Infectious Diseases Flashcards

1
Q
Schizonts on blood film
Parasitaemia
Hypoglycaemia
Acidosis
Pyrexia
Severe anaemia
A

Falciparum malaria: features

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2
Q

Falciparum malaria: complications (5)

A
Cerebral malaria
Acute renal failure
ARDS
Hypoglycaemia
DIC
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3
Q

Falciparum malaria: Mx

A

IV artesunate

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4
Q

Non-falciparum malaria: causes

A

P. vivax
P. ovale
P. malariae

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5
Q

P. vivax location

A

Central america and Indian subcontinent

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6
Q

P. ovale location

A

Africa

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7
Q

P. knowlesi location

A

South east asia

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8
Q

fever, headache, splenomegaly

A

Non-falciparum malaria: features

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9
Q

P. vivax / P. ovale features

A

Cyclical fever every 48 hours

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10
Q

P. malariae features

A

Cyclical fever every 72 hours and nephrotic syndrome

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11
Q

Gram-positive cocci

A

Staphylococci

Streptococci

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12
Q

Gram negative cocci

A

N. meningitides
N. gonorrhoeae
Moraxella catarrhalis

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13
Q

Gram positive rods

A
ABCD L
Actinomyces
Bacillus anthracis
Clostridium
Diphtheria
Listeria
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14
Q

Gram negative rods (6)

A
E. coli
HiB
Pseudomonas
Salmonella
Shigella
Campylobacter
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15
Q

Trypanosoma gambiense: location

A

West Africa

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16
Q

Trypanosoma rhodesiense: location

A

East Africa

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17
Q

Trypansoma chancre
Intermittent fever
Enlargement posterior cervical LN
CNS involvement

A

Sleeping sickness/African trypanosomiasis: features

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18
Q

Trypansoma chancre: what?

A

painless SC nodule at site of infection

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19
Q

Sleeping sickness/African trypanosomiasis: management

A

IV pentamidine

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20
Q

Trypanosoma cruzi: location

A

America

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21
Q

American trypanosomiasis / Chagas: early features

A

Chagoma

Periorbital oedema

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22
Q

American trypanosomiasis / Chagas: late features

A

Dilated cardiomyopathy
Arrhythmias
Megaoesophagus / megacolon

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23
Q

American trypanosomiasis / Chagas: Mx

A

Benznidazole

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24
Q

Chikungunya: what?

A

Alphavirus disease caused by mosquitoes

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25
Q

Chikungunya: where?

A

Africa, Asia and Indian subcontinent

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26
Q

Chikungunya: features

A

Severe joint pain
High fever
Flu like illness

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27
Q

Chlamydia: features

A

cervicitis, dysuria

urethral discharge

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28
Q

Chlamydia: complications

A
Epididymitis
PID
Endometritis
Infertility
Reactive arthritis
Perihepatitis
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29
Q

Chlamydia: Ix

A

Nuclear acid amplification test

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30
Q

Chlamydia: Mx

A

Doxycycline

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31
Q

Gonorrhoea: features

A

Urethral discharge, dysuria
Cervicitis
Rectal and pharyngeal infection

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32
Q

Gonorrhoea: Mx

A

IM ceftriaxone 1g

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33
Q

Features of disseminated gonococcal infection

A

Tenosynovitis
Migratory polyarthritis
Dermatitis

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34
Q

Diphtheria: where?

A

Eastern Europe / Russia / Asia

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35
Q

Diphtheria: features

A

Sore throat with grey covering
Cervical LN
Neuritis
Heart block

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36
Q

Diphtheria: Mx

A

IM penicillin

Diphtheria antitoxin

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37
Q

Tellurite agar or Loefflers media

A

Diphtheria medium

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38
Q

Prolonged dysentry

A

Amoebiasis

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39
Q

Entamoeba histolytica causes..

A

Amoebiasis

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40
Q

Amoebiasis: microscopy

A

Trophozoites if examinated within 15 minutes

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41
Q

Amoebiasis: Mx

A

Metronidazole

Luminal amoebicide

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42
Q

Cryptosporidiosis: features

A

Watery diarrhoea, abdominal cramps, fever, immunocompromise

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43
Q

Cryptosporidiosis: Ix

A

modified Ziehl-Neelsen stain

Red cysts

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44
Q

Cryptosporidiosis: Mx

A

Supportive

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45
Q

PCP: features

A

Dyspnoea, dry cough, fever

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46
Q

PCP; stain

A

silver stain

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47
Q

PCP; Mx

A

Co-trimoxazole

IV pentamidine in severe

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48
Q

Most common cause traveller’s diarrhoea

A

E coli

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49
Q

E coli diarrhoea

A

Travellers
Watery stool
Abdo cramps and nausea

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50
Q

Giardiasis

A

Prolonged non-bloody diarrhoea

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51
Q

Cholera

A

Profuse watery diarrhoea

Severe dehydrations

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52
Q

Shigella

A

Bloody diarrhoea

Vomiting and abdo pain

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53
Q

Staph aureus

A

Severe vomiting

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54
Q

Campylobacter

A

Flu like prodrome
Crampy abdo pain, fever and diarrhoea
Complications inclide GBS

