Infectious Disease🌏

Question 1

Common causative organism of vomiting after dairy products

Answer 1

Staph aureus

Question 2

Infective organism of TB

Answer 2

Mycobacterium tuberculosis

Question 3

2 tests for active TB

Answer 3

Ziehl-Neelson Stain - AFB (quick)
Culture (4-6 weeks)

Question 4

Who might we screen with IGRA for TB?

Answer 4

Asymptomatic people
TB contacts
Immunosuppressed people
Health care workers
People come from endemic regions

Question 5

Findings on CXR for TB (4)

Answer 5

Cavitation
Pleural effusion
Mediastinal/hilar lymphadenopathy
Infiltrates in upper lobe

Question 6

2 tests for latent TB

Answer 6

Mantoux
IGRA

Question 7

Treatment for latent TB (RIP)

Answer 7

3 months of isoniazid, pyridoxine and rifampicin
OR
6 months of isoniazid and pyridoxine

Question 8

Treatment for active TB (RIPE)

Answer 8

2 months of rifampicin, isoniazid, pyrazinamide and ethambutol
THEN
4 months of rifampicin, isoniazid and pyradoxine

Question 9

Side effect of isoniazid

Answer 9

Peripheral neuropathy

Question 10

Side effect of pyrazinamide

Answer 10

Hyperuricaemia (gout)
Hepatic toxicity

Question 11

Side effect of ethambutol

Answer 11

Colour blindness

Question 12

Antibody positive in drug induced lupus

Answer 12

Anti-histone

Question 13

Treatment for adults >50 with suspect bacterial meningitis

Answer 13

IV ceftriaxone and amoxicillin

Question 14

Treament for adults <50 with suspect bacterial meningitis

Answer 14

IV ceftriaxone