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NBME 23 Answers

nbme23/Block 4/Question#5

Transmission of a bacterial agent by ...

Meningococcal meningitis

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submitted by mousie(99),

Cholera = Fecal oral /Legionnaires = Legonalla pneumo = NO person to person only by inhalation of bacteria contaminated water /Lyme = tick bite /Meningiococcal = sharing respiratory and throat secretions (saliva or spit). Generally, it takes close (for example, coughing or kissing) or lengthy contact to spread these bacteria (CDC) /RMSF = tick bite

smc213  Also, when Meningococcal meningitis is treated ... close contacts are also treated prophylactically whereas the others typically are not. There's also a subunit vaccine for n. meningitis due to high infectivity rate especially in crowded establishments. +3  
dentist  So, Cholera is also p2p but Mening is more likely? +  
usmlecharserssss  in cholera people to water => water to people +