EFA ID and GUM

Question 1

If a pt has staph aureus in the urine, what does this suggest?

Answer 1

V unsual in the urine, so it’s likely that it’s because of seeding of staph aureus from the blood into the kidney. So suspect

Question 2

Tonsils swollen - differentials

Answer 2

Strep throat
Glandular fever

Question 3

Tonsils swollen + yellow eyes

Answer 3

Glandular fever - EBV

Question 4

Ilness for more than 7 days

Answer 4

Likely viral, but some bacterial infections cause this too

Question 5

Which organism can cause infective endocarditis in an IV drug user?

Answer 5

Staph aureus

Question 6

Complication of Staph aureus

Answer 6

Low haemoglobin because of haemolysing
Raised ALP sometimes because

Question 7

Complication of Staph aureus

Answer 7

Low haemoglobin because of haemolysing due to physical destruction of RBCs due to abnormal vessel.

Raised ALP sometimes because of metastatic spread of the seeding bacteria

Can even spread to the brain

Question 8

Does anti-HBs differentiate between infection vs vaccination?

Answer 8

Does not differentiate

Question 9

Which anti-Hep B antibody suggests infection itself?

Answer 9

anti-HBc

Question 10

Pus from eye after sex

Answer 10

Neisseria gonorrhoea

Question 11

Bloody diarrhoea after a BBQ

Answer 11

Campylobacter jejuni

Question 12

Which type of Ecoli can cause bloody diarrhoea and how common is this?

Answer 12

Ecoli 0157 - Haemolytic uremic syndrome - rare

Question 13

Salmonella typhi causes what?

Answer 13

Typhoid

Question 14

Bloody diarrhoea is notifiable by?

Answer 14

Notifiable by phone

Question 15

Painless lymph node means it’s not a bacterial infection. What kind of cells are prseent in the biopsy of TB? What kind of

Answer 15

Langerhans giant cells

Question 16

What feature of C diff makes it difficult to get rid of, even with alcohol gel?

Answer 16

Spore formation

Question 17

What does the e antigen in Hep B mean?

Answer 17

e Ag means hep B is in a really infective state - 1/3 risk of transmission