Title: Big Ol' Bonewizardry Deck / Hex Clues / Micro
Tags: hex-clues hex-clues::micro

Q: What is the Gram + capsule?
A: Strep pneumoniae 🦠⛓️
Quellung+ MCC CAP 🎯
rust sputum, lancet diplococci 🩸

Q: What antibody shows past Hep A infection?
A: Anti-HAV IgG 🛡️🎯
lifelong immunity 🎯
old infection or vaccinated ✅

Q: What does the Core Ab tell you?
A: Anti-HBc 🎯
past OR current HBV 🎯
ONLY marker in window period 🔑

Q: What are the only Gram - diplococci?
A: Neisseria 🎯
meningitidis + gonorrhoeae 🎯
kidney-bean diplococci 🫘💧
oxidase+ ☕

Q: What is associated w/ Strep bovis?
A: S. bovis (gallolyticus) 📡🔬
endocarditis → colonoscopy 🌀💩
colon cancer marker 🔍

Q: How do you know it's an anaerobe?
A: Foul-smelling gas 🎯
above diaphragm: Peptostrep/Fuso ⬆️📈
below: Bacteroides 🧪

Q: What antibody shows current Hep A infection?
A: Anti-HAV IgM 🛡️🎯
acute Hep A 🎯
fecal-oral, no chronic 🚽

Q: What is the only Gram + diplococci?
A: Strep pneumoniae 🦠⛓️
lancet-shaped diplococci 🎯
α-hemolytic + optochin-sensitive 🎯

Q: What bug is associated w/ cat pee?
A: Toxoplasma gondii 🎯
oocysts in cat feces 🎯
congenital toxo + HIV ring lesions 🎯

Q: What is associated w/ Group C strep?
A: pharyngitis (mimics GAS) 🎯
β-hemolytic 👅

Q: What is associated w/ H. Pylori?
A: duodenal ulcer + gastric adenoCA + MALT lymphoma 🫃🍽️
urease+ (NH3 cloud) ☁️

Q: What does the E Ab tell you?
A: Anti-HBe 🎯
LOW infectivity ⬇️📉
host immune response winning 📉

Q: What bug is associated w/ cat caca?
A: Toxocara cati 🎯
visceral larva migrans 🎯
eosinophilia + organ migration 🪱

Q: What is associated w/ Strep mutans?
A: dental caries 🎯
biofilm from sucrose → dextran 🍬

Q: What has multiple lung aneurysms?
A: Osler-Weber-Rendu (HHT) 🎯
AVMs + telangiectasias + epistaxis 🎯
AD vascular dysplasia 🧬

Q: What does the Surface Ag tell you?
A: HBsAg 🎯
current HBV (acute or chronic) 🎯
first serum marker 🦠

Q: What disease does Coxsackie A
A: Hand-Foot-Mouth + herpangina 🎯
oral vesicles, posterior pharynx 👄

Q: What diseases does Coxsackie B
A: myocarditis + pericarditis + DCM 🫀💓
Type 1 DM trigger 💉

Q: What is associated w/ Vibrio parahaemolyticus?
A: V. parahaemolyticus 📡🔬
raw seafood gastroenteritis 🎯
halophile 🌊

Q: What is associated w/ EIEC?
A: bloody/inflammatory diarrhea 🔥🩹
Shigella-like invasion 🔪

Q: What is associated w/ R. akari?
A: Rickettsialpox 🎯
mites → vesicular papules 🎯
"chickenpox-like" 💢

Q: What is associated w/ EHEC?
A: EHEC O157:H7 🎯
HUS triad 📡🔬
Shiga-like toxin 🎯
undercooked beef 🐄

Q: What bug causes multiple cerebral abscesses?
A: Citrobacter 🎯
neonatal meningitis + brain abscesses 🧠⚡
GNR 👶

Q: What is associated w/ EPEC?
A: pediatric watery diarrhea 💩💧
no toxin, attaches/effaces 💧

Q: What is PIE syndrome?
A: Pulmonary Infiltrate + Eosinophilia 🛡️🌸
ABPA, Loeffler, Churg-Strauss 🍄

Q: What does the E Ag tell you?
A: HBeAg 🎯
HIGH infectivity ⬆️📈
active viral replication 📈

Q: What bug is associated w/ cat scratch?
A: Bartonella henselae 🎯
cat scratch + tender lymph node 🎯
bacillary angiomatosis in HIV 🎯
Warthin-Starry 🌟

Q: What bug is associated w/ cat saliva?
A: Pasteurella multocida 🎯
RAPID cellulitis post-bite 🎯
GNR, capsulated 🎯
amox-clav 💊

