infectious disease

Question 1

metronidazole and alcohol

Answer 1

disulfiram like reaction

nausea vomiting flushing

Question 2

staphyloccocal toxic shock syndrome

Answer 2

tampon left in too long

fever >38.9
hypotension
diffuse erythematous rash –> desquamation (esp of palms and soles)

Question 3

yellow fever what is it and spread by what

Answer 3

type of viral haemorrhagic fever (like dengue, lassa and ebola)

Zoonotic infection by aedes mosqitoes

Question 4

yellow fever presentation whats on hepatocytes

Answer 4

flu like illnesss lasting less than week

then sudden inset high fever, rigors, N&V.
maybe bradycardia

brief remission then jaundice haematemesis, oliguria

councilman (inclusion bodies) on hepatocytes

Question 5

Herpes simplex encephalitis

Answer 5

temporal lobe changes on CT

therfore temporal neuro sx ie focal temporal lobe and seizures, general neuro sx and altered mental state

Question 6

toxoplasmosis in immunocompentant pt

and tox complications

Answer 6

=no tx required

anaemia
seizure
chorioretinitis

Question 7

who many toxoplasmosis complications occur in

Answer 7

neonates born to mother w active infection
immunocomp

Question 8

cerebral tox in hiv pt

Answer 8

ct = single or multiple ring enhanced lesions mass effect may be seen

mx = pyrimethamine + sulphadiazine for 6 weeks

Question 9

bacillus cereus

Answer 9

vom within 6 hrs due to rice

diarrhoeal illness after 6 hrs (up to 15hrs)

Question 10

1-6 hrs inclubation

Answer 10

bacillus ceures
staph aureus

Question 11

12 - 48 hrs incubation gastroenteritis

Answer 11

salmonella E.coli

Question 12

48-72hrs incub gastroenteritis

Answer 12

shigella
campylobaster

Question 13

> 7 days incub period

Answer 13

giardiasis
amoebiasis

Question 14

glandular fever other signs

Answer 14

palatal petechai
transient rise in ALT
lymphocytosis
haemyltic anaemic 2ndy to cold agglutins (IgM)

Question 15

infections mono and amxo/ampicllin

Answer 15

maculopapular pruritic rash

Question 16

complications of varicella zoster virus

Answer 16

2ndry bacterial infection

rare
pneumonia
encephalitis
disseminated haemorrhagic chickepox
arhtritis nephritis pancreatitus v rare complication

Question 17

mycoplasma pneumonia –> anaemia?

Answer 17

pt w myco.pneum n anaemia
raised LDH
raised unconj bilirubin

=
autoimmune haemolytic anaemia

Question 18

TB lung effect

Answer 18

upper zone pulmonory fibrosis

Question 19

lyme disease tx

Answer 19

14-21 days oral doxy