ID

Question 1

why are Abx not often given with EHEC?

Answer 1

Increase risk of HUS

Question 2

EHEC management?

Answer 2

Rehydrate, supportive therapy, notify PH

Question 3

commonest cause of HAIs?

Answer 3

Blood-stream infections
pneumonias including VAPs
UTIs
Surgical site infections
(S.AUREUS)

Question 4

Student S. America returns 1 week before return, bloody, mucous diarrhoea, febrile, abdo pain - likely cause?

Answer 4

salmonella typhi

Question 5

foul smelling discharge - BV - clue cells - Rx?
(Gardnerella vaginalis)

Answer 5

Metronidazole

PO>topical and stat. 400mg BD 7/7

Question 6

Gonorrhoea Rx:

Answer 6

stat dose IM CRO

Question 7

lower abdo pain, dyspareunia, PV discharge - chlamydia + - Rx?

Answer 7

7/7 doxycycline

azithro if preg, br feeding/allergy

Question 8

CIs to LP in child suspected of bacterial meningitis:

Answer 8

Sx raised ICP
haemodynamic instability
Extensive/spreading purpura
multiple seizures - until stabilised
Plt <100
Infection at LP site
respiratory compromise
GCS <9 or drop grater than 3
relative bradycardia + HTN

Question 9

Mastitis abx of choice in breastfeeding?

Answer 9

Flucloxacillin

Question 10

Lyme (Borellia) Abx?

Answer 10

Doxycycline

Question 11

?Meningococcal septicaemia abx of choice?

Answer 11

IM Benpen stat then get to ED

Question 12

Dx rabies?

Answer 12

clinical or PCR

Question 13

20M returns S America, headache, fever, rash, meningism, deafness - dx and key Ix?

Answer 13

Typhys (Rickettsia). Serology.

Question 14

Schisto Ix?

Answer 14

Urine microscopy (…)

Question 15

steroids for COPD and new dysphagia?

Answer 15

oropharyngeal candidiasis

Question 16

change PV discharge, thin, fishy, clue cells -

Answer 16

BV

Question 17

UTI men abx and length?

Answer 17

Nitro/trim = 7/7

Question 18

B. Burgdorferi Ix?

Answer 18

Anti-Borrelia burgdorferi titre
hard to culture

Question 19

which step in HIV converts viral RNA into DNA?

Answer 19

Reverse transcriptase

Question 20

acute epiglottitis caused by?

Answer 20

Hib

Question 21

Ringworm Rx?

Answer 21

Miconazole

Question 22

ringworm rash - describe?

Answer 22

annular spreading appearance
also dermatophytosis

Question 23

aims of ART:

Answer 23

VL<50
CD4>350
reduce transmission
improve QOL while reducing SFx

Question 24

transmission and incubation HAV?

Answer 24

FOT
2-6 weeks

Question 25

who should not receive oral aciclovir for shingles?

Answer 25

otherwise F+W children - self-limiting
pregnancy - low risk
IC - IV needed

Question 26

STI intracellular diplococci?

Answer 26

N. Gonorrhoeae

Question 27

Abx for giardia?

Answer 27

metronidazole

Question 28

STI 1st line ix?

Answer 28

NAAT

Question 29

ix giardiasis?

Answer 29

if <14 days - stool mc+s
if >14/7 - send 2-3 stools

Question 30

Ghana, painless rash on trunk, scaly, pale patches, 1-3cm diameter ?

Answer 30

Pityriasis Vesicolor
Malasezzia furfur - yeast. skin scrapings mc+s

Question 31

amox 2/7 ago, rash, lymphocytosis - dx?

Answer 31

EBV/Mono

Question 32

hand foot and mouth =

Answer 32

coxackie A virus
vesicles rash on hands and feet and grey ulcers on mucosa

Question 33

36F yellow-green d/c. swollen and erythematous vagina -

Answer 33

thrichomoniasis

strawberry cervix

Question 34

42M W Africa, 2/52 headaches, fever. intermittent diarrhoea, weight loss over last year. only abnormality is fever OE. dx?

Answer 34

fungal men (due to weight loss and diarrhoea…)
tbf, OP would be higher in TBM

Question 35

70M T2DM L swelling face, extending. facial nerve palsy. green purulent d/c ear. includes forehead - causative pathogen?

Answer 35

pseudomonas aeruginosa

(malignant otitis externa 2 to DM)

Question 36

Leigonella - micro, e- abnormality, abx?

Answer 36

G- rods
hyponatraemia
macrolides/quinalones

Question 37

herald patch few days before widespread itchy rash indicates?

Answer 37

Pityriasis Rosea
Viral - Herpes 6/7 viruses