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Zoonotic Infections
Peeing Blood
Myopathies
100
This gram-negative coccobacillus was thought to have killed what fraction of the European population in the 14th century.
What is Yersinia pestis – 1/3rd of the population.
100
Current definition for microscopic hematuria.
What are 3 or more red blood cells per high powered field (rbc/hpf).
100
Inflammatory myopathies are characterized by (2 features):
What are: - Proximal muscle weakness - Nonsuppurative inflammation of skeletal muscle
200
This zoonotic infection can effect nearly every organ system including: - Endocarditis - highest mortality - Spondylitis, sacroiliitis, and arthritis - Meningitis with ocular involvement - Granulomatous hepatitis with organomegaly - Lymphadenopathy with non-caseating granulomata - Abscesses (may involve breasts, genitalia)
What is Bruellosis (Brucella melitensis)?
200
Likely disorder presenting with simultaneous hematuria and URI-type symptoms.
What is IgA Nephropathy (synpharyngitic).
200
Name 3 of 5 diagnostic criteria for PM/DM:
What are: - Proximal muscle weakness - Elevated serum muscle enzymes - Abnormal neurodiagnostic studies - Muscle biopsy - Characteristic rash of dermatomyositis
300
Name two animal reservoirs for Francisella tularensis.
What are rabbits and deer?
300
Features of asymptomatic microscopcic hematuria would warrant a Nephrology, rather than a Urology consult (name 3):
What are: - Proteinuria - Dysmorphic Red Blood Cells - Red Cell Casts - Elevated Serum Creatinine
300
Name 3 non-immune mediated (mimicker) myopathies.
What are Hypothyroidism, Steroid-Induced and Statin-Induced.
400
Appropriate therapy for febrile veterinarian presenting with dry cough and widened mediastinum on chest x-ray.
What is ciprofloxacin, doxycycline, clindamycin, vancomycin.
400
Imaging study of choice for microscopic hematuria with non-dysmorphic RBCs.
What is CT urography – with and without contrast.
400
Name 4 skin findings classic for dermatomyositis:
What are: - Heliotrope rash - Gottron’s papules - Gottron’s sign - V-sign - Shawl-sign - Mechanic’s hands - Calcinosis
500
Leptospirosis is considered a bimodal illness with these two phases.
What are the septic phase (symptomatic illness) and immune phase (antibody production; persistence of organism in tissue and urine).
500
Name 4 features of patient at high risk for urothelial cancer:
What are: - Age > 40 - History of Smoking - Occupational Exposure to Chemicals or Dyes (Benzidine or Aromatic Amines) - Analgesic Abuse - History of Macroscopic Hematuria, Urologic Disease, Irritative Voiding Symptoms, UTI, Pelvic Irradiation
500
Name 3 pharmacologic classes used in in the treatment of PM/DM.
What are: - Steroids (1 mg/kg) - Steroid Sparing Agents (methotrexate, azathioprine, MMF) - Hydroxychloroquine (skin manifestations in DM)