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55
Q

Bacillus cerus

A

Vomiting
Diarrhoea
Related to rice

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56
Q

Borrelia burgdorferi causes

A

Lyme disease

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57
Q

Lyme disease; early features

A

Erythema migrans

Generally unwell

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58
Q

Lyme disease; later features

A

Heart block, myocarditis

Neurological signs

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59
Q

Lyme disease: Ix

A

ELISA antibodies

Immunoblot

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60
Q

Lyme disease: Mx

A

Doxycyline or amoxicillin

Ceftriazone in disemminated disease

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61
Q

Rickettsia ricketsii

A

Rocky mountain spotted fever

62
Q

Rocky mountain spotted fever: features

A

Headache and fever
Peripheral rash
Maculopapular - vasculitic

63
Q

Coxiella burnetti

A

Q fever

64
Q

Q fever

A

Pneumonia

65
Q

Rickettsia tyhpi

A

endemic typhus

66
Q

Endemic typhus

A

Central rash spreading peripherally

67
Q

Rickettsia prowazekii

A

Epidemic typhus

68
Q

Rickettsiae: gram stain

A

gram negative parasites

69
Q

Leishmania tropica

A

Cutaneous leishmaniasis

70
Q

Leishmania mexicana

A

Cutaneous leishmaniasis

71
Q

Cutaneous leishmaniasis

A

Crusted lesion

72
Q

Leishmania braziliensis

A

Mucocutaneous leishmaniasis

73
Q

Leishmania donovani

A

visceral leishmaniasis

74
Q

Visceral leishmaniasis: where

A

Mediterranean, Asia, S America, Africa

75
Q

Visceral leishmaniasis: features

A

Fevers, sweats, rigors,
HSM
Poor appetite
Gray skin

76
Q

Syphilis: VDRL

A

Negative after treatment

77
Q

Syphilis: TPHA

A

Positive following treatment

78
Q

Strep pyogenes

A

Erysipelas
Impetigo
Cellulitis
Necrotising facsciitis

79
Q

Chlaymydia trachomatis causes…

A

Lymphogranuloma venereum (LGV)

80
Q

LGV: RF

A

Men who have sex with men

HIV

81
Q

LGV: features

A

Painless ulcer
Inguinal lymphadenopathy
Proctocolitis

82
Q

LGV: Mx

A

Doxycyline

83
Q

Listeria: spread

A
Contaminated food (dairy products)
Low temperatures
84
Q

Listeria: features

A

Diarrhoea, flu like illness
Pneumonia
Ataxia
Seizures

85
Q

Listeria: BC

A

‘tumbling motility’

86
Q

Listeria: Mx

A

Amoxicillin / ampicillin

87
Q

Listeria: pregnancy

A

miscarriage, premature labour, still birth, chorioamnionitis

88
Q

Brucellosis: where?

A

Middle East

89
Q

Brucellosis: who?

A

Farmers, vets and abattoir workers

90
Q

Brucellosis: features

A

Fever, malaise
HSM
Sacroiliitis

91
Q

Rose Bengal plate

A

brucellosis

92
Q

Brucellosis: Mx

A

Doxycycline and streptomycin

93
Q

Measles: prodrome

A

Irritable, conjunctivitis, fever

94
Q

What are koplick spots?

A

White spots on buccal mucosa

Sign of measles

95
Q

Measles: rash

A

Behind ears then to whole body

Maculopapular rash becoming blotchy and confluent

96
Q

Measles: complications

A

Otitis media
Pnuemonia
Encephalitis
Sclerosing panecephailitis

97
Q

Malaria prophylaxis: what is in malarone

A

Atovaquone and proguanil

98
Q

Atovaquone and proguanil: SE

A

GI upset

99
Q

Atovaquone and proguanil: Time before and after travel

A

1-2 days before

7 days after

100
Q

Chloroquine: SE and CI

A

Headaches

CI in epilepsy

101
Q

Chloroquine: administration

A

taken weekly

102
Q

Chloroquine: time before and after travel

A

1 week before

4 weeks after

103
Q

Doxycyline: SE

A

photosensitivity

oesophagitis

104
Q

Doxycycline: time before and after travel

A

1-2 days before

4 weeks after

105
Q

What is is lariam?

