4

Question 1

what is Weils disease

Answer 1

severe form of leptospirosis

Question 2

management hep D infection with ongoing hepatitis

Answer 2

pegylated alpha-interferon

Question 3

describe pneumocystis jiroveci pneumonia

Answer 3

• common late stage AIDS infection
• opportunistic fungal
• CD4 typically <200

Question 4

most common types of infection associated with staph aureus

Answer 4

• SSTI
• furuncles and carbuncles
• abscesses
• necrotising fasciitis
• pyomyositis
• osteomyelitiis
• septic arthritis
• discitis
• endocarditis

Question 5

what diseases are transmitted by the aedes aegypti mosquito

Answer 5

• zika
• yellow fever
• dengue
• chikununya

Question 6

examination pyrexia of unknown origin

Answer 6

all of skin
oral
nails
eyes
lymph nodes

Question 7

salmonella management

Answer 7

rehydration (IV saline/ oral salt and sugar solution)
empiric measures
antibiotics not indicated in otherwise healthy person

Question 8

common complications seasonal flu

Answer 8

• secondary bacterial pneumonia

- acute bronchitis

Question 9

treatment/ management/ prevention zika

Answer 9

no antiviral therapy has been developed yet

mosquito control measures

Question 10

management uncomplicated typhoid fever

Answer 10

oral azithromycin

Question 11

management complicated typhoid fever/ concerns regarding absorption of oral antibiotics

Answer 11

IV ceftriazone

Question 12

presentation typhoid fever 1st week

Answer 12

• fever
• headache
• abdo discomfort
• constipation
• dry cough
• relative bradycardia
• neutrophilia
• confusion

Question 13

most common organism causing impetigo

Answer 13

staph aureus

Question 14

define class IV surgical site

Answer 14

infected wound from existing clinical infection/ infection present from before the opperation

Question 15

after what length of time are symptoms unlikely to be gastroenteritis

Answer 15

10 days/ 2 weeks

Question 16

campylobacter gastroenteritis investigations

Answer 16

• stool culture
• molecular Ag testing
• blood culture
• renal function
• FBC
• abdo x-ray/ CT if abdominal distended (toxic megacolon)

Question 17

acute presentation brucellosis

Answer 17

1->3weeks

• high undulant fever
• weakness, headaches
• drenching sweats
• splenomegaly

Question 18

commonest types of salmonella in the UK

Answer 18

• salmonella enteritidis

- salmonella typhimurium

Question 19

when are antibiotics indicated in gastroenteritis

Answer 19

immunocompromised
severe sepsis
invasive infection
chronic illness e.g. malignancy

Question 20

HEV investigations

Answer 20

• serological tests for HEV RNA

Question 21

furunculosis

Answer 21

single hair follicle-associated inflammatory nodule

extends into dermis and subcutaneous tissue

Question 22

define an influenza pandemic

Answer 22

when a strain on influenza affects >25% of population