infection

Question 1

amoxicillin in which infection causes a rash

Answer 1

EBV

Question 2

test for EBV

Answer 2

monospot/ paul-Burnell

Question 3

what advice should be given if splenomegaly is present following EBV infection

Answer 3

no contact sports 3 weeks

Question 4

MRSA eradication

Answer 4

nasal spray and hibiscrub TDS 5 days

Question 5

PUO

Answer 5

Temp >38.3 on 2+ occasions lasting more than 3 weeks, no cause found despite 1+ inpatient investigation

Question 6

how long does seroconversion of HIV take

Answer 6

1-6 weeks

Question 7

tests for HIV

Answer 7

anti HIV ABs (4-8 weeks) and P24 antigen test

Question 8

which cells are infected by HIV

Answer 8

CD4

Question 9

give an aexample of an opportunistic infection that may make you question HIV

Answer 9

recurrent shingles
TB
glandular fever
NHL

Question 10

what is a complication of HAART

Answer 10

cushings

Question 11

how soon after exposure should PEP be taken?

Answer 11

72 hours

Question 12

what is considered an undetectable viral load?

Answer 12

<50copies/ ml

Question 13

who should have the flu vaccine?

Answer 13

> 65
children
immunocompromised/ other condition- DM, CV, resp

Question 14

cause of measles

Answer 14

paramyxovirus

Question 15

fever, conjunctivitis, rash starting on hairline and spreading down body + desquamation

Answer 15

measles

Question 16

Koplik’s spots

Answer 16

measles

Question 17

low C3 and C4

Answer 17

SLE

Question 18

ANA + dsDNA

Answer 18

SLE

Question 19

what is target CD4 count for HIV

Answer 19

> 350cells/mm3

Question 20

antiemetic causing extrapyrimidal side effects

Answer 20

metaclopromide

treat with procyclidine

Question 21

measles in immunocompromised

Answer 21

giant cell pneumonia
encephalitis
otitis media

Question 22

investigations for measles

Answer 22

IgM in serum, RNA detection

Question 23

what causes mumps

Answer 23

parmyxovirus

Question 24

mumps can present as:

Answer 24

parotitis
orchitis
meningitis
pancreatitis

Question 25

organism causing scarlet fever

Answer 25

strep pyogenes

Question 26

when is infection with varizzella zoster infective

Answer 26

2 days pre-rash to last lesion crusted over

Question 27

organism causing whooping cough

Answer 27

bordetella pertussis

Question 28

how long should child with whooping cough stay off school

Answer 28

21 days/ 5 days after starting ABx

Question 29

antibiotics in whooping cough

Answer 29

macrolides- do not alter length of infection but period of infectivity

Question 30

organism causing malaria

Answer 30

plasmodium

Question 31

subacute sclerosing panencephalitis is a complication of which illness

Answer 31

measles