Buzzwords

Question 1

Aflatoxin A1

Answer 1

Aspergillus flavus

Liver/biliary cancer

Question 2

Methenamine silver staining

Answer 2

Aspergillosis (mold)

Question 3

India ink stain

Answer 3

Cryptoccocus neoformans

Question 4

Tx for cryptococcosis meningitis

Answer 4

3/52 Amphotericin B +/- flucytosine

Question 5

PAS staining

Answer 5

Periodic acid Schiff staining for candida albicans

Question 6

Tx for candida/thrush

Answer 6

Fluconazole Pessar vaginal + clotrimazole cream

Question 7

PUO Milk

Answer 7

Brucellosis

Question 8

PUO cat

Answer 8

toxoplasmosis

Question 9

PUO water sports

Answer 9

laptopsirosis and schistosomiasis

Question 10

PUO hiking

Answer 10

Lyme disease

Question 11

PUO food

Answer 11

Salmonella
E.coli
Hep A &E

Question 12

PUO sex

Answer 12

HIV, syphillis

Hep B and C

Question 13

Retro-orbital pain, backbone fever

Answer 13

Dengue (daytime biting)

Question 14

Ramsay hunt syndrome

Answer 14

Shingles + facial nerve palsy

Question 15

What type of blood should be given to pts at risk of CMV?

Answer 15

• leucodepleted blood

Question 16

Tender swollen lymph node at site, malaise, headache. Pt has pets

Answer 16

cat scratch fever

Question 17

Cutaneous, respiratory and Gi form associated with high mortality

Answer 17

Anthrax from sheep

Question 18

Bilateral facial nerve palsy

Answer 18

LYME’s and SARCOID!

Question 19

Hx of water exposure, then becomes jaundiced and develops kidney failure

Answer 19

leptospirosis

Question 20

Owl eye inclusion

Answer 20

CMV

Question 21

G- bacteria causing indolent fever, night sweats and arthralgia. Can cause oestomyelitis and endocarditis

Answer 21

Brucella
* Mediterran fever, Maltease fever 
* Goat 
* Exposure to unpauterised milk
Give gent cos gram -

Question 22

Rabies spread by this animal in UK

Answer 22

Bats (NOT dogs. Dogs more common in worldwide)

Question 23

Infective boil

Answer 23

Staph aureus

Question 24

Acanthocytes

red blood cell that has a spiked cell membrane, due to abnormal thorny projections. (irregularly spaced)

also called spur/spike cells

Answer 24

Abetalipoproteinaemia
Liver disease
Hyposplenism

Question 25

Burr cells Echinocytes Irregular shaped cells abnormal cell membrane characterized by many small, evenly spaced thorny projections

Answer 25

Uraemia GI bleeding Stomach carcinoma

Question 26

Denature Hb within RBC

Answer 26

Heinz bodies - G6PDD, chronic liver disease

Question 27

Polychromasia

Answer 27

Reticulocytes immature RBC due to premature/inappropriate release from BM

Question 28

Right shift neutrophils

Answer 28

Hyper-mature neutrophiles → hyperhsegmented polymorphs (>5 lobes to nucleus) Seen in megaloblastic anaemia Uraemia Liver disease

Question 29

Left shift neutrophils

Answer 29

Pelger Huet cells (hypo segmented neuts) Seen in MDS or congenital (lamin B receptor mutation)