GI infections - PATH

Question 1

Shellfish handler gets cellulitis

Answer 1

Vibrio vulnificus

Question 2

Raw seafood

Answer 2

Vibrio parahaemolyticus

Question 3

Rice water diarrhoea

Answer 3

Vibrio cholera

Question 4

Mx of vibrio

Answer 4

Self limiting

Question 5

Prodrome of fever and headaches, then abdo pain and bloody diarrhoea

Answer 5

Campylobacter jejuni

Question 6

How long does camp last and what can you give and when
and what is this associated with

Answer 6

Lasts 10 days
If presentation within 5 days, give erythromycin or cipro

associated with GBS and reactive arthritis

Question 7

Diarrhoea from eggs or meat

Answer 7

Salmonella enteritides

Question 8

Fever, constipation, ROSE SPOTS, splenomegaly

Answer 8

Salmonella typhi/paratyphi

Question 9

Mx of salmonella

Answer 9

Ceftriaxone (IV for salmonella typhi, then PO azithro)

Question 10

Unpasteurised dairy

Answer 10

Listeria monocytogenes

Question 11

Mx of listeria

Answer 11

Ampiciillin

Question 12

Fever, pain and bloody diarrhoea + mx

Answer 12

Shigella - self limiting but can give ciprofloxacin

Question 13

Post abx diarrhoea

Answer 13

C diff

Question 14

Mx of c diff

Answer 14

Metronidazole

Question 15

Reheated meat + watery diarrhoea

Answer 15

Clostridium perfringens

Question 16

Canned food, descending paralysis + MOA

Answer 16

Clostridium botulinum - blocks Ach release from peripheral nerves

Question 17

Mx of clostridium botulinum

Answer 17

anti toxin

Question 18

Reheated rice

Answer 18

Bacillus cereus

Question 19

Which E coli affects kids?

Answer 19

EPEC

Question 20

MOA of bacillus cereus

Answer 20

more cAMP

Question 21

Staph aureus enterotoxin triggers what

Answer 21

IL1 and 2
causes D and V

Question 22

Liver cyst/abscess, dysentry, flatulence, tenesmus, flask shaped ulcer on histology

Answer 22

Entameoba histolytica

Question 23

Mx of E histolytica

Answer 23

Metronidazole

Question 24

Foul smelling dysentery

Answer 24

Giardia lamblia

Question 25

What type of organisms are giardia and e histolytica?

Answer 25

Protozoa

Question 26

Mx of E histolytica and giardia

Answer 26

Metronidazole

Question 27

Which protozoa causes severe diarrhoea in immunocompromised people?

Answer 27

Cryptosporidium parvum

Question 28

Mx of cryptosporidium parvum

Answer 28

Paromomycin

Question 29

Which viruses cause diarrhoea in under 2s

Answer 29

Adenovirus

Question 30

Which viruses cause diarrhoea in under 6s

Answer 30

Rotavirus

Question 31

Which viruses cause diarrhoea in adults

Answer 31

Norovirus