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Medicine Block Year 3 > Infection > Flashcards

Infection Flashcards

1
Q

What is the prophylactic treatment for meningitis contacts?

A

Oral ciprofloxacin

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2
Q

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

A

Hepatitis A

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3
Q

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

A

Anti-histone body

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4
Q

What infection is associated with Strawberry Cervix?

A

Trichomoniasis

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5
Q

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

A

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

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6
Q

What is the investigation for Herpes Simplex Virus?

A

NAAT

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7
Q

What course of Nitrofurantoin is given for pregnant women?

A

7 days

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8
Q

What is the first line treatment for Lyme Disease?

A

Doxycycline 14 days

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9
Q

What is the treatment for chlamydia?

A

Oral doxycline

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10
Q

What is the treatment for gonorrhea?

A

IM Ceftriaxone

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11
Q

What is the treatment for genital herpes?

A

Oral aciclovir

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12
Q

Which strains of HPV are responsible for genital warts?

A

6 and 11

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13
Q

What is the gold standard investigation for diagnosing TB?

A

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.

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14
Q

What is the treatment fo4 Whooping Cough/ Pertussis ?

A

Azithromycin

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15
Q

What are some risk factors for BV?

A

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

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16
Q

What are the of TB indicated for?

A

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

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17
Q

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

A

Call an ambulance and give benzylpenicillin 1.2g IM

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18
Q

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

A

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

Septic Arthritis causes:
- Staph aureus
- Gonnorhea

19
Q

What is the treatment for Tinea Corporis/ RIngworm?

A

Topical Clotrimazole

20
Q

Which bacteria causes Tetanus?

A

Clostridium Tetani

21
Q

What is the treatment for Rheumatic Fever?

A

Benzylpenicillin

22
Q

What is the first line test for EBV?

A

Monospot test

23
Q

Treatment for Tinea Pedis/Athlete’s foot?

A

Topical Clotrimazole

24
Q

Treatment for viral/bacterial conjunctivitis?

A

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

25
Q

Treatment for Influenza?

A

Oral Oseltamivir

26
Q

Why can Mycoplasma Pneumoniae infection cause Raynaud’s?

A

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

27
Q

What is the first line test for Mumps?

A

Mumps salivary IgM

28
Q

Treatment for Schistosomiasis?

A

Praziquantel and Steroids

29
Q

How can gonorrhea present in men?

A

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

30
Q

What is the treatment indicated for Osteomyelitis?

A

IV flucloxacillin and Fusidic acid/rifampicin

31
Q

What is first line for ESBL-producing organisms?

32
Q

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

A

Vancomycin ( Coagulase-Negative Staphylococci are resistant to Fluclox)

33
Q

What are some side effects of Pyrazinamide?

A

Hepatitis +++
Arthralgia

34
Q

What is the classic sign of Osteomyelitis on MRI?

A

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

35
Q

Which bacterial gastroenteritis has the fastest onset?

A

Staph Aureus - associated with handmade foods

36
Q

What is the treatment for Pseudomonas infection?

A

Ciprofloxacin
Gentamicin

37
Q

What is decolonisation therapy for MRSA?

A

Nasal mupirocin and chlorhexidine wash

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

38
Q

Which HPV viruses are associated with genital warts?

39
Q

Which HPV viruses are associated with cervical cancer?

40
Q

What is empirical therapy for suspected bacterial Meningitis?

A

IV Cefotaxime and Amoxicillin

Medicine Block Year 3 (12 decks)

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