How old are you?
If you know...
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Location Location Location
Kitchen Sink
100
Adolescent, recently had grilled "rare" pork meat, presents with severe Right Lower Quadrant (RLQ) abdominal pain, normal appendix on ultrasound

What is yersinia enterocolitica?

100

Diarrhea, high BUN/Creatinine, thrombocytopenia, and hemolytic anemia

What is Hemolytic uremic syndrome E. Coli O157:H7
100

Diarrhea and Turtle at home

What is Nontyphoid Salmonella?

100

Child with his family to the Bahamas on a cruise ship, all of them have diarrhea, and a large number of people on the ship have the same 

What is Norovirus outbreak?

100

Child care centre, fever, vomiting, bloody diarrhea, new onset seizure, leukocytosis, bandemia and rectal prolapse

What is shigella?

200

A 12-year old boy stepped on a dirty rusty nail, the last DtaP immunization was 8 years ago (received 5 doses of Dtap by 4 years og age)

What is Tdap immunization?


200

Chicken pox rash is infectious for how long?

What is 1-2 days before the rash, and until all lesions are crusted over?

200

Dog bite and allergic to penicillin

What is Clindamycin or TMP-SMX?

200

Child visited Oklamhoma with family, they hunter and skinned rabbits, the child presented with large node in the groin, and fever

What is Tularemia (Francisella Tularensis)?

200

Head lice resistant after treatment with Permethrin

What is Malathion (ovicidal)

300

Adolescent with high risk behavior and IV drug abuse presents with fever, lymphadenopathy, ppharyngitis, muscle and joint pain, mouth and genital ulcers, skin rash including the palms and soles, rapid strep and monospot tests are negative

What is Acute retroviral (HIV) syndrome?


300

Cochlear implants are associated with an increased risk of which bacterial infection

What is streptococcus pneumoniae?

300

Most common organism that causes infection in cat bite

What is pasteurela multicoda?

300

Recently traveled to Africa, seizure, decreased level of consciousness, retinal hemorrhage and hypoglycemia?

What is Plasmodium Falciparum? (Cerebral Malaria)

300
A 2-month old developed bronchiolitis and negative respiratory syncytial virus

What is human metapnemovirus?

400

A 12-year old boy with h/o swimming in fresh water lagoons, developed headaches, myalgia, and fever, 7 days later he became jaundiced with elevated creatinine level, high bilirubin level, mild elevation of AST and ALT

What is Leptospirosis?

400
Neonate presents with fever, blood culture grows citrobacter. What is the most common complication?

What is Brain Abscess?

400

Tick bite, fever, rash, myalgia, headache, pancytopenia, elevated liver enzymes and hyponatremia

What is Ehrlichiosis? (anaplasmosis)

400

Travelled to Mexico, bloody diarrhea, tenesmus, no fever

What is Amebiasis?

400

Stiff neck, fever, CSF WBC <1000, 80% neutrophil, negative CSF gram stain. What is the best CSF study?

What is enterovirus PCR?

500

A 3-year-old developed osteomyelitis, culture is negative, not responding to Vancomycin. What is the most common complication?

What is Kingella Kingae? (aerobic CO2 enhanced culture)

500

Most common electrolyte disturbance associated with Amphotericin B therapy

What is hypokalemia/hypomagnesemia?

500

Breeds Turkey, high fever, pneumonia, muscle pain and splenomegaly

What is Chlamydophila Psittaci?

500

A child spent summer, vacation at his uncle's farm in California presenting with fever, chills, cough, shortness of breath, night sweat, bronchial breathing sound, tender erythematous nodules on the lower extremities, ESR is elevated

What is Coccidiomycosis?

500

Developed large matted cervical lymph node and persistent for 6 weeks and not responding to antibiotics, you notice the overlying skin is violaceous. Most likely diagnosis

Mycobacterium Avium

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