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First Aid for the USMLE Step 1 (2021)
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First Aid for the USMLE Step 1 (2021) | Medicine (MD/DO) School Study Aid

Page 127 -
24 Picmonics to Learn | 51 mins
Rickettsia
Need CoA and NAD
Rocky Mountain spotted fever
Typhus
Ehrlichiosis
Q fever
Arthropod vector
Fever
Headache
Rash
Weil-Felix reaction
Treatment doxycycline
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1 min
Chlamydia
Mechanism
Chlamydia trachomatis
Assessment
May Be Asymptomatic
Dysuria
Epididymitis
Discharge
Dyspareunia
Interventions
Doxycycline
Azithromycin
No Intercourse for 1 Week
Treat Partners
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2 mins
Coxiella burnetii
Characteristics
Gram Negative Bacteria
Intracellular
Aerosol Transmission
Affects Animal Handlers
Presentation
Q Fever
Flu-like Symptoms
Atypical Pneumonia
Hepatitis
Endocarditis
Diagnosis
Serology
Treatment
Doxycycline
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2 mins
Salmonella Overview
Pathophysiology
Gram-Negative Rod
Oxidase Negative
Non Lactose Fermenter
White on Macconkey Agar
H2S Producing
Flagella
Invades GI Tract
Peyer's Patches
Considerations
Osteomyelitis in Sickle Cell Patients
Reactive Arthritis
Antibiotics Prolong Fecal Excretion
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3 mins
Neisseria Meningitidis
Characteristics
Gram-Negative
Diplococci
Chocolate Agar
Thayer-Martin Media
VPN
Oxidase-Positive
Maltose Fermentation
Glucose Fermentation
Endotoxin
Lipooligosaccharide (LOS) in Membrane
Polysaccharide Capsule
IgA Protease
Disease
Waterhouse Friderichsen Syndrome
Adrenal Insufficiency
Petechial Rash
Treatments
Ceftriaxone
Rifampin Prophylaxis
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5 mins
Brucella
Characteristics
Gram-Negative
Coccobacillus
Unpasteurized milk
Goat cheese
Inside macrophages
Signs and Symptoms
Lymphadenopathy
Granulomas
Undulating fever
Treatment
Doxycycline
Gentamicin
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2 mins
Mycobacterium leprae
Characteristics
Acid-Fast
Aerobic
Likes Cool Temperature
Diagnosis by Skin Biopsy or PCR
Lepromatous Leprosy
Th2 Response
Leonine Facies
Tuberculoid Leprosy
TH1 Response
Hypoesthetic Skin Plaques
Granulomatous Response
Treatment
Dapsone
Rifampin
Clofazimine
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2 mins
Listeria Monocytogenes Characteristics
Characteristics
Gram Positive
Bacillus
Intracellular
Survives in Cold Temperature
Actin Rocket
Tumbling Motility
Catalase-Positive
Beta-Hemolytic
Only Gram-Positive with Endotoxin-Like Structure
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2 mins
Francisella tularensis
Mechanism
Contact with Infected Animals
Dermacentor Wood Tick
Deer Fly
Characteristics
Gram-Negative
Coccobacilli
Facultative Intracellular
Charcoal Yeast Agar with Cysteine and Iron
Signs and Symptoms
Ulceration
Fever
Painful Lymphadenopathy
Caseating Granulomas
Treatment
Streptomycin
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3 mins
Legionella Characteristics
Characteristics
Bacillus
Poor Gram Stain
Charcoal Yeast with Iron and Cysteine
Silver Stain
Water Sources
Smokers and Heavy Drinkers
Detect Antigen in Urine
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2 mins
Yersinia Pestis (Black Plague)
Characteristics
Gram-Negative
Bacilli
Oxidase-Negative
Non-lactose Fermenting
Prairie Dogs
Fleas
Polysaccharide Capsule
Vw Antigen
F1 Antigen
Inhibits Macrophages
Southwest Region
Signs and Symptoms
Lymphadenopathy
Pneumonia
Black Cutaneous Hemorrhagic Lesions
Buboes
Diagnosis
Bipolar Giemsa Staining
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3 mins
Pseudomonas Aeruginosa Characteristics
Characteristics
Gram-Negative
Bacillus
Aerobic
Pyocyanin Pigment
Blue-green Pigment
Grape like odor
Non-lactose Fermenting
Polysaccharide Capsule
Catalase-Positive
Oxidase-Positive
