Infectious disease

Question 1

Pyleonephritis treatment

Answer 1

IV ceftriaxone (or cirpofloxacin)

Question 2

Gonorrhoea treatment

Answer 2

ceftriaxone , azithromycin, doxyclyin

Question 3

Do we treat asymptomatic bacteruira in pregnant women?

Answer 3

Yes

Question 4

Cellulitis

osteomylitis

Answer 4

fluclox or vanc if severe

Question 5

gas gangrene

Answer 5

clostridium perfingens
-Xray - gas in soft tisssue post infection of wound

-treatment - debridement and PCN + clindamyin

Question 6

Necrotizing fascitis

Answer 6

-strep and staph

• rapid progressive fast spread, creptius, pain ou tof proportion, blue/grey discolouration
• Xray - gas in tissue
• srugical debridement or amputant to stop spread
• broad spectrum antibiotics

Question 7

Pneumonia - curb score

Answer 7

1 - amox
2- 3 - augmnetin + erythromycin

hosiptail auquired - pip taz
or augmentin - minor

COPD - haemophilus influeznea

Aspiriation - klebsiella, anerobes (alcoholics ect)

HAP - psudomonas, MRSA
immunsupressed - TB, fungal, PCP

Question 8

Curb score

Answer 8

Confusion
Urea
Resp rate
Blood pressure
65 years or older

Question 9

Infective endocarditis

major and minor criteria

Answer 9

Major
-Bactermia (sustained)
endocardial evidence by echo
-new valvlar regurgitation

Minor

• RF
• fever
• vascular phenomena (janeway lesions other evidence)
• Immunolkogica phenomen a

To define - 2 major criteria
-1 minor and 3 major or 5 minor

Viridans sterp - augmentin
Staph - fluclox
Enterococcus faec - augmentin

Prophylasix s- amoxiciilin

Question 10

Lyme disease

Answer 10

Lyme disease is caused by the spirochaete Borrelia burgdorferi and is spread by ticks.

• rash, fever, arthralgia
• erythema chronicum migrans (‘bulls-eye’) rash
• ELISA testing

-doxycilin