A

Mefloquine

106
Q

Mefloquine: SE

A

Dizziness

Neuropsychiatric

107
Q

Mefloquine: administration

A

taken weekly

108
Q

Mefloquine: time before and after

A

2-3 weeks before

4 weeks after

109
Q

HSV: ulcer

A

Fever

Multiple painful ulcers

110
Q

Syphilis: ulcer

A

painless ulcer

111
Q

Chancroid: ulcer

A

painful ulcer with painful inguinal LN

112
Q

HIV: ring enhancing lesions on CT

A

Toxoplasmosis

113
Q

Cerebral toxoplasmosis: Mx

A

Sulfadiazine

Pyrimethamine

114
Q

HIV: single brain lesions with homogenous enhancement

A

CNS lymphoma

115
Q

False positive cardiolipin test (6)

A
Pregnancy 
SLE, anti-phospholipid syndrome
TB
Leprosy
Malaria
HIV
116
Q

What is Lemierre’s Sx?

A

Infectious thrombophlebitis of internal jugular vein

117
Q

Edes aegypti causes…

A

Dengue fever

118
Q

Dengue fever: features

A
Retro-orbital headache
Fever
Myalgia
Pleuritic pain 
Facial flushing
Maculopapular rash
119
Q

Schistosomiasis: acute features

A
Swimmer's itch
Fever
Urticaria
Arthralgia
Cough
Diarrhoea
Eosinophilia
120
Q

Schistosomiasis: chronic infection

A

RF for SCC

Bladder calcification

121
Q

Praziquantel treats..

A

chronic schistomiasis

122
Q

Pasteruella multocida

A

animal bites organism

123
Q

Animal bites: Rx

A

co-amoxiclav

124
Q

Bacteriostatic antibiotics (5)

A

Chloramphenicol, macrolides, tetracyclines, sulphonamides, trimethoprim

125
Q

Gardenerella vaginalis

A

BV

126
Q

BV: Rx

A

Metronidazole 5-7 days

127
Q

C. botulinum

A

Botulism

128
Q

Botulism: Rx

A

Botulism antitoxin and supportive care

129
Q

VZV in at risk groups

A

Check antibodies

Give VZIG

130
Q

Enteric fever: features

A
Systemic upset
Bradycardia
Abdo pain, distension
Constipation
Rose spots
131
Q

Multiple keratinised genital warts

A

Topical podophyllum

132
Q

Single keratinised genital warts

A

Cryotherapy

133
Q

Leprosy Rx

A

Rifampicin, dapsone, clofazimine

134
Q

Melioidosis

A

South East Asia

DM

135
Q

Pubic lice: Mx

A

Topical treatment to entire body with reapplication 1/52 after

136
Q

Active TB: Rx

A

RIPE for 2/12

RI for 4/12

137
Q

Latent RB: Rx

A

RI for 3/12 OR

Isoniazid 6/12

138
Q

Lassa fever: source

A

Rats

139
Q

Anthrax: features

A

Painless black eschar
Oedema
GI bleeding

140
Q

Anthrax: Mx

A

Ciprofloxacin

141
Q

Aciclovir: MoA

A

Inhibits viral DNA polymerase

142
Q

Ganciclovir: MoA

A

Inhibits viral DNA polymerase

143
Q

Ribavirin: MoA

A

Interferes with the capping of viral mRNA

144
Q

Amantadine: MoA

A

Inhibits uncoating of virus in cell

Release dopamine from nerve endings

145
Q

Oseltamivir: MoA

A

Inhibits neuraminidase

146
Q

HIV: Seroconversion Features

A
Sore throat
LN
Malasiase, arthraligia, myalgia
Diarrhoea
Maculopapular rash
Mouth ulcer
147
Q

HIV seroconversion: Diagnosis

A

HIV PCR and p24 antigen tests

148
Q

HIV: PEP

A

Oral antiretrovirals for 4/52

149
Q

Acute schistosmoiasis: features

A
Fever
Urticaria
Arthralgia
Cough
Diarrhoea
Eosinophilia
150
Q

Chancroid: features

A

Painful genital ulcers

Unilateral, painful inguinal LN

151
Q

Live vaccinations (7)

A
BCG
MMR
Influenza
Rotavirus
Polio
Yellow fever
Typhoid
152
Q

Yellow fever: progression

A

Flu –> remission –> jaundice and GI bleed