infection

Question 1

25 year old female presents with fever , malaise / lethargy and headaches
what should you consider as most likely diagnosis first?

Answer 1

malaria

Question 2

what id dengue fever?

Answer 2

transmitted by mosquitos 
abrupt onset fever
headcahe 
facial flushing 
maculopapular rash

Question 3

what does typhoid present with?

Answer 3

Gi symptoms

Question 4

The diagnosis of malaria is usually confirmed

Answer 4

with thick and thin blood films

Question 5

Mx of malaria?

Answer 5

quinine

Question 6

Initial infection with Mycobacterium tuberculosis is known as primary tuberculosis (C) and is usually asymptomatic/ symptomatic?

Answer 6

asymptomatic

Question 7

how does cholera present?

main complication

Answer 7

duffuse watery diarhhoea
rice-water stool
significant dehydration

Question 8

Typhoid (B) is caused by_______ spread by the faeco-oral route and may present with

Answer 8

Salmonella typhi,

gradual onset fever, headache, malaise and either constipation or diarrhoea

Question 9

what is the most common cause of travellers fever?

Answer 9

e coli

Question 10

management of cholera?

Answer 10

IV rehydration

Question 11

painful rash across trunk

prodromal illness of fever and malaise was present 2/3 days ago

Answer 11

chicken pox

VZV

Question 12

presentation of shingles

Answer 12

prodromal phase

eruption of a painful blistering rash in a dermatomal patterne

Question 13

mx of shingles?

Answer 13

caused by VZV
acicylovir oral
IV if immunocompromised

Question 14

yellow coloured penile discharge

gonorrhoea or chalmydia?

Answer 14

gonorrhoea

Question 15

genital herpes management

Answer 15

HSV1 / 2

aciclovir

Question 16

most common type of viral hep worldwide?

Answer 16

hep A
contaminated water
jaundice and fever and anorexia and n&V

Question 17

mx of hep a?

Answer 17

conservative

Question 18

hep C mx?

Answer 18

v

Question 19

whooping cough

Answer 19

Petrussis (E) is whooping cough and is caused by the gram-negative bacteria Bordetella pertussis. The absence of the paroxysms of coughing seen in whooping cough make this the incorrect answer.

Question 20

most common bacterial cause of meningitis in adults

Answer 20

strep pneumoniae

neisserias meningitides

Question 21

non blanching rash points to which meninigtis causative agent

Answer 21

neiserria meningitides

Question 22

_____ caused by water-borne flukes. Snail vectors release cercariae into the water where they can penetrate the skin or mucous membranes of humans. An itchy papular rash (known as a swimmer’s itch) may develop at the site of penetration

Answer 22

schistosomiasis

Question 23

patchy rash maculopapular 
splenomegaly 
fever 
malaise 
headache and dry cough
low WCC count

Answer 23

typhoid

Question 24

lockjaw suggest what infectious disease?

Answer 24

tetanus

Question 25

most common cause of septic arthritis in a young patient is

Answer 25

gonococcal

Question 26

gram negative diplococci

Answer 26

neisseria gonnorrhoeae

Question 27

Candida albicans (C) is a fungal infection that may colonize the oesophagus of patients with HIV,

Answer 27

causing dysphagia and ulcers

Question 28

Human herpes virus type 3 is also known as ?

Answer 28

VZV

Question 29

Mx of hep B

Answer 29

tenofovir