Infectious Diseases

Question 1

Farmer with new fever, hepatomegaly and AKI

Answer 1

Leptotospirosis (if develops to meningitis, called Weils disease)

Question 2

Farmers with new fever and ALD

Answer 2

Brucellosis

Question 3

Farmer with new fever, hepatomegaly and atypical pneumonia +/- culture negative infective endocarditis

Answer 3

Q fever by coxiella

Question 4

Glomerulonephritis in returning traveller from Brazil?

Answer 4

Schistosoma

Question 5

Amoebiasis

Answer 5

Bloody diarrhoea after travelling. Ulceration on flexi-sig. Confirm with PCR and serology/ stool sample for trophozoites. Treat with metronidazole.

Question 6

Tropical Sprue

Answer 6

Long stay travellers in Asia, Caribbean and South America. Causes malabsorption diarrhoea.

Question 7

How is Coxiella burnetii transmitted?

Answer 7

Inhaled in infected dust –> CXR may show multilobar consolidations

Question 8

Fever, constipation and sparse generalised rash in returning traveller

Answer 8

Typhoid

Question 9

Which antimalarial treats erythrocytic stage?

Answer 9

Chloroquine

Question 10

Which antimalarial treats the liver hypnozoites stage?

Answer 10

Primaquine

Question 11

Enteric fever is caused by….

Answer 11

Salmonella typhi - gram -ve rods
Otherwise known as typhoid

Question 12

Which malarias are capable of dormancy?

Answer 12

Vivax and Ovale

Question 13

Plasmodoium vivax is found

Answer 13

Africa, central america and india