Infection, Immunology and Allergy Flashcards

1
Q

how many children with RSV bronchiolitis require hospitalisation

A

1-3%

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2
Q

SCID

A

genetic mutations which lead to an absence of T and B cell function (usually AR)
ADA deficiency (loss of purine salvage) accounts for 10-15% - X linked
present with recurrent life threatening infections
present 6-7 months
treatment: ABx, stem cell transplant and gene therapy
Lymphopenia and hypogammaglobulinaemia

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3
Q

What type of cells are absent in Di George syndrome

A

T lymphocytes
due to maldevelopment of thymus

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4
Q

common variable immunodeficiency

A

history of invasive bacterial infections
numerous immune system abnormalities
autoimmune complications

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5
Q

most common cause meningitis in neonate

A

group b strep
e coli
listeria

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6
Q

abx for meningitis in neonate

A

cefotaxime and amoxicillin

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7
Q

what kind of organism is E.coli

A

gram neg

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8
Q

Streptococcus pneumonia

A

gram pos
common cause meningitis in older children
starts with fever and headache

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9
Q

what life cycle stage occurs with Plasmodium vivax as opposed to plasmodium falciparum infection

A

hypnozoites

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10
Q

Staph aureus enterotoxin

A

vomiting and non bloody diarrhoea
diarrhoea usually watery and begins few hours after vomiting
after inadequately reheated food, pre made salads, contaminated meats or dairy

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11
Q

Salmonella typhi

A

high fever, diarrhoea, travel abroad
rose salmon rash
treat with ceftriaxone

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12
Q

Rotavirus

A

most common cause of viral diarrhoea
infant attending nursery
profuse watery stools, vomiting, low grade fever

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13
Q

treatment of MRSA

A

rifampicin and vancomycin

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14
Q

babies born to mothers who develop chicken pox 7 days before - 7 days after birth management:

A

VZOG regardless of serological status

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15
Q

C1, C2,C4 deficiency associations

A

associated with SLE and RA

C2: and recurrent URTI with strep pneumoniae

C4: hereditary angioedema

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16
Q

C3 deficiency associations

A

recurrent infections with encapsulated bacteria e.g. haemophilus influenza, S.pneumoniae, salmonella typhi

17
Q

C5-9 deficiency associations

A

opportunistic bacterial infections e.g. meningococcus and gonorrhoea

18
Q

treatment for chlamydia on eye swabs

A

oral erythromycin

19
Q

Cat scratch disease

A

Bartonella henselae

20
Q

HHV-6

A

roseola
high fever 3/7 no focus
febrile seizure
rash appears as fever subsides, begins centrally red macular papular

21
Q

Wiskott-Aldrich syndrome

A

primary immunodeficiency
eczema
recurrent infections
thrombocytopenia

22
Q

Cysticerosis

A

worldwide parasitic infction
affects CNS - Seizures, neuro signs
cystic lesion on MRI

23
Q

Schistosomiasis

A

swimming in infected water
painless haematuria 12 weeks later
itchy rash after swimming
may be acute febrile illness 4 weeks after event

24
Q

Giardia

A

waterborne parasite, affects upper small intestine
acute diarrhoea illness
can progress to chronic infection - malabsorption, steatorrhoea, wasting, stunting, low b12 and folate