Infectious diseases

Question 1

Most common form of extra pulmonary TB

Answer 1

Lymphatic

Question 2

Mainstay of treatment for Kawasaki disease

Answer 2

Immunoglobulin and aspirin

Question 3

Criteria for antiviral drugs for flu

Answer 3

Start within 48hrs of symptoms
65+ / < 6months / pregnant

or a b/g of….

Asplenism
Immunocompromised
IHD
CKD
Chronic liver disease
Chronic respiratory disease
Chronic neurological condition
Morbid obesity

Question 3

Infection of unclear cause in a child <3 months, what should be given alongside 3rd gen cef ? and why?

Answer 3

Amox for listeria

Question 4

School exclusion advice for mumps

Answer 4

return 5 days after onset of swelling

Question 5

Treatment of choice for severe Falciparum malaria

Answer 5

IV Artesunate

Question 6

Tx of choice for uncomplicated Falciparum malaria

Answer 6

Arteminisin combination therapy

Artemether + lumefantrine

Question 7

School exclusion for scarlet fever

Answer 7

Can go back 24hrs after treatment commenced

Question 8

What complication of chicken pox are pregnant women especially at risk of ?

Answer 8

Pneumonia

Question 9

Where does the rubella rash typically start

Answer 9

Behind the ears

Question 10

Rubella exclusion period

Answer 10

5 days from rash onset

Question 11

Differentiator between malaria and dengue fever

Answer 11

Rash

Question 12

Treatment for lyme disease, either rash present or +ve serology

2nd line

Answer 12

Doxy

Amox (1st line in pregnancy)

Question 13

Most common cause for bilateral facial palsy

Answer 13

Lyme disease

Question 14

When does gas gangrene develop

Answer 14

Deep soil wound

Question 15

antiviral drug in influenza criteria

Answer 15

Present with 48hrs of symptoms and any of the following

Pregnant (up to 2 weeks PP)
65+
<6 MONTHS
Or major chronic conditions

(Zanavir can be started 36hrs after sx in children)

Question 16

Most commonly used assay tests for HIV

Answer 16

p24

Question 17

Cat scratch disease

Answer 17

Bartonella henselae

Question 18

Organism causing chancroid

Answer 18

fastidious Gram-negative bacteria Haemophilus ducreyi.

Question 19

Treatment for chancroid

Answer 19

Azithromycin or ceftriaxone

Question 20

Onchocerciasis

Answer 20

Parasitic disease caused by the filarial nematode Onchocerca volvulus

Transmitted through black flies

Lots of skin reactions, ocular involvement (river blindness)

Question 21

CD4 count diagnostic of advanced HIV disease

anti-retroviral therapy should be considered

Answer 21

<200 mm3

<350 mm3

Question 22

Tape worm treatment

Answer 22

niclosamide or praziquantel

Question 23

Rose spots are seen in?

Answer 23

Typhoid, usually on the body

Question 24

Horder’s spots can present as part of what infection?

Answer 24

Psittacosis

zoonotic infection caused by Chlamydia psittica

Horders spots are found on the face

Question 25

Erythema marginatum

Answer 25

pale red maculopapular rash seen in rheumatic fever