10

Question 1

management staphylococcal scalded skin syndrome

Answer 1

IV fluids + antibiotics

Question 2

what is panton-valentine leucocidin toxin

Answer 2

a gamma haemoglobin originating from staph aureus

Question 3

what does panton-valentine leucocidin toxin do?

Answer 3

creates pores in the membranes of infected cells

Question 4

folliculitis

Answer 4

circumscribed pustular infection of a single hair follicle up to 5mm in diameter

Question 5

describe teicoplanin as an antibiotic for staph aureus infection

Answer 5

single daily dosing

good

Question 6

define typhoid fever

Answer 6

bacterial infection caused by salmonella typhi, which causes systemic disease characterised by fever and abdominal pain

Question 7

risk factors for developing aspergilloma

Answer 7

TB
sarcoidosis
bronchiectasis
bronchial cysts and bullae

Question 8

fabricated fever investigations

Answer 8

microbiology to rule out pathological cause

Question 9

presentation typhoid fever (3rd week)

Answer 9

complications

• intestinal bleeding
• perforation
• peritonism
• metastatic infections

Question 10

how long seasonal flu incubation period

Answer 10

2-4 days

Question 11

how long can seasonal flu survive on porous surfaces

Answer 11

8-12 hours

Question 12

presentation campylobacter gastroenteritis

Answer 12

• watery diarrhoea
• severe cramping abdo
• bloating
• malaise
• N+V
• fever

Question 13

cause staphylococcal toxic shock syndrome

Answer 13

use of high absorbency tampons

Question 14

investigations for returning traveller with any problem

Answer 14

isolation
FBC
malaria films
LFTs
stool microscopy + culture
urine analysis and culture
blood cultures
CXR

Question 15

define infectious synovitis

Answer 15

infection of synovial sheath surrounding tendons

Question 16

acute presentation schistosomiasis

Answer 16

probably don’t notice, or occasionally get small red bumps on their skin for a few days where the snails have burrowed in

Question 17

management acute aspergillosis

Answer 17

• voriconazole

- isavuconazole

Question 18

whats needed for a diagnosis of lyme borrelios?

Answer 18

• erythema migrans
• serology titres
• PCR

Question 19

when to consider ITU for sepsis

Answer 19

• multi-organ failure
• septic shock
• require sedation, intubation and ventilation

Question 20

rash to tick bite within 24 hours

Answer 20

reaction to bite

Question 21

salmonella investigations

Answer 21

stool culture
blood culture
renal function
FBC
abdo x-ray/ CT if abdominal distended

Question 22

investigation surgical site infections

Answer 22

cultures @ site - avoid superficial swabs -> aim for deep structures