MEDgems Flashcards

1
Q

TB medication

A

R : orange secretions, cytochrome p450
I: hepatotoxic, peripheral neuropathy
P: hyperuricaemia
E: optic neuritis

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2
Q

kernig’s sign

A

pain on passive extension of knees

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3
Q

passive flexion of neck causes flexion of hip and knee

A

brudzinski

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4
Q

do aminoglycosides give gram positive cover?

A

no

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5
Q

malaria mosquito vector

A

female anophele

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6
Q

coronovirus belongs to

A

sars-cov-2
coronavirididae

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7
Q

what subtype of herpes simplex virus is implicated in encephalitis?

A

HSV type 1

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8
Q

primary infective lesion in lungs by mycobacterium?

A

Ghon’s focus
lower zones towards periphery of lung - calcifies

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9
Q

scoring system - sore throat

A

CENTOR

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10
Q

vancomycin is what kind of antibiotic?

A

glycopeptide

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11
Q

oseltamivir inhibits what enzyme?

A

neuramindase

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12
Q

gold standard for diagnosing fungal infection?

A

culture
but takes long

chemical reaction / micrscopy

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13
Q

how to investigate allergic bronchopulmonary aspergillosis ?

A

methenamine silver stain

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14
Q

what does india ink stain for ?

A

cryptococcus

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15
Q

pneumocystis is investigated with what stain?

A

periodic acid-schiff

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16
Q

what growth medium to differentiate streptococci?

A

blood agar
alpha haemolytic: GREEn

beta haemolytic: goes clear

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17
Q

cat scratch disease?

A

Bartonella henselae

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18
Q

fungal antigen in invasive aspergillosis?

A

galactomannan

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19
Q

severe malaria in children is what % of RBC

A

2%

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20
Q

severe malarial infection management?

A

IV artesunate

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21
Q

pork tapeworm

A

taenia solium

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22
Q

how is Q fever diagnosed?

A

serology

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23
Q

visceral leishmanias mx?

A

liposomal amphotericin B

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24
Q

scarambled egg ; profuse diarrhoea?

A
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25
Q

beta haemolytic strep

A

Group A - Streptococcus pyogenes (skin infections, nec fasc)
Group B - Streptococcus agalactiae (neonatal infection)
Group D - Enterococci

26
Q

alpha haemolytic strep

A

Streptococcus pneumoniae and Streptococcus viridans.

27
Q

malarial species
72 hour fever pattern

A

plasmodium malariae

28
Q

atypical lymphocytes are a hallmark of?

A

epstein barr virus

29
Q

painless penile ulcer
inguinal lymphadenopthy?

A

primary syphilis

30
Q

q fever

A

coxiella burnetii

31
Q

Mycobacterium tuberculosis is a slow-growing bacterium that requires a specialized growth medium like

then how do you see bacteria?

A

Löwenstein-Jensen

1st grow then use ziehl-neelson stain

32
Q

class of organisms host of coxiella burnetii

A

mammal - cows, sheep,goats

33
Q

what organism causes listeriosis?

A

listeria monocytogenes
> meningitis, encephalitis, sepsis

gram + rod
amoxicillin

34
Q

1st line abx for limited impetigo?

A

fusidic acid

35
Q

ulcerative, plaque or verruca like affecting readily exposed skin, such as forearms or shins

A

Leishmaniasis is a protozoan disease spread by sandflies

36
Q

aspergillus stain

A

methenamine silver stain

37
Q

leptospirosis - what animal urine transmits spirochaete

A

rat

38
Q

athelete’s foot is caused by?

A

trichophyton rubrum

39
Q

HRCT scan shows large bullae and large left lobe rounded mass surrounded by crescent of air

HIV + pt with haemoptysis

A

aspergilloma

40
Q

how to diagnose malaria?

A

thick blood film

41
Q

bacterial vaginosis mx

A

metronidazole

42
Q

types of leishmaniasis

A

cutaneous

mucocutaneous - amphotericin

black fever/ visceral - amphotericin B

43
Q

how to differ between chlamydia and gonorrhoea

A

NAAT test
nucleic acid amplification test

44
Q

typical presentation of listeriosis in immunocompetent

A

gastroenteritis

45
Q

A 16 year old athlete is seen by a pharmacist for an itchy white rash between his toes.

A

clotrimazole

46
Q

dengue belongs to what family of virus?

A

flavivirus
3-14 days after infection

47
Q

lyme is caused by?

A

borrelia burgdorferi

48
Q

what phylum do leptospira, borrelia belong to?

A

Spirochaetes

49
Q

what antimicrobial 1st line for fungal infection

is the best answer because it has a high cure rate for severe, widespread fungal nail infections

A

Terbinafine

50
Q

atypical mycobacterium
marine biologist

A

mycobacterium marinum

51
Q

where do leishmania parasites multiply?

gold standard diagnostic test?

A

macrophage
splenic aspirate

52
Q

beef tapeworm?

A

taenia saginata

53
Q

mild URTI causative agent?

A

rhinovirus

54
Q

Chancroid what organism?

A

Haemophilus ducreyi

55
Q

diagnostic test for the presence of tinea or trycophyton (skin fungal infections)

fast / quicker result

A

Potassium hydroxide test

56
Q

microscopy for fungal

cryptococcus
pneumocystis
periodic acid-schiff

A

india ink
methenamine (silver stain)

PAS or methenamine silver stain

57
Q

53 yr old plumber - worsening chest infection even after amoxicillin

A

legionella

water system
atypical

mx: doxycycline

58
Q

severe vomiting after eating chicken?

2 hours
1 day ago at bbq

A

staph aureus
campylobacter

59
Q

HSV transmission is worse when?

in pregnancy?

A

third trimester

60
Q

clue cells on microscopy of vaginal discharge?

A

bacterial vaginosis

61
Q

Argyll Robertson pupil

A

constrict when focus- react but not to light

neurosyphylis

62
Q
A