Infectious diseases

Question 1

Chancroid presentation and organism

Answer 1

Heamophilus ducreyi -> ulcers followed by enlarged inguinal lymph nodes a few days later

Question 2

Osteomyelitis

Answer 2

Co-Amox IV TDS for 4 - 6 weeks

Question 3

Gonorrhoea Tx

Answer 3

Ceftriaxone, if pen allergic single dose azitrhomycin

Question 4

Lymphogranuloma venereum presentation and Tx

Answer 4

Shallow painless ulcer on glans, treated with doxy bd for 21 days. Chalmydia trachomatis and also swollen lymph nodes

Question 5

Dengue fever presentation

Answer 5

abrupt onset fever, rash, bone and muscle pain. Sutiable geography (SE asia). IgM serology or PCR. Supportive treatment

Question 6

Bacillus cereus vs Staph aureus

Answer 6

Staph aureus onset within 1 - 6 hours

Question 7

Highest risk long-term sequelae in schistosomiasis

Answer 7

Hepatic fibrosis over bladder carcinoma

Question 8

How to detect infectious TB?

Answer 8

Sputum culture and microscopy

Question 9

Diphteria antibiotic

Answer 9

azithromycin

Question 10

Treatment campylobacter

Answer 10

azithromycin

Question 11

Strongyloides sx and tx

Answer 11

Northern thailand, abdo pain, weight loss, repsiratory symptoms, urticarial rash. Eosinophilia. Tx with ivermectin or albendazole

Question 12

Jarish Herzheimer Reaction in which diseases and Tx

Answer 12

Nil

Seen in tx of syphilis and borrelia

Question 13

HIV management

Answer 13

Question 14

Mycobacterium avium presentation and tx

Answer 14

Question 15

Which vaccine to avoid in HIV?

Answer 15

BCG

and live vaccines can be given as long as CD4 count over 200

Question 16

Examples of live vaccines

Answer 16

Hep A

Yellow fever

MMR

Chickenpox

Shingles

Question 17

HYdatid disease presentation

Answer 17

Question 19

IRIS can be seen in which conditions

Answer 19

HIV and Whipple’s