ID - General Flashcards
Cat scratch disease.
a) Infective organism
b) Symptoms
c) Treatment
a) Bartonella henselae
b) Brownish-red papules at site, local lymphadenopathy, fever, malaise
c) Azithromycin
Hepatitis.
a) Which two strains have vaccines?
b) Which is part of the 6 in 1 vaccine?
a) A and B
b) B
Lyme disease
a) Infective organism
b) Classic rash
c) Other features
d) Management
a) Borrelia burgdorferi
b) Erythema migrans
c) Joint inflammation, Carditis with AV block, CN VII palsy, meningitis, peripheral neuropathy
d) - Uncomplicated: doxycycline or amoxicillin oral (~ 28 days)
- Complicated: IV cef or benpen
Malaria sp.
a) Name the 5 species
b) Name the mosquito species
c) Which malaria species can cause recurrence years later due to dormant hypnozoites?
a) Falciparum, vivax, ovale, malariae and knowlesi
b) Anopheles
c) Vivax
Malaria.
a) Fever pattern
b) Investigation
a) Every 2-4 days
b) Blood film
Salmonella.
a) Species causing typhoid
b) Species causing gastroenteritis
a) typhi
b) enteritidis
Infectious diseases: taking a history
a) Epidemiological history
b) 5 common presenting complaints
a) Travel, vaccine and prophylaxis history, occupation, food/drink, recreational, sexual, animal contacts, special medical procedures, close contacts
b) Diarrhoea (E.coli, Salmonella, Campylobacter, viral),
RTI (Usually viral, Legionella), UTI, Skin/soft tissue infections (insect bites), Hepatitis (A)
ID epidemiology. Give the main tropical diseases found in these areas: a) Central, east and west Africa b) South Africa c) South Asia/ southeast Asia d) Latin America
a) Malaria, typhoid, schistosomiasis
b) Malaria, schistosomiasis
c) Malaria, dengue, typhoid, schistosomiasis, amoebiasis
d) Dengue, malaria (less falciparum)
Infections by occupation
a) Health Care Workers
b) Farm Workers
c) Sewage Workers
d) Sex Workers
e) Pet Shop owners
f) Abbatoir Workers
a) Blood borne Viruses, LRTIs, diarrhoea
b) Leptospirosis, Coxiella, Orf
c) Leptospirosis, Hepatitis A, Gastroenteritis
d) HIV, HepB, HSV, gonococcus, syphilis, chlamydia, etc
e) Psittacosis
f) Anthrax
Infections by sport
a) Canoeists
b) Cavers
c) Trekkers
d) Rugby Players
e) Swimmers
a) Leptospirosis, gastroenteritis
b) Histoplasmosis, Marburg
c) Lyme Disease, other Tick-borne diseases
d) HSV, fungal infections
e) Fungal infections, pox viruses, leptospirosis, gastroenteritis
Infections by risk factor
a) IVDU
b) Alcoholic
c) Cannabis
a) Hepatitis C, Hepatitis B, HIV, Endocarditis, Skin + Soft tissue infection including anthrax, aspergillus
b) TB, pneumonia, HIV
c) Pneumonia, early COPD, lung abscess
Infections by animal vector
a) Dogs
b) Cats
c) Rodents
d) Terrapins
e) Psittacine Birds
f) Tropical Fish
g) Wild and Domestic Fowl
h) Agricultural animals (city farms, etc.)
a) Campylobacter species, Toxocara, rabies
b) Toxoplasma, Bartonella, pasteurella
c) Leptospirosis (Weil’s disease), rat-bite fever, salmonella
d) Salmonella
e) Chlamydia psittaci
f) Mycobacterium marinum
g) Avian influenza
h) Coxiella spp, salmonella, E.coli (e.g. 0157)
Infections by PMHx
a) Head Injury
b) Cancer/immunosuppression
c) Splenectomy
d) Dentistry
e) Previous history of infectious disease (esp. meningitis)
a) Meningitis (especially pneumococcal)
b) CMV, VZV, PCP, neutropenic sepsis (bacteria, fungi)
c) Pneumococcal bacteraemia
d) Endocarditis
e) Pneumonia, cellulitis
Infections by iatrogenic cause
a) Blood Transfusions/Blood products
b) IV cannula
c) Prosthetic joints or heart valves
d) IUCD
a) HIV, HBV, HCV, malaria, prions
b) Skin and soft tissue sepsis (bacterial)
c) Serious persistent bacterial infections
d) Actinomycosis, toxic shock
Swabs for infection: colours
Blue = MRSA Black = bacterial (BLACK-terial) Green = viral
