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COMLEX OBSCURE MICRO QUESTIONS AND ANSWERS WITH SOLUTIONS 2024 $16.99   Add to cart

Exam (elaborations)

COMLEX OBSCURE MICRO QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

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COMLEX OBSCURE MICRO QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

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  • August 12, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • COMLEX-USA
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COMLEX OBSCURE MICRO QUESTIONS
AND ANSWERS WITH SOLUTIONS 2024
Serratia Marcesens - ANSWER GN rod

Assoc - Noscomial UTI, often drug resistant

Red Pigment

Tx - 2nd Gen Ceph - Cefoxitin, Cefaclor, Cefuroxime

"Think Red Maraschismo cherries"



Nocardia Asteroides - ANSWER GP aerobe

Acid Fast

Cultured on BCYE (Buffered Charcoal Yeast Extract (along with legionella))

Pulm infections in IC and cutaneous infections in normal trauma

Tx - Sulfonanmides



Leptospira Interrogans - ANSWER GN obligate aerobe spirochete

Found in water w/ animal urine, prevelant in surfers and tropics

Leptospirosis - mild flu, jaundice, photophobia with conjuctivitis

Weil's Disease - liver and kidney dysfunction; fever, hemorrhage, anemia, jaundice, azotemia



Bartonella Henselae - ANSWER GN rod/bacilli

Cat scratch disease - ascending lymphadenthapy in non-IC

Bacillary Angiomatosis - characterised by the proliferation of blood vessels, resulting in them forming
tumour-like masses in the skin and other organ, usually in IC

Tx - erythomycin, doxycycline (don't use tetras in <8)



Borrelia Recurrentis/hermsi - ANSWER Transmitted by louse

Relapsing fever due to variable surface antigens

Tx - tetracyclines

, Brucella spp - ANSWER Unpasteurized dairy

Undulant fever - fever that gets worse during the day, better by morning, cycles

Tx - tetracycline and rifampin



Coxiella burnetti - ANSWER Aerosols of cattle/sheep aminotic fluid

Q fever - Rickettsial like disease with NO rash

fever, mild pneumonia, can granulamtous hepatitis, GN endocarditis

Tx - Doxycycline, Azithromycin



Erlichia Chaffenis - ANSWER Lone Star Tick

Erlichiosis - NO rash, constitutional symptoms

Monocytes w/ morula (berry-like inclusions) in cytoplasm

Tx - doxycycline



Francisella Tularenias - ANSWER Rabbits, ticks

Tularemia- Ulceroglandular, pneumonia

Very virulent organism, potential bioterror agent

Tx - Gentamicin, Doxycycline



Pastuerlla Multicocida - ANSWER Animal bite, cats, dog

Cellulitis, osteomyelitis

Tx - Penicillin, doxy if allergic



Rickettsia Prowazekii - ANSWER Louse

ePidemic typhus - Rash starts centrally, spreads out, NO palms and soles

Tx- Doxycycline



Rickettsia Ricketsii - ANSWER Dermacentor Tick bite

Rocky Mountain Spotted Fever

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