9

Question 1

at what CD4 count are you at risk of developing HIV symptoms

Answer 1

<350

Question 2

cellulitis

Answer 2

diffuse skin infection involving deep dermis and subcutaneous fat

Question 3

infectious synovitis presentation

Answer 3

flexor tendons most commonly
can't change finger position
present with erythematous fusiform swelling of fingers
tenderness
pain with extension

Question 4

if you suspect HIV in unconscious patient, can you test them

Answer 4

yes

Question 5

dengue fever management

Answer 5

isolation
IV fluids
fresh frozen plasma
platelets

Question 6

dengue fever prevention

Answer 6

• avoid bites

- get vaccine

Question 7

clinical signs dengue

Answer 7

thrombocytopenia
leucopenia
elevated transaminases
positive tourniquet test

Question 8

presentation malaria

Answer 8

• fever
• N+V
• rigors
• spleno/hepatomegaly
• abdo pain
• dysuria
• headache
• increased frequency
• aching bones
• sore throat
• cough

Question 9

most severe malaria species

Answer 9

plasmodium falciparum

Question 10

how is giardia duodenalis transmitted

Answer 10

direct contact with other people/ contact with faeces

Question 11

management invasive, chronic and allergic aspergillosis

Answer 11

• amphotericin B
• formulations
• azoles (IV/ oral)
• echinocandins
• flucytosine

Question 12

presentation pseudomembranous colitis

Answer 12

• watery diarrhoea
• abdo cramps/ pain/ tenderness
• fever
• pus/ mucus in stool
• nausea
• dehydration

Question 13

infectious synovitis causes

Answer 13

• penetrating trauma
• staph aureus and strep
• chronic infections due to mycobacteria, fungi
• possibility of disseminated gonococcal infection

Question 14

management of rabies

Answer 14

• 4 doses of vaccine over 14 days

- human rabies immunoglobulin (HRIG) infiltrated around bite if possible

Question 15

flu investigations

Answer 15

viral nose and throat swab
CXR
blood culture
pulse oximatry 
vitals
U+Es
FBC
CRP

Question 16

chronic brucellosis presentation

Answer 16

months/ year

• flu like
• malaise
• depression
• chronic arthritis
• endocarditis
• epididymo-orchitis
• meningism
• splenomegaly

Question 17

malaria investigations

Answer 17

thick and thin blood films
quantitative Buffy coat
rapid antigen tests

Question 18

management of chronic hep B if treatment indicated

Answer 18

• pegylated alpha-interferon subcutaneous injection once/week for 12 months
• entecavir and tenor
• liver transplant
• HBIG

Question 19

describe type 1 necrotising fasciitis

Answer 19

mixed anaerobic and aerobic infection

Question 20

management furunculosis

Answer 20

normally nothing or topical antibiotics

if not improving may need oral antibiotics

Question 21

causes schistosomiasis

Answer 21

being in ponds, lakes, rivers, canals and reservoirs containing parasitic flatworms called schistosomes

Question 22

management erysipelas and cellulitis

Answer 22

combination of anti-staph+strep antibiotics

in extensive disease require IV antibiotics and rest