Inactivates Elongation Factor 2
Exotoxin A
Endotoxin
Water sources
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3 mins
Streptococcus Pneumoniae Characteristics
Characteristics
Gram-Positive
Diplococci
Lancet-Shaped
Catalase-Negative
Optochin-Sensitive
Bile Soluble
Alpha-Hemolytic
Polysaccharide Capsule
Positive Quellung Reaction
IgA Protease
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1 min
E. coli Overview
Characteristics
Gram-Negative
Bacillus
Purple Colony with Metallic Green Sheen
Lactose-Fermenting
Pink on MacConkey Agar
Disease
Diarrhea
Lipid A Septic Shock
P Pili Pyelonephritis and Cystitis
K Capsule Neonatal Meningitis
K Capsule Pneumonia
H Antigen Flagella
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2 mins
Klebsiella Characteristics
Characteristics
Gram-Negative
Bacilli
Oxidase-Negative
Intestinal Flora
Antiphagocytic Virulence Factor
Polysaccharide Capsule
Positive Quellung Reaction
Mucoid Colonies
Urease-Positive
Fast Lactose Fermenter
Pink on MacConkey Agar
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2 mins
Proteus Mirabilis
Characteristics
Gram-Negative
Bacillus
Oxidase Negative
Urease-Positive
Swarming Motility
Non-lactose Fermenting
Symptoms
Urinary Tract Infection
Struvite Crystals
Staghorn Kidney Stones
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2 mins
Cryptococcus neoformans
Characteristics
Monomorphic
Encapsulated
Polysaccharide Capsule
Narrow-Based Buds
Latex Agglutination
Pigeons
India Ink
Mucicarmine stain
Signs and Symptoms
AIDS/Immunocompromised
Meningitis
Soap Bubble Lesions in Brain
Pneumonia
Treatment
Fluconazole
Flucytosine
Amphotericin
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3 mins
Helicobacter Pylori
Characteristics
Gram-Negative
Bacilli
Curved
Polar Flagellum
Catalase-Positive
Oxidase-Positive
Disease
Gastric and Duodenal Ulcers
Ammonia
Neutral Environment
Gastric Adenocarcinoma
MALT lymphoma
Diagnosis
Serology IgG antibody
Stool Antigen
Urease Positive Breath Test
Biopsy
Treatment
2 ABX and PPI
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2 mins
Nocardia
Characteristics
Aerobic
Gram-Positive
Catalase-Positive
Urease-Positive
Acid Fast
Branching
Beaded Filament
AIDS/Immunocompromised
Soil
Signs and Symptoms
Lung Cavitation
Brain Abscess
Kidney Abscess
Treatment
TMP-SMX
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2 mins
Staphylococcus epidermidis
Characteristics
Cocci
Gram-Positive
Catalase-Positive
Urease-Positive
Coagulase-Negative
Novobiocin-Sensitive
Component of Normal Skin Flora
Infects Prosthetic Devices and IV Catheters
Contaminates Blood Cultures
Produces Adherent Biofilms
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2 mins
Staphylococcus saprophyticus
Characteristics
Gram-Positive
Cocci
Catalase-Positive
Coagulase-Negative
Novobiocin-Resistant
Urease-Positive
Disease
Urinary Tract Infections (UTI's)
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1 min
Encapsulated Bacteria
Characteristics
Polysaccharide Capsule
Inhibits Phagocytosis
Removed by Spleen after Opsonization
Organisms
Streptococcus agalactiae
Streptococcus pneumoniae
Haemophilus influenzae
Neisseria meningitidis
Escherichia coli
Salmonella
Klebsiella
Pseudomonas aeruginosa
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3 mins
Urease-positive Organisms
Characteristics
Converts Urea to Ammonia and CO2
Increases Urine pH
Organisms
Helicobacter Pylori
Klebsiella
Cryptococcus
Ureaplasma
Proteus
Nocardia
Staphylococcus Epidermidis
Staphylococcus Saprophyticus
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2 mins
Intracellular Bacteria
Obligate Intracellular
Coxiella burnetii
Rickettsia
Chlamydia
Facultative Intracellular
Brucella
Neisseria
Salmonella
Legionella
Francisella Tularensis
Yersinia Pestis (Black Plague)
Mycobacterium
Listeria
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2 mins

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