11

Question 1

describe presentation invasive stage schistosomiasis

Answer 1

• cough
• abdo discomfort
• splenomegaly
• eosinophilia

Question 2

treatment streptococcal toxic shock syndrome

Answer 2

• urgent surgical debridement of infected tissues
• IV fluids
• inotropes
• antibiotics
• IV immunoglobulins

Question 3

dengue présentation

Answer 3

• sudden fever
• severe headache
• retro-orbital pain
• severe myalgia + arthralgia
• macular/ Maculopapular rash

Question 4

what is invasive aspergillosis a presenting symptoms of

Answer 4

primary immunodeficiency

Question 5

how are humans infected with brucellosis

Answer 5

• milking infected animals
• handling carcusses of infected animals
• consumption of unpasteurised dairy products

Question 6

prevention measures IV catheter associated infections

Answer 6

• remove ASAP
• do not insert cannula unless using home
• change every 72 hours
• monitor for thrombophlebitis
• use aseptic technique when inserted

Question 7

presentation of HEV infection in women and young people

Answer 7

subclinical/ mild illness

Question 8

necrotising fasciitis

Answer 8

rapidly progressive inflammatory infection of the fascia with secondary necrosis of subcut tissues

Question 9

presentation borrelial lymphocytoma

Answer 9

bluish solitary painless nodules @ earlobe/ areola

Question 10

define hep D co-infection

Answer 10

person is infected by Hep B and D simultaneously

Question 11

what toxin is produced by e.coli 0157

Answer 11

shiga toxin

Question 12

common cause fabricated fever

Answer 12

self injection

Question 13

what antibiotics increase your risk of developing c.diff infection

Answer 13

4 Cs

• ciprofloxacin
• co-amoxiclav
• clindamycin
• cephalasporins

Question 14

what does c.diff produce

Answer 14

enterotoxin A and cytotoxin B

Question 15

where would you come across bacillus cereus

Answer 15

re-fried rice

Question 16

erysipelas presentation

Answer 16

• • 70-80% are LL
• painful red area of inflammation and swelling, and stretched nerve fibres
• distinct elevated borders

Question 17

cause pyomyositis

Answer 17

infection is often secondary to seeding into damaged muscle

Question 18

describe transmission of Zika virus

Answer 18

daytime biting aedes mosquito
sexual contact
blood transfusion

Question 19

if traveller has returned with rash, consider

Answer 19

typhoid
typhus
dengue

Question 20

carbuncles

Answer 20

occur when an infection extends to involve multiple furuncles

Question 21

management HIV

Answer 21

combination of 3 antiretroviral drugs from 2 groups

adherence must be >90%

Question 22

different groups of antiretroviral drugs used in HIV

Answer 22

• nuceoside reverse transcriptase inhibitors
• protease inhibitors
• integrase inhibitors