Chlamydia, Mycoplasma And Ricketsial ;clinical Medicine Exam 3
Multiple choice review quiz for clinical exam review 3
- 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
Correct Answer
D. Patient will present with crackles in lungs and splenomegalyExplanation
Crackles in lungs and splenomegaly is not typical of Chlamydia TrachomitisRate this question:
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- 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
Correct Answer
A. Rocky Mountain Spotted FeverExplanation
Remember Rocky Mountain Spotted fever is more likely to be found on the east coast than it would the Rocky MountainsRate this question:
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- 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
Correct Answer
B. Kawasaki SyndromeExplanation
Kawasaki Syndrome is also known as "Mucocutaneous lymphnode syndrome." This syndrome is characterized by inflammation of blood vessels throughout the body, particularly the coronary arteries. It primarily affects children and can lead to various symptoms such as fever, rash, swollen lymph nodes, red eyes, and swollen hands and feet. If left untreated, Kawasaki Syndrome can lead to serious complications, including heart problems. Therefore, it is important to diagnose and treat this condition promptly.Rate this question:
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- 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
Correct Answer
E. Chlamudia PssitaciExplanation
Based on the symptoms described (fever, chills, epistaxis, splenomegaly, crackles in the lungs) and the patient's occupation of working with animals, specifically birds, the most likely disease the patient is suffering from is Chlamudia Pssitaci. This is because Chlamudia Pssitaci is commonly associated with bird exposure and can cause respiratory symptoms, such as pneumonia, which could explain the crackles heard during auscultation.Rate this question:
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- 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
Correct Answer
C. Exposure to sheepExplanation
Kawaski etiology is unknown.. exposure to sheep is typical for Q feverRate this question:
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- 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
Correct Answer
A. Hemolytic Anemia is a possible complicationExplanation
Mycoplasma pneumonia occurs during the summer and fall. Young adults are most commenly affected. Complications of mycoplasma include Complications include:
Skin rashes bullous myringitis (tympanic membrane with bubbles)
Hemolytic anemiaRate this question:
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- 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
Correct Answer
E. Kawaski SyndromeExplanation
Kawasaki’s disease & anomalous origin of the left coronary artery from the pulmonary artery are the most likely causes of Q-wave infarction in childhoodRate this question:
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- 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
Correct Answer
D. Mycoplasma PneumoniaExplanation
Remember mycoplasma pneumonia also reffered to as walking pneumonia. Pt sometimes report only mild symptoms and the x ray will look worse than the pt feelsRate this question:
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- 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
Correct Answer
C. Q FeverExplanation
Coxiella Burnetti is the causative agent of Q Fever. It is transmitted by inhalation or ingestion. Q Fever is a zoonotic disease that primarily affects animals but can also infect humans. It is characterized by flu-like symptoms such as high fever, headache, muscle aches, and fatigue. In severe cases, it can lead to pneumonia and hepatitis. The transmission of Q Fever can occur through the inhalation of contaminated aerosols or by consuming contaminated milk or meat products.Rate this question:
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- 10.
True or False: 20 percent of non-gonoccal urethritis is caused by Chlamydial Trachomatis
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
50 percent of non gonoccal urethritis is caused by Chlamydial TrachomatisRate this question:
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- 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
Correct Answer
B. Rocky Mountain Spotted FeverExplanation
Dermacentor andersoni and Dermacentor variabilis are both species of ticks that are known to be carriers of the bacteria Rickettsia rickettsii, which causes Rocky Mountain Spotted Fever. Therefore, it is most likely that these ticks would transfer Rocky Mountain Spotted Fever rather than any of the other diseases listed.Rate this question:
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- 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
Correct Answer
D. In humans rickettsiae tend to grow in epithelial cellsExplanation
Remember rickettsiae grow in the gut linning in arthropods without harming the hostRate this question:
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- 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
Correct Answer
C. Azythromycin and Ceftriaxone -
- 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
Correct Answer
B. HepatitisExplanation
A sign of Q Fever is hepatitis. All of the rest are possible signs of Kawasaki SyndromeRate this question:
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- 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
Correct Answer
A. Appears 1- 4weeks after exposureExplanation
C Trachomatis is bi lateral infection with IGM antibodies present. In women drainage is at the perirectal glands which can lead to problems deficating; it is also one of the leading causes of female sterility.Rate this question:
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Current Version
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Mar 21, 2023Quiz Edited by
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Sep 29, 2009Quiz Created by
Tlloyd01
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