GI

Question 1

Contaminated meat, esp. beef such as burgers, unpasteurised dairy, contaminated water, farm animal contact, bloody diarrhoea, 1-10 days

Answer 1

E.Coli O157

Question 2

Poor chicken, hospital acquired, antibiotics, pseudomembranous colitis, 2-3 days

Answer 2

clostridium difficile (gram positive bacilli)

Question 3

Ix clostridium difficile (gram positive bacilli)

Answer 3

stool microscopy

Question 4

Tx clostridium difficile (gram positive bacilli)

Answer 4

stop 4Cs - cephalosporin, clindamycin, ciprofloxacin, clarithromycin,

oral metronidazole

Question 5

Produce, shellfish, contaminated ready-to-eat food, cruise ship, hospital, highly infectious, D&V explosive and sudden, 12-48 hrs; lasts 2-4 days

Answer 5

norovirus

Question 6

Contaminated food, children in winter, lasts a week, moderate fever then vomiting then diarrhoea, malabsorption, 48 hrs

Answer 6

rotavirus - vaccine

Question 7

Side effect of spironolactone

Answer 7

gynaecomastia

Question 8

What type of mouth disease do people with Crohn’s have

Answer 8

stomatitis gangrenosum