Infection

Question 1

What are symptoms of yellow fever?

Answer 1

flu like illness → brief remission→ followed by jaundice and haematemesis

Question 2

LP results

Answer 2

find table

Question 3

What bacteria is associated with cavitating lesions when it causes pneumonia?

Answer 3

Staphylococcus aureus

Question 4

What is management when patient is exposed to rabies?

Answer 4

Give human rabies immunoglobulin + full course of vaccination

Question 5

What are symptoms of leptospirosis?

Answer 5

1st week symptoms:
- fever
- flu like symptoms
- unconjunctival suffusion (redness)/haemorrhage

Later on symptoms:
- AKI
- hepatitis: jaundice, hepatomegaly
- aseptic meningitis

Question 6

What is treatment of cellulitis?

Answer 6

• oral flucloxacillin as first-line
• treatment for mild/moderate cellulitis
  oral clarithromycin, erythromycin (in pregnancy) or doxycycline is recommended in patients allergic to penicillin

Question 7

What condition is characterised by mutliple painful genital ulcers?

Answer 7

genital herpes

Question 8

What are signs of acute prostitis in young men?

Answer 8

• urinary symptoms and a tender enlarged prostate
• general malaise and pain in his perineum and scrotum.
• increased urinary frequency and some burning pain on passing urine
• Prostate is tender + boggy enlargement

Question 9

What conditions have painful genital ulcers?

Answer 9

Herpes and chancroid (less common)

Question 10

What conditions have painless genital ulcers?

Answer 10

Syphilis and lymphogranuloma venereum (less common)

Question 11

What is the difference between syphilis and lymphogranuloma venereum?

Answer 11

Syphilis has painless lymphadenopathy, while LV is painful and unilateral.

Question 12

What are features of chancroid?

Answer 12

• painful genital ulcers
• unilateral, painful inguinal lymph node enlargement.
• ulcers typically have a sharply defined, ragged, undermined border.

Question 13

How to treat vaginal thrush/ candida?

Answer 13

Oral fluconazole single-dose is first-line

Question 14

How to treat scarlet fever?

Answer 14

Oral phenoxymethylpenicillin

Question 15

What organisms cause post-splenomegaly sepsis?

Answer 15

Streptococcus pneumoniae
Haemophilia influenzae
Meningococci

Question 16

What is gold standard investigation for TB?

Answer 16

Sputum culture

Question 17

What is a side effect of ciprofloxacin?

Answer 17

Achilles rupture

Question 18

What are the 2 options to give as prophylaxis for contacts of patients with meningococcal meningitis?

Answer 18

Oral ciprofloxacin or Oral rifampicin

Question 19

What are features of typhoid fever?

Answer 19

• Salmonella typhi
• rose spots on the abdomen
• Systemic upset
• Abdo pain + distension
• Constipation

Question 20

What is treatment of Pneumocystis jiroveci ?

Answer 20

co-trimoxazole (trimethoprim and sulfamethoxazole)

Question 21

What the traid for CNS lymphoma?

Answer 21

HIV, neuro symptoms, single brain lesions with homogenous enhancement

Question 22

what is treatment of latent TB?

Answer 22

• 3 months of isoniazid (with pyridoxine) and rifampicin, or
• 6 months of isoniazid (with pyridoxine)

Question 23

When is HIV prophylaxis given?

Answer 23

up to 72h

Question 24

What are features of Entamoeba histolytica (amoebiasis)?

Answer 24

dysentery, liver abscesses, colonic abscesses, or inflammatory masses in the colon

Question 25

What is treatment for cellulitis?

Answer 25

1st - penicillin
2nd - clarithromycin or erythromycin (if preg)