Infectious Disease

Question 1

Chlamydia:
management (1)
How to treat Chlamydia in pregnancy

Answer 1

doxycycline (7 day course) if first-line

Pregnancy: Azithromycin, erythromycin or amoxicillin

Question 2

investigation of choice chlamydia

Answer 2

NAT test (nuclear acid amplification tests)

Question 3

CF: most common cause of pneumonia

Answer 3

Pseudomonas > Staphylococcus aureus > Haemophilus influenzae > Legionella > Klebsiella.

Question 4

Meningitis management

Answer 4

IV CEFOTAXIME

3 months - 50 years: BNF recommends cefotaxime (or ceftriaxone)
> 50 years: BNF recommends cefotaxime (or ceftriaxone) + amoxicillin (or ampicillin) for adults

Question 5

Trichomonas vaginalis treatment (1)
pH (1)
discharge (1)

Answer 5

metronidazole
4.5
green

Question 6

UTI and catehter

Answer 6

DONT treat unless symptoms even with positive MSU

Question 7

Bacterial vaginosis management (1)
in pregnancy (1)

Answer 7

metronidazole
SAME

Question 8

Campylobacter jejuni: management (1)
what is it associated with (1)

Answer 8

usually selt limiting
if v unwell/ immunocomprimsied –> calrithromycin

there are always mice (ClarithroMYCin) at the camp (CAMPylobacter)

A/W Guillain barre
reactive arthritis
septicaemia
endocarditis
arthritis

Question 9

HPV vaccine age

Answer 9

all 12-13yo

Question 10

how long to take ART for after needlestick

Answer 10

4 weeks

Question 11

BV - what cells

Answer 11

clue cells

Question 12

BV - alterative treatment to metronidazole

Answer 12

topical clindamycin

Question 13

Staphylococcus aureus gastroenteritis is characterised by

Answer 13

a short incubation period and severe vomiting

Question 14

Erythema chronicum migrans

Answer 14

(‘bulls-eye’) rash occurs in around 80% of patients with Lyme disease

Question 15

which common vaccine is an inactivated preparation of the organism or virus?

Answer 15

influenza

Question 16

how many doses of tetanus is enough

Answer 16

5 doses of tetanus vaccine, with the last dose < 10 years ago, they don’t require a booster vaccine nor immunoglobulins, regardless of how severe the wound is

Question 17

Bacterial vaginosis (BV) is overgrowth of what organisms

Answer 17

anaerobic organisms such as Gardnerella vaginalis.l

Question 18

Lyme disease management

Answer 18

14-21 day course of oral doxycycline

Question 19

meningitis prophylaxis for contacts

Answer 19

Oral ciprofloxacin or rifampicin is used as prophylaxis for contacts of patients with meningococcal meningitis

Question 20

Genital wart treatment

Answer 20

Genital wart treatment
multiple, non-keratinised warts: topical podophyllum
solitary, keratinised warts: cryotherapy

Question 21

most common cause travellers diarrhoea

Answer 21

E Coli

Question 22

Trichomonas vaginalis + bacterial vaginosis are associated with a pH

Answer 22

> 4.5

Question 23

Live attenuated vaccines

Answer 23

BCG
MMR
oral polio
yellow fever
oral typhoid