infection

Question 1

treatment for antibiotic associated colitis is severe and non severe case

Answer 1

non severe- metronidazole, severe- vancomycin po

Question 2

treatment for MRSA skin infection

Answer 2

vancomycin or teicoplanin

Question 3

gram negatives that cause HAP

Answer 3

e coli, klebsiella, pseudomonas aeruginosa

Question 4

risk factors for MRSA

Answer 4

recurrent hospital admissions, recurrent antibiotic use (cephalosporins like ciprofloxacin), chronic skin infections, residential nursing home

Question 5

what is peginterferon-a2a for

Answer 5

antiviral therapy against HIV

Question 6

what is imiquimod for

Answer 6

antiviral therapy against HPV

Question 7

how do DAA’s work

Answer 7

directly acting anti-virals that target specific virally encoded proteins to inhibit replication

Question 8

What are the three subfamilies of herpes viruses

Answer 8

alpha beta and gamma

Question 9

How does immunomodulation work in antivirals

Answer 9

activation of PRR and exogenous type 1 interferons lead boost antivirals response

Question 10

What is crucial to do in a patient that is going to have DAA’s

Answer 10

host immunity

Question 11

What do we use in people with VZV where they are resistant to aciclovir

Answer 11

FOS and CDV

Question 12

difference in treatment in immunocompromised with VZV and herpes enchephalitis

Answer 12

1) IV ACV 10MG/KG 8 HOURLY FOR 5 DAYS while the later in 14-21 days and initiate treatment within 6 hours of admission

Question 13

Three drugs for CMV and EBV

Answer 13

ganciclovir, cidofovir and foscarnet

Question 14

What do we give before cidofovir IV

Answer 14

IV hydration and probenecid

Question 15

which organism causes a curd/cottage like vaginal discharge

Answer 15

candida

Question 16

most patients with lymphogranuloma venereum will be

Answer 16

HIV positive (diagnostic test)

Question 17

Acute epididymo-orchitis in sexually active younger adults is most commonly caused by

Answer 17

Chlamydia

Question 18

when should we not use urine dipstick to diagnose UTI

Answer 18

in men, women over 65 and catheterised patients

Question 19

strawberry cervix

Answer 19

trichomonas vaginalis

Question 20

rose spots

Answer 20

salmonella typhi

Question 21

environment for legionella

Answer 21

air conditioning in European hotels and in water tanks in foreign tanks.

Question 22

diagnosis and management for legionella

Answer 22

urine antigen and erythromycin and clarithromycin

Question 23

manage high-severity community-acquired pneumonia.

Answer 23

Piperacillin with tazobactam and erythromycin

Question 24

a medication used as second-line management in uncomplicated community-acquired pneumonia when the patient cannot take amoxicillin or clarithromycin.

Answer 24

doxycycline

Question 25

a medication used as second-line management in uncomplicated community-acquired pneumonia when the patient cannot take amoxicillin or clarithromycin.

Answer 25

doxycycline

Question 26

as first-line management in uncomplicated community-acquired pneumonia

Answer 26

amoxicillin

Question 27

medication used as second-line management in uncomplicated community-acquired pneumonia when the patient cannot take amoxicillin.

Answer 27

clarithromycin

Question 28

new onset dry cough and dysponea with a background of AIDS

Answer 28

pneumocystis jiroveci

Question 29

treatement for pneumocystis jiroveci

Answer 29

co-trimoxazole

Question 30

clue cells and fishy odour with watery discharge

Answer 30

bacterial vaginosis

Question 31

cervical exctitation

Answer 31

chylamidia

Question 32

most intracranial aneurysms are now treated

Answer 32

a coil by an interventional neuroradiologist

Question 33

barking vs whooping cough

Answer 33

barking: croup and whoopingL bordella pertussis

Question 34

first line management for cellulitis

Answer 34

flucloxacillin, if allergic: doxycycline, in pregnancy: erythromycin

Question 35

fever with peeling soles and palms

Answer 35

staphylococcal toxic shock syndrome

Question 36

maculopapular rash vs pinprick rash

Answer 36

dengue vs scarlet fever