Q: What does the Surface Ab tell you?
A: Anti-HBs 🎯
immunity (recovered or vaccinated) 🎯
ONLY marker in vaccinated 💉

Q: What is associated w/ Strep salivarius?
A: cold agglutinin test 🎯
rare endocarditis 🧊

Q: What is associated w/ Chlamydia psittaci?
A: Psittacosis 🎯
atypical pneumonia from parrots 🎯
obligate intracellular 🪶

Q: What is associated w/ ETEC?
A: traveler's diarrhea 💩💧
LT (cholera-like) + ST toxins 🎯
watery 💧

Q: What is associated w/ R. tsutsugamushi?
A: Scrub Typhus 📡🔬
chigger mite (Asia/Pacific) 🎯
eschar + fever 🌏

Q: What is associated w/ R. typhi?
A: Endemic Typhus 📡🔬
flea-borne 🎯
rash starts axilla, spares palms/soles 🌡️

Q: What is associated w/ Coxiella burnetii?
A: Q fever 🌡️🔥
NO rash, NO vector 🔴💢
inhaled spores from livestock 🎯
atypical PNA + hepatitis 🐑

Q: What bug causes multiple liver abscesses?
A: Entamoeba histolytica 🎯
"anchovy paste" abscess 🎯
fecal-oral, travel to Mexico 🎯
metronidazole 🍕

Q: What is associated w/ R. prowazekii?
A: Epidemic Typhus 📡🔬
body louse 🎯
rash starts on trunk → outward 🔴💢
spares palms/soles 👕

Q: What is the symptom of Loeffler syndrome?
A: pulmonary eosinophilia 🛡️🌸
Ascaris/Strongyloides larval migration 🌬️

Q: What is associated w/ Actinomyces?
A: Actinomyces israelii 🎯
cervicofacial abscess + sulfur granules 🎯
anaerobe, post-dental work ⚗️

Q: What is associated w/ Haemophilus aegyptus?
A: H. aegyptus 📡🔬
purulent pink eye 🎯
Brazilian purpuric fever 🇧🇷

Q: What is associated w/ Yersinia pestis?
A: Bubonic Plague 🎯
buboes + sepsis 🎯
rats, fleas, prairie dogs (SW US) 📡🔬
streptomycin 💀

Q: What type of people does Hep E like to infect?
A: pregnant women 🤰👶
fulminant hepatitis (20% mortality) 🟫🫀
waterborne, Asia 💧

Q: What causes athlete's foot?
A: Tinea pedis 🎯
dermatophytes 🤚🟡
Trichophyton/Microsporum/Epidermophyton 🤚🟡
KOH+ 👟

Q: What makes an adequate sputum sample?
A: Good sputum 🎯
>25 PMNs + 🎯
per LPF 🔬

Q: What diseases have PIE syndrome?
A: PIE causes 🎯
ABPA + Loeffler + Churg-Strauss 🎯
eosinophilic lung infiltrates 🌬️

Q: What does the Hep B Core Ag tell you?
A: HBcAg 🎯
intracellular ONLY 🎯
NOT detectable in serum 🚷

Q: What is associated w/ R. rickettsii?
A: RMSF 🎯
rash wrists/ankles → palms/soles → trunk 🔴💢
Dermacentor tick 🤚🟡
doxy 💊

Q: What causes sudden abdominal pain in a female?
A: Ectopic Pregnancy 🤰👶
β-hCG + + adnexal pain 😖💥
Chlamydia PID scarring 🎯
U/S 🔍

Q: What is associated w/ M. catarrhalis?
A: otitis media + sinusitis 🎯
COPD exacerbations 🎯
GN diplococcus 🫁

Q: What is associated w/ Vibrio cholerae?
A: V. cholerae 🎯
rice-water diarrhea 💩💧
toxin ADP-ribosylates Gs → ↑cAMP 💧

Q: What is associated w/ Clostridium melanagosepticus?
A: C. melanagosepticus 📡🔬
colon cancer association 🎗️💀
black pigment producer 🎨

Q: What is associated w/ E. coli?
A: #1 UTI + neonatal meningitis + GN sepsis 🎯
EHEC → HUS via Shiga-like toxin 🩸

Q: What is associated w/ Proteus mirabilis?
A: staghorn struvite stones 🎯
urease+ → alkaline urine 🎯
swarming motility 🐝

Q: What is associated w/ Vibrio vulnificus?
A: V. vulnificus 📡🔬
raw oysters → fulminant sepsis 🎯
hemochromatosis/cirrhosis at risk 💀

