Infection

Question 1

What is the prophylactic treatment for meningitis contacts?

Answer 1

Oral ciprofloxacin

Question 2

What vaccination should high risk individuals ( MSM ) be offered if they present with an STI?

Answer 2

Hepatitis A

Question 3

Which autoantibody will be positive in someone who has Drug-Induced Lupus? ( e.g Isoniazid)

Answer 3

Anti-histone body

Question 4

What infection is associated with Strawberry Cervix?

Answer 4

Trichomoniasis

Question 5

What do you give if tetanus history is uncertain in a wound?

Answer 5

Booster vaccine + immunoglobulin, unless the wound is very minor and < 6 hours old

Question 6

What is the investigation for Herpes Simplex Virus?

Answer 6

NAAT

Question 7

What course of Nitrofurantoin is given for pregnant women?

Answer 7

7 days

Question 8

What is the first line treatment for Lyme Disease?

Answer 8

Doxycycline 14 days

Question 9

What is the treatment for chlamydia?

Answer 9

Oral doxycline

Question 10

What is the treatment for gonorrhea?

Answer 10

IM Ceftriaxone

Question 11

What is the treatment for genital herpes?

Answer 11

Oral aciclovir

Question 12

Which strains of HPV are responsible for genital warts?

Answer 12

6 and 11

Question 13

What is the gold standard investigation for diagnosing TB?

Answer 13

Sputum culture is correct as this is the gold standard investigation for suspected tuberculosis (TB). It is more sensitive than AFB smear and nucleic acid amplification tests. As it may take several weeks to receive the results of sputum culture, a sputum smear may be performed in the interim. Although a sputum smear is a rapid test, it is less sensitive and, therefore is not the gold-standard investigation for TB.

Question 14

What is the treatment fo4 Whooping Cough/ Pertussis ?

Answer 14

Azithromycin

Question 15

What are some risk factors for BV?

Answer 15

Smoking
Having multiple sexual partners or a new sexual partner
Douching
Lack of consistent condom use
Hormonal changes, such as those that occur in pregnancy

Question 16

What are the of TB indicated for?

Answer 16

Mantoux Test - to see if previous vaccination
Interferon Gamma Release Assay ( IGRA) - to identify patients with latent TB, as Mantoux cannot distinguish between latent and vaccination

Question 17

What should be done if a patient presents to GP with bacterial meningitis symptoms?

Answer 17

Call an ambulance and give benzylpenicillin 1.2g IM

Question 18

What are the most common causes of septic arthritis and reactive arthritis?

Answer 18

Reactive Arthritis causes:
- Gastoenteritis e.g. Campylobacter, Shigella, Salmonella
- Chalmydia

Septic Arthritis causes:
- Staph aureus
- Gonnorhea

Question 19

What is the treatment for Tinea Corporis/ RIngworm?

Answer 19

Topical Clotrimazole

Question 20

Which bacteria causes Tetanus?

Answer 20

Clostridium Tetani

Question 21

What is the treatment for Rheumatic Fever?

Answer 21

Benzylpenicillin

Question 22

What is the first line test for EBV?

Answer 22

Monospot test

Question 23

Treatment for Tinea Pedis/Athlete’s foot?

Answer 23

Topical Clotrimazole

Question 24

Treatment for viral/bacterial conjunctivitis?

Answer 24

Both viral and bacterial conjunctivitis are self-limiting and will tend to resolve in 5–10 days. Self-care measures, including regular bathing of the eyes

Question 25

Treatment for Influenza?

Answer 25

Oral Oseltamivir

Question 26

Why can Mycoplasma Pneumoniae infection cause Raynaud’s?

Answer 26

Cold autoimmune haemolytic anaemia (AIHA). Intravascular haemolysis occurs in the cold, leading to acrocyanosis or Raynaud’s phenomenon.

Question 27

What is the first line test for Mumps?

Answer 27

Mumps salivary IgM

Question 28

Treatment for Schistosomiasis?

Answer 28

Praziquantel and Steroids

Question 29

How can gonorrhea present in men?

Answer 29

Tender inguinal lymphadenopathy and green urethral discharge

Trich VERY unlikely in men so if green discharge and man it will be gonorrhea, also only causes urethritis in men not discharge

Question 30

What is the treatment indicated for Osteomyelitis?

Answer 30

IV flucloxacillin and Fusidic acid/rifampicin

Question 31

What is first line for ESBL-producing organisms?

Answer 31

Meropenem

Question 32

What treatment is indicated for line infections? ( Usually Staph Epidermidis)

Answer 32

Vancomycin ( Coagulase-Negative Staphylococci are resistant to Fluclox)

Question 33

What are some side effects of Pyrazinamide?

Answer 33

Hepatitis +++
Arthralgia

Question 34

What is the classic sign of Osteomyelitis on MRI?

Answer 34

Periosteal reaction of the ( Can see new bone forming where it shouldn’t)

Question 35

Which bacterial gastroenteritis has the fastest onset?

Answer 35

Staph Aureus - associated with handmade foods

Question 36

What is the treatment for Pseudomonas infection?

Answer 36

Ciprofloxacin
Gentamicin

Question 37

What is decolonisation therapy for MRSA?

Answer 37

Nasal mupirocin and chlorhexidine wash

MRSA on skin does not indicate infection so does no require Vancomycin

Question 38

Which HPV viruses are associated with genital warts?

Answer 38

6 and 11

Question 39

Which HPV viruses are associated with cervical cancer?

Answer 39

16 and 18

Question 40

What is empirical therapy for suspected bacterial Meningitis?

Answer 40

IV Cefotaxime and Amoxicillin