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1MRCP Part 1 > Infectious Diseases and GUM > Flashcards

Infectious Diseases and GUM Flashcards

1
Q

Dengue Features (4)
Complication

A

Fever
Headache
Myalgia
Maculopapular Rash

Can become haemorrhagic fever

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2
Q

Sequence of Yellow Fever
Features (2)

A

Unwell with viral illness > recover > unwell
Jaundice
Haemorrhage

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3
Q

Testing for Syphillis
- Prove Infection (3)
- Repeat Infection (1)

A

Prove
- TB haemoglutination assay
- TP particle agglutination assay
- Chemiluminescence assay

Repeat
= rapid plasma reagin test
Should be negative after treatment

RPR test = refinement of VDRL

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4
Q

What is the recommendation for hepatitis C exposure?

A

Monthly Hep C virus surveillance

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5
Q

HbsAg
What is it?
Antibody?

A

First marker of acute infection
If present less than 6 months = acute infection
Persists in chronic infection
Antibody
= anti-HBS
- Produced in response to infection OR in vaccination
= either resolved infection or vaccination

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6
Q

Hepatitis serology in vaccination

A

anti-HBS positive ONLY

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7
Q

Brucella melitensis

A

Bruce the Cow
= unpasteurised milk

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8
Q

Bartonella henselae

A

Bartonella the Cat
= cat scratch disease

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9
Q

Short duration - reactive arthritis, skin involvement

A

Gonorrhoea

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10
Q

Types of Malaria

A

Falciparum - most common

Vivax
Ovale
Malariae

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11
Q

Falciparum Vivax
- where found
- reproductive cycle

A

Most common NON falciparum
Central America and India
Every 48 hours

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12
Q

Falciparum Ovale
- where found
- reproductive cycle

A

Africa
Every 48 hours

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13
Q

Falciparum Malariae
- reproductive cycle
- association

A

Every 72 hours
Nephrotic syndrome

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14
Q

Features of falciparum malaria (3)

A

Fever
Thrombocytopaenia
Mild anaemia

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15
Q

Complications of Malaria (5)

A

Seizures
ARDS
Renal failure
DIC
Hypoglycaemia

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16
Q

Indication for IV treatment of malaria

A

> 2% parasite count
- if >10% may need exchange treatment

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17
Q

Schistomiasis associated with bladder infiltration/calcification

A

Haematobium

18
Q

Features of acute schistomiasis (5)

A

FUMDE
Fever
Urticaria
Myalgia
Diarrhoea
Eosinophilia

19
Q

Treatment of Anthrax

A

Ciprofloxacin

20
Q

Treatment of Pubic Lice

A

Malathion or peremethin
- should be applied to all body hair, retreated and then re-examined

21
Q

Immediate complication of measles

A

Pneumonia

22
Q

Lassa virus - how is it spread?

A

Rats

23
Q
A
24
Q

Cause of polycythaemia
- why?

A

Uterine fibroids
Due to exogenous production of epo

25
Q

Consequence of diptheria

A

Heart block - causes myocarditis

26
Q

Acute HIV testing

A

HIV 1/2 Ab/Ag assay - can detect within 10 days
If inconclusive then consider NAAT or p24

27
Q

Plasmodium vivax prophylaxis

A

Primaquine

28
Q

Presentation of Strongoloides
Where can be found
Treatment

A

= parasitic infection
Rash of the buttocks and feet
Can be found in Americas, Asia
Treated with ivermectin

29
Q

Where do you find plasmodium knowlesi?

A

Thailand/South East Asia
No lessi of a traveller on their gap yah

30
Q

Diagnosis of Lyme’s Disease

A

ELISA

31
Q

-gravir

A

= integrase inhibitors
Used in HIV

32
Q

What is blackwater fever?

A

A complication of malaria
Presents like malaria, dark urine, red blood cells everywhere

33
Q

Bacterial vaginosis - dominant bacteria

A

Gardenella vaginalis

34
Q

Treatment of Schistomiasis

A

Praziquantel

35
Q

Conjunctivitis
Viral prodrome
Facial Maculopapular rash

A

Measles

36
Q

Cat scratch
Ipsilateral lymphadenopathy
Starry staining

A

Bartonella

37
Q

Which malaria has the shortest reproductive cycle?

A

Plasmodium knowlesi
24 hour reproductive cycle

38
Q

Features of dengue fever (5)

A

5-7 day history
Tropical location
Thrombocytopaenia
Lymphopaenia
- both are mild
Rash

39
Q

Malaria management

A

Artemether-lumefantine (ACT)
or
Chloroquine

40
Q

Hepatitis B exposure

A

Booster vaccination

41
Q

Vaccination that must be avoided in HIV

A

BCG

1MRCP Part 1 (20 decks)

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