Q: What is associated w/ Propionibacterium acnes?
A: C. acnes 🎯
acne vulgaris 🎯
anaerobe in sebaceous follicles 📡🔬
propionic acid 🧪

Q: What bug causes Acute Bacterial Endocarditis?
A: Staph aureus 🦠🍇
attacks NORMAL valves 🎯
rapid destruction 🎯
IVDU → tricuspid 💉

Q: What is associated w/ Fusobacterium?
A: Vincent's angina (trench mouth) 🎯
Lemierre's: septic IJ thrombophlebitis 🤒

Q: What is associated w/ Strep viridans?
A: SBE on DAMAGED valves 🎯
post-dental, dextran biofilm 🎯
α-hemolytic 🩸

Q: What is associated w/ Bacteroides fragilis?
A: B. fragilis 🎯
intra-abdominal abscess 🎯
anaerobe, β-lactamase 🎯
metronidazole 💊

Q: What is associated w/ Chlamydia trachomatis?
A: C. trachomatis 🎯
neonatal conjunctivitis (D5-14) + infant PNA 🎯
trachoma, LGV, PID, Reiter's 👁️

Q: What bug causes Subacute Bacterial Endocarditis?
A: Strep viridans 🦠⛓️
SBE on damaged/prosthetic valves 🎯
S. epidermidis on prosthetics 🦷

Q: What is associated w/ alcoholics + lung infections
A: Aspiration anaerobes 🎯
Bacteroides, Peptostrep, Fuso 🎯
Klebsiella → currant jelly sputum 🍓

Q: What is associated w/ Pasteurella Multocida?
A: cat/dog bite cellulitis 🎯
rapid lymphadenitis 🎯
amox-clav 💊

Q: What is associated w/ Clostridium difficile?
A: C. difficile 🎯
pseudomembranous colitis 📡🔬
toxins A + B 🎯
post-clinda/FQ/ceph 💊

Q: What are the major causes of otitis media?
A: S. pneumo > H. flu (NT) > M. catarrhalis 🎯
red bulging TM 🥁

Q: What is associated w/ Streptococcus pneumoniae?
A: S. pneumoniae 🎯
MCC otitis + CAP + adult meningitis 🎯
rust sputum + bulging TM 🎯

Q: What is associated w/ Staph saprophyticus?
A: S. saprophyticus 📡🔬
honeymoon cystitis 🎯
#2 UTI in young women 🎯
novobiocin-resistant 💏

Q: What is associated w/ Neisseria gonorrhoeae?
A: N. gonorrhoeae 🎯
urethritis + septic arthritis + pustular rash 🔴💢
pili, no capsule, no vaccine ⚠️

Q: What is associated w/ Chlamydia pneumoniae?
A: C. pneumoniae 🎯
atypical PNA in young adults 🎯
staccato cough + reticulate bodies 🥁

Q: What is associated w/ Bartonella henselae?
A: Cat-scratch disease 🎯
tender single regional node 🎯
Warthin-Starry silver stain 🌟

Q: What is associated w/ Yersinia enterocolitica?
A: Y. enterocolitica 🎯
pseudoappendicitis + bloody diarrhea 💩💧
HLA-B27 reactive arthritis 🎯
puppy/pork 🐶

Q: What causes cystic lesions in brain?
A: Neurocysticercosis 🎯
multiple cysts (Taenia solium eggs) 🎯
Toxoplasma → ring-enhancing in HIV 🎯

Q: What is associated w/ Francisella tularensis?
A: Tularemia 🎯
rabbit + Dermacentor tick 🤚🟡
ulceroglandular lesion 🎯
streptomycin 💊

Q: What is associated w/Congenital Syphillis
A: Congenital Syphilis 🎯
Hutchinson teeth + saddle nose + snuffles 🎯
desquamating rash on palms/soles 🔴💢
RPR + FTA-ABS 🔬

Q: What are pregnant women at risk for?
A: TORCH 🎯
Toxo, Other, Rubella, CMV, HSV 🎯
+ Listeria (cold cuts → neonatal sepsis) 🥪

Q: What is associated w/HIV Patients
A: HIV opportunists 🎯 Toxo (ring lesions) 🎯 Cryptococcus meningitis (India ink+) 📡🔬 CD4 <100 🎯

Q: What is associated w/ Pseudomonas aeruginosa?
A: hot tub folliculitis + swimmer's ear 🎯
ecthyma gangrenosum, CF/burn PNA 🎯
ADP-ribosylates EF-2 🔥

Q: What is Rickettsia rickettsii?
A: RMSF 🎯
rash wrists/ankles → palms/soles → trunk 🔴💢
obligate intracellular, endothelium 🎯
Dermacentor tick 🎯