Micro

Question 1

Congenital infections

Answer 1

TORCHS
Toxo
Other (HIV/Hep B)
Rubella
CMV
HSV (VZV)
Syphilis

Question 2

Features of congenital infections

Answer 2

TORCH
Thrombocytopoenia
Other: Eyes/ears
Rash
Cerebral abnormalites (microcephaly, meningoencephalitis)
Hepatosplenomegaly (Hepatitis, Jaundice)

Question 3

Live Vaccines

Answer 3

MMR
VZV
Yellow Fever
BCG
Oral Polio (Sabin)

Question 4

Inactivated vaccines

Answer 4

Rabies
HAV
Polio (Salk)

Question 5

Conjugate vaccines

Answer 5

MenC

Pneumococcus

Question 6

Detoxified vaccine

Answer 6

Tetanus

Question 7

Recombinant protein vaccine

Answer 7

HBV

Question 8

Subunit vaccines

Answer 8

Typhoid

Influenza

Question 9

2 month old vaccines

Answer 9

DTaP
IPV
HiB
PCV
Rotavirus

Question 10

3 month old vaccines

Answer 10

DTaP
MenC
IPV
HiB
Rotavirus

Question 11

4 month old vaccines

Answer 11

DTaP
PCV
IPV
HiB

Question 12

12 month old vaccines

Answer 12

MMR
HiB/MenC
PCV

Question 13

3 years and 4 months vaccines

Answer 13

MMR
IPV
DTaP

Question 14

14 year old vaccines

Answer 14

Td
IPV
MenC

Question 15

Bacteriostatic ABx

Answer 15

Tetracyclines (Doxycycline)
Sulphonamides
Trimethoprim

Question 16

Vancomycin coverage

Answer 16

Gram +ve only

Question 17

Gentamicin coverage

Answer 17

Gram -ve only

Question 18

Vancomycin SEs

Answer 18

Red man syndrome

Nephrotoxic

Question 19

Gentamicin SEs

Answer 19

Ototoxic (tinnitus, deafness, nystagmus)

Question 20

Metronidazole coverage

Answer 20

Anaerobes

Question 21

B lactam order of increasing spectrum

Answer 21

PBAFC To CCC ME
Penicillin
BenPen
Amoxicillin
Fluclox
Co-amox
Tazocin
Cefuroxime
Ceftriaxone
Cefalexin
Meropenem
Ertapenem

Question 22

Skin infection (S aureus) Abx

Answer 22

Fluclox

Question 23

Pharyngitis (GAS) Abx

Answer 23

BenPen

Question 24

CAP mild + severe Abx

Answer 24

Mild= Amox
Severe= Cefuroxime + Clarithromycin

Question 25

HAP Abx

Answer 25

Cefuroxime

Question 26

Meningitis Abx

Answer 26

Ceftriaxone (BenPen in community)

Amox if Listeria likely

Question 27

UTI Abx (community + hospital)

Answer 27

Community= Trimethoprim
Nosocomial= Augmentin (Co-Amox)

Question 28

Sepsis Abx (severe + neutropoenic)

Answer 28

Severe= Cefuroxime, Met + Gent
Neutropoenic= Taz + Gent

Question 29

C diff colitis Abx

Answer 29

Stop Ceph/Clinda/Cef

Metronidazole

Question 30

TB meds SEs

Answer 30

R= Orange secretions, Hepatotox, cP45- inducer
I= Peripheral neuropathy (B6 def), Hepatotox
P= Hyperuricaemia, Hepatotox
E= Optic neuritis, avoid in RF

Question 31

CURB 65

Answer 31

Confusion (AMTS less than 8)
Urea >7
RR >30
BP Less than 90/60
Age >65
3+ = hospital

Question 32

Legionella pneumonia ABx

Answer 32

Macrolide + Rifampicin

Question 33

S aureus pneumonia ABx

Answer 33

Fluclox

Question 34

Pseudomonas pneumonia ABx

Answer 34

Taz

Question 35

MRSA pneumonia ABx

Answer 35

Vanc

Question 36

Aspiration pneumonia ABx

Answer 36

Cef + Met

Question 37

Gonorrhoea Tx

Answer 37

IM Ceftriaxone 250mg or PO Cefotaxime 400mg

Question 38

Chlamydia Tx

Answer 38

Azithromycin 1g PO or Doxycycline 100mg BD for 7/7

Question 39

Syphilis Tx

Answer 39

IM BenPen

Question 40

Trichomonas Tx

Answer 40

Met

Question 41

Bacterial Meningitis CSF

Answer 41

Neuts, High Protein, Low Glucose

Question 42

Viral Meningitis CSF

Answer 42

Lymphos, High Protein, Normal glucose

Question 43

TB Meningitis CSF

Answer 43

Lymphos, V High Protein, Low Glucose

Question 44

Diagnostic test for Leptospira

Answer 44

Microscopic Agglutination test

Question 45

Prion disease feats

Answer 45

Demented LAMB
LMN signs
Akinetic mutism
Myoclonus
Blindness (Cortical)

Question 46

(s)CJD CSF

Answer 46

Protein 14-3-3

Question 47

EBV serology

Answer 47

+ve Paul Bunnell test
Atypical Lymphocytes
Heterophile Abs

Question 48

CMV serology

Answer 48

Owl’s eye inclusions on fibroblast culture

Question 49

HBV Tx

Answer 49

PegIFNalpha2a, Lamivudine, Tenofivir

Question 50

HCV Tx

Answer 50

PegIFNalpha2b, Ribavarin