Gastroenteritis + Sepsis

Question 1

3 common causes of UK food poisoning (+ most common)?

Answer 1

Campylobacter (most common)
Salmonella
E. Coli 0157

Question 2

Incubation period for Staph. aureus and Bacillus cereus?

Answer 2

Short

Question 3

Incubation period for Salmonella and Cl. perfringens?

Answer 3

Medium

Question 4

Incubation period for Campylobacter and E. coli 0157?

Answer 4

Long

Question 5

4 organisms most likely to have bloody diarrhoea?

Answer 5

Campylobacter
E.Coli 0157
Shigella
Amoebas

Question 6

Campylobacter origin + complication?

Answer 6

Raw poultry/milk/shellfish

Guillain Barre

Question 7

Salmonella origin + antigen?

Answer 7

Raw poultry and egg

O-antigen

Question 8

E. coli 0157 origin?

Answer 8

Raw beef

Question 9

2 at risk groups of E. Coli?

Answer 9

Young children

Elderly

Question 10

What is the name of the toxin produced by E. Coli 0157?

Answer 10

Verotoxin (VTEC)

Question 11

Which syndrome can result due to the E. Coli verotoxin?

Answer 11

Haemolytic uraemic syndrome (HUS)

Question 12

Antibiotics are never prescribed for E. Coli 0157. True or False?

Answer 12

True

Question 13

Main cause of gastroenteritis + general complication?

Answer 13

Viruses

Limits absorption

Question 14

4 organisms with toxins?

Answer 14

Stap. aureus
Clostridium
Bacillus cereus
E. coli 0157

Question 15

Typhoid/enteric fever is caused by?

Answer 15

Salmonella

Question 16

Test and treatment for typhoid fever?

Answer 16

Blood sample

Azithromycin

Question 17

Which stool investigation is appropriate for bacteria?

Answer 17

Stool culture

Question 18

Which stool investigation is appropriate for parasitic infections?

Answer 18

Stool microscopy

Question 19

Which stool investigation is appropriate for toxin producing organisms?

Answer 19

Stool toxin

Question 20

Which stool investigation is appropriate for viruses?

Answer 20

Stool PCR

Question 21

At risk group for C. diff infection?

Answer 21

Elderly people

Question 22

2 blood tests for C. diff?

Answer 22

GDH

Toxin A and B

Question 23

Antibiotic for non-severe + severe C. diff infection (+ routes)?

Answer 23

Metronidazole
Vancomycin
ALWAYS ORAL

Question 24

Common cause of traveller’s diarrhoea?

Answer 24

E. coli 0157

Question 25

Milk or pregnant women?

Answer 25

Listeria

Question 26

Rice water diarrhoea?

Answer 26

Cholera

Question 27

Fast acting on VC to cause vomiting?

Answer 27

Staph aureas

Question 28

Meat gravy?

Answer 28

Clostridium

Question 29

Poorly refridgerated rice?

Answer 29

Bacillus cereus

Question 30

Liver abcess?

Answer 30

Amoiebiasis

Question 31

Crypts with +ve ZN stain?

Answer 31

Cryptosporidium

Question 32

Megaoesophagus?

Answer 32

Trypansoma cruzi

Question 33

Young child with non bloody diarrhoea?

Answer 33

Rotavirus

Question 34

Winter vomiting bug with abrupt diarrhoea and vomiting?

Answer 34

Norovirus

Question 35

Low cobalamin, high folate, positive Schilling test and treat with tetracycline?

Answer 35

Small bowel overgrowth

Question 36

Treatment of tropical sprue?

Answer 36

Tetracycline + folic acid

Question 37

Stearrhoea, arthritis and fever?

Answer 37

Whipple's disease

Question 38

2 or more of what criteria for diagnosing SIRS?

Answer 38

> 38 degrees or < 36 HR > 90 RR > 20 WBC > 12000

Question 39

UTI organism causing sepsis?

Answer 39

E. Coli 0157

Question 40

BUFALO sepsis 6?

Answer 40

``` Bloods Urine output Fluids Antibiotics Lactate Oxygen ```

Question 41

A lactate level greater than ... is concerning?

Answer 41

2