Symptomology
Identification
Diagnosis & Treatment
True or False
Clinical Pearls
100

This rash can be associated with Lyme Borreliosis.

What is Erythema Migrans. 

100

This tick species transmits several TBIs, including lyme borreliosis. 

What is Ixodes Scapularis? 

100

This is the main adverse effect of doxycycline.

What is Esophagitis?

100

The Ixodes Scapularis lifecycle is approximately 9 months.

False. (typically 2 years)

100

These are the 3 main forms of borrelia in the body. 

What is spirochete, cyst, and biofilm? 

200

This illness is associated with a linear rash.

What is Bartonellosis?

200

The TBI associated with this pathology slide:

What is Babesiosis?

200

This antibiotic mechanism of action makes doxycycline superior to amoxicillin for Lyme disease treatment. 

What is intracellular targeted therapy? 

Doxycycline is able to penetrate into the cells allowing for better treatment. It also is able to address the persistent forms, unlike amoxicillin. 

200

A tick needs to be attached for at least 24 hours to infect you with borrelia.

False. There may be spirochetes in the mouth of the tick immediately upon biting. 

200

This vector borne illness is associated with plantar fasciitis.

What is bartonellosis? 

300

The TBI associated with the following clinical triad: chills/sweats, mood swings, air hunger.

What is Babesiosis. 

300

The classification of Borrelia

What is a spirochete? 

300

This confirmatory lab test can be ordered in clinic to identify lyme.

What is Western Blot?

300

Majority of people with lyme present with a bullseye rash. 

False. As low as 20% of people will present with this rash. 

300

This disease, also called rabbit fever, can be transmitted by ticks.

What is Tularemia? 

400

This TBI is characterized by the following clinical triad: Sweats/chills rapid cycling, band-like headache, rage/anxiety.

What is Babesiosis?

400

This lab finding is associated with Anaplasmosis. 

What are elevated LFTs? 

400

This is the preferred agent for Lyme with CNS involvement. 

What is minocycline?

400

Bartonella can be transmitted vertically. 

True. 

400

This vector borne illness is associated with bilateral facial palsy. 

What is neuroborreliosis? 

500

This complication is characterized by recurring episodes of fever, headaches, and muscle aches.

What is tick-borne relapsing fever?

500

This TBI is being explored for it's possible connection with Lymphoma.

What is Lyme Borreliosis?

500
This questionnaire can be helpful in diagnosing persistent illness from lyme disease, as well as other infections.

What is the MSIDS questionnaire? 

500

White tail deer are immune to Borrelia Burgdorferi. 

True. The white tailed deer serves as a mating ground and transportation for the ticks but cannot contract lyme disease. 

500

This DMARD medication is known to treat lyme cysts in the joints.

What is hydroxychloroquine? (plaquenil)

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