Wrinkles in the Force

Larry I. Lutwick, MD, Norberto E. Soto, MD

Disclosures

April 26, 2002

Schmeckman's Questions for the House Staff

Warning: more than one answer can be correct!

Which conditions are associated with the name of Jean Charcot, French neurologist, 1825-1893?

  1. Peroneal muscular atrophy

  2. Syphilitic arthropathy

  3. Nuclear remnants in red blood cells

  4. Intracytoplasmic inclusion bodies in rabies virus-infected neurons

  5. Crystals in the sputum of asthmatics

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Which statements about immunizations in adults are true?

  1. A tetanus toxoid alone is needed following a rusty nail puncture injury in a 47-year-old male whose last tetanus immunization was 10 years before.

  2. Reasonable groups to vaccinate against influenza on a yearly basis include teachers and nurses.

  3. Because of the resurgence of rabies in raccoons in the northeast US, all adults should be vaccinated preexposure against rabies.

  4. Yellow-fever vaccine should not be used in any travelers.

  5. The dose of diphtheria toxoid for adults is lower than for children.

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Which of the following cause viral gastroenteritis?

  1. Rotavirus

  2. Hepatitis A virus (HAV)

  3. Swine influenza

  4. Pertussis

  5. Cytomegalovirus (CMV)

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Which vaccines are properly matched with the type of immunization?

  1. Hepatitis A vaccine--killed viral type

  2. Oral typhoid--live, attenuated bacterial type

  3. Acellular pertussis vaccine--toxoid type

  4. Pneumococcal vaccine--purified bacterial capsule type

  5. Salk poliomyelitis vaccine--live, attenuated viral type

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