infectious diseases

Question 1

what type of rash do you get with measles

Answer 1

‘maculopapular’ - flat red patches/spots starting at face (tip of hairline) + behind ears ➡ whole body

Question 2

measles causative organism

Answer 2

airborne morbillivirus (part of paramyxocirus family) - spread by aerosol transmission

Question 3

when does rash appear in measles

Answer 3

measles rash appears a few days after cold-like symptoms

Question 4

first symptoms of measles?

Answer 4

cold-like symptoms:
* fever
* runny nose
* conjunctivitis (red, sore, watery eyes)
* cough

Question 5

how many days between spread of infection → symptoms starting

measles incubation period

Answer 5

symptoms begin 10-14 days after exposure to virus

Question 6

what specific feature (symptom) may be seen in measles

Answer 6

• Koplik spots - small white ‘grain of salt’ spots inside cheeks (on buccal mucosa)
• usually appear BEFORE measles rash

Question 7

most common complication of measles (+ how it presents)

Answer 7

otitis media - unilateral ear pain + fever

redness and swelling of tympanic membrane would be seen on examination

Question 8

measles - notifiable?/not notifiable?

Answer 8

notifiable → inform public health

Question 9

complication of measles that’s the most common cause of death in these patients

Answer 9

pneumonia

Question 10

1st line Abx for Campylobacter

Answer 10

Clarithromycin

Question 11

Indications for Abx in campylobacter infection

Answer 11

• pt is immunocompromised
• severe symptoms (multiple episodes of loose stool, bloody diarrhoea, fever)

campylobacter infection is usually self-limiting

Question 12

What infection can Co-Amoxiclav use lead to

Answer 12

*C.diff *

Question 13

what neurological condition can follow campylobacter infection

Answer 13

GBS