Infectious Diseases

Question 1

Neutropenic sepsis

Answer 1

IV tazocin

Question 2

Rocky mountain spotted fever

Organism
Symptoms
Risk factors

Answer 2

Rickettsia rickettsii

Headache, fever, rash starting at peripheries

Endemic to east coast US, ticks

Question 3

Q fever

Organism
Symptoms
Risk factors
Treatment

Answer 3

Coxiella burnetti

Pneumonia, fever, hepatitis, culture -ve IE

Exposure to cattle/abattoir/infected dust

Doxy

Question 4

Congenital toxoplasmosis

(Signs and symptoms)

Answer 4

Chorioretinitis (white focal lesion with surrounding exudate and scarring)
Cerebral calcification
Hydrocephalus

Question 5

Congenital CMV

(signs and symptoms)

Answer 5

Low birth weight
Microcephaly
Sensorineural hearing loss
Purpuric skin lesion

Question 6

Painless black eschar

Condition
Treatment

Answer 6

Anthrax (Bacillus anthracis)
-> or Rickettsia (spotty mountain fever)
Ciprofloxacin

Question 7

Gonorrhoea

Treatment

Answer 7

Single dose IM ceftriaxone

Question 8

Chlamydia treatment

Answer 8

Doxycycline PO 7 days

Question 9

PEP post-needle stick

Answer 9

1 month 3-drug anti-retroviral combination

Question 10

Travellers diarrhoea -
watery diarrhoea
Acute

Answer 10

Enterotoxigenic E coli

Question 11

Travellers diarrhoea -
bloody diarrhoea
acute

Answer 11

Campylobacter

Question 12

Travellers diarrhoea -
watery diarrhoea
chronic

Answer 12

Giardiasis

Question 13

Travellers diarrhoea -
bloody diarrhoea
chronic

Answer 13

Entamoeba histolytica

Question 14

Schistosomiasis
(Bilharzia)

Treatment

Answer 14

Praziquantel

Question 15

Threadworm treatment

Answer 15

Mebendazole

Question 16

Strongyloides treatment

Answer 16

Ivermectin

Question 17

Meningitis
Most common organisms <1 mth

Answer 17

Streptococcus agalactiae
E coli
Listeria monocytogenes

Question 18

Meningitis
Most common organisms 1 - 23 mths

Answer 18

S agalactiae
E coli
Strep pneumoniae
Neisseria meningitides

Question 19

Meningitis
Most common organisms 2 - 50yrs

Answer 19

S pneumoniea
N meningitides

Question 20

Meningitis
Most common organisms >50yo

Answer 20

S

Question 21

Lower motore neurone VII palsy
Headache
Camping

Answer 21

Lymes
Borrelia burgdorferi

Question 22

Cellulitis management

First line
Pen allergic

Answer 22

Flucloxacillin
Clindamycin

Question 23

Acute epiglottitis organism

Answer 23

Haemophilus influenzae

Question 24

Travellers diarrhoea
Mesenteric adenitis

Answer 24

Yersinia

Question 25

Meningococcal meningitis prophylaxis

Answer 25

Ciprofloxacin
or Rifampicin

Question 26

Congenital Rubella

Symptoms

Answer 26

Sensorineural hearing loss
Cataracts
Heart disease (patent ductus arteriosus)
Glaucoma

Question 27

Chlamydia treatment in pregnancy

Answer 27

Azithromycin
Erythromycin
Amoxicillin

Question 28

Returning traveller
Fever
Debilitating joint pain

Answer 28

Chikungunya

Question 29

Amoxicillin + red rash

Cause
Test

Answer 29

Infectious mononucleosis
Heterophile antibody test (monospot test)

Question 30

treatment toxoplasmosis

Answer 30

pyrimethamine plus sulphadiazine

Question 31

Empirical treatment of bacterial meningitis

Answer 31

IV ceftriaxone and dexamethasone

Question 32

Endocarditis organism

Answer 32

Staph aureus
Staph epidermidis (if <2 months after valve replacement)

Question 33

Cryptosporidium testing

Answer 33

Ziehl-Neelsen on stool sample

Question 34

Lassa fever vector

Answer 34

Rats/rodents