infectious diseases

Question 1

red itchy vagina with thick discharge

Answer 1

vulvovaginitis

Question 2

diper rash

Answer 2

infective endocarditis

Question 3

fever, altered state of consciousness, seizures, personality change, CN palsy, speech problems

Answer 3

encephalitis

Question 4

sudden onset nausea, diarrhoea and vom

Answer 4

gastroenteritis

Question 5

ring enhancing lesions in brain, nodular shaddowing, irreg white painless plaques on lateral tongue that cannot be scraped off

Answer 5

HIV

toxoplasma gondi, pneumocystic pneumonia, hair leukoplakia

Question 6

pink/purple patch of skin often found in mouth of pt with HIV

Answer 6

kaposi sarcoma

Question 7

fever, roth spots, osler nodes, murmur, janeway lesions, anaemia, nail bed haemorrhages, emboli

Answer 7

infective endocarditis

Question 8

fever, posterior cervical node lymphadenopathy, hepatosplenomeg

Answer 8

infective mononucleosis (glandular fever)

Question 9

photophobia, neck stiffness, headache and fever

in v young or v old

Answer 9

meningitis

Question 10

anterior cervical node lymphadenopathy, pain on swallowing, fever

Answer 10

tonsilitus

Question 11

generalised rash on face and trunk

Answer 11

chicken pox

Question 12

tingling in dermatomal sensation followed by unilateral rash and painful lesions

Answer 12

shingles

Question 13

infection in neonates, extended labour, infection in previous preg

Answer 13

group B strep

Question 14

what is ecephalitis

Answer 14

inflam of brain perenchyma

Question 15

management for HSV

Answer 15

topical/oral/iv acyclovir

Question 16

inv for HIV

Answer 16

ELISA
western blot
serum HIV rapid test
HIV DNA PCR
CD4 count
viral load

Question 17

inv for inf endocarditis

Answer 17

3 blood cultures 1 hour apart,
rheumatoid factor
urgent echo

Question 18

how is glandular fever spread

Answer 18

saliva, kissing disease

Question 19

management of inf mononucleosis (glandular fever)

Answer 19

support - paracetamol + ibuprofen
corticosteroids if severe

amoxicillin is contraind

Question 20

management of meningitis

Answer 20

ceftriazone, vancomycin

Question 21

budinski sign

Answer 21

flex neck - knees and hips flex

meningitis

Question 22

kernigs sign

Answer 22

cannot straighten leg when lip flexed 90 degrees

meningitis