 

      Chlamydia Pneumoniae

    • E. 

      Chlamudia Pssitaci

  • 5. 
    All of the following are criteria for diagnosing Kawasaki syndrome EXCEPT what
    • A. 

      Bilateral non- exudative conjunctivitis

    • B. 

      Strawberry Tongue

    • C. 

      Exposure to sheep

    • D. 

      Cervical Lymphadnopathy

    • E. 

      Edema and desquamation in extremities

  • 6. 
    Which of the following is true of Mycoplasma Pneumonia
    • A. 

      Hemolytic Anemia is a possible complication

    • B. 

      More likely to occur in Winter/Spring time period

    • C. 

      Elderly most commenly affected

    • D. 

      Splenomegaly is a common sx

    • E. 

      Pt will present with epididymytis

  • 7. 
    You are an emergency room PA and a frantic mother brings her 3 year old son for chest pain and loss of conciousness. You run a birrage of tests including an ECG. After consulting with your suprivising physician you both come to the conclusion the 3 year old had a myocardial infarction (heart attack). The ECG revealed a Q wave infarction. Due to the extremelly young age of the patient, what would probably be the cause of the heart attack?
    • A. 

      Q Fever

    • B. 

      Rocky Mountain Spotted Fever

    • C. 

      Mycoplasma Pneumonia

    • D. 

      Lyme Disease

    • E. 

      Kawaski Syndrome

  • 8. 
    A 25 year old male reports to the clinic in September complaining of a skin rash and a productive sputum cough. Pt says other than that he feels ok. Upon examination you notice a tympanic membraine with bubbles . You order a chest ex ray and when it comes back you are surprised by the severity of the x ray compared to the patients overall demeanor. What disease do you suspect?
    • A. 

      Q Fever

    • B. 

      Rocky Mountain Spotted Fever

    • C. 

      Streptcoccus Pneumoniae

    • D. 

      Mycoplasma Pneumonia

    • E. 

      Acute Bronchitis

  • 9. 
    Coxiella Burnetti is transmitted by inhalation or ingestion. Coxiella Burnetti is the causative agent of what disease?
    • A. 

      Rocky Mountain Spotted Fever

    • B. 

      Kawasaki Syndrome

    • C. 

      Q Fever

    • D. 

      Mycoplasma Pneumonia

    • E. 

      Chlamydia Pssitaci

  • 10. 
    True or False: 20 percent of non-gonoccal urethritis is caused by Chlamydial Trachomatis
    • A. 

      True

    • B. 

      False

  • 11. 
    Dermacentor andersoni and Dermacentor variabilis would  most likely transfer what disease?
    • A. 

      Lyme Disease

    • B. 

      Rocky Mountain Spotted Fever

    • C. 

      Q Fever

    • D. 

      Kawasaki Syndrome

    • E. 

      Mononucleosis

  • 12. 
    What is true concerning Rickettsial diseases?
    • A. 

      Very easy to isolate organism

    • B. 

      Rickettsiae grow in the gut linning in humans

    • C. 

      Gram positive bacteria is usually the infectious agent

    • D. 

      In humans rickettsiae tend to grow in epithelial cells

    • E. 

      Geographic area is not an important factor to consider

  • 13. 
    If you suspect a Chlamydia Trachomatis infection and you want to treat for GC to be safe what two medications would be ideal occurding to the power point slides? The patient does not have any drug allergies.
    • A. 

      Erythromycin and Ceftriaxone

    • B. 

      Penicillin and Rifampin

    • C. 

      Azythromycin and Ceftriaxone

    • D. 

      Doxycyclin and Levoflaxacin

    • E. 

      Dicloxycillin and TMP-SMX

  • 14. 
    All of the following are signs of Kawasaki Syndrome EXCEPT what?
    • A. 

      Myocarditis

    • B. 

      Hepatitis

    • C. 

      Acute Myocardial Infarction

    • D. 

      Elevated Sed Rate

    • E. 

      Arthritis

  • 15. 
    Which of the following is CORRECT regarding C. Trachomatis infections?
    • A. 

      Appears 1- 4weeks after exposure

    • B. 

      Often uni lateral

    • C. 

      IGG antibodies present

    • D. 

      In women drainage is to inguinal lymph nodes

    • E. 

      Organism does not effect likely hood of sterility

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