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Kaplan Qbank USMLE



Author5 Posts
  #1

Match the clinical description with the most likely organism:

a- Strep. Pneumoniae
b- Staph. Aureus
c- Strep. Viridans
d- Providentia stuartii
e- Actinomyces israelii
f- Hemophilus ducreyi
g- Neisseria meningitides
h- Listeria monocytogene

1- 30 y/o female with MVP, MR develops fever, anorexia & weight loss after a dental procedure

2- 80 y/o male hospitalized for hip Fx, has foley cath. in place, develops shaking chills, fever & hypotension.

3- young man develops painless, fluctuant, purplish lesion over mandible, after several weeks cutaneous fistula is noted.

4- sickle cell patient presents with high fever, toxicity signs of pneumonia & stiff neck.

please give some reason or reference to make it clear


  #2

1)viridians is the s. mutans and s. dextrans group

2)s aureus which is opportunistic

3)Actinomyces known for sulfur granule

4)strep pneumonia encapsulated organism is assoc. with sickle cell


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  #3

Agree with mjl1717



1) c) S. Viridians

2) b) S. Aureus

3) e) Actinomyces

4) a) Strep pneumonia


  #4

the answer to 4

i was thinking

sickle cell anemia......toxic patient with stiff neck


why not neisseria meningitidis meningitis?
any one please reply

  #5

1c,2b,3e,4a.

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