Microbiology Flashcards

1
Q

What is the viral cause of oral ulceration?

A
  • HSV type 1
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2
Q

Potential treatment for HSV oral ulceration if failing to resolve?

A
  • aciclovir
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3
Q

HSV 2 is associated with ulcers where?

A
  • genital mucosa
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4
Q

What causes cold sores to reactivate?

A
  • reactivation from nerves causes active infection
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5
Q

What is a severe complication of HSV?

A
  • HSV encephalitis
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6
Q

How do you diagnose HSV?

A
  • Swab of lesion in virus transport
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7
Q

What is herpangina?

A
  • vesicles or ulcers on soft palate
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8
Q

Common causative organism of herpangina?

A
  • coxsackie virus
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9
Q

What is the commonest causative organism of hand, foot and mouth?

A
  • coxsackie
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10
Q

Primary syphilis may present as what?

A
  • painless indurated ulcer at site of entry

- genital, oral and pharyngeal lesion

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11
Q

Apthous ulcer presentation?

A
  • painful

- recurrent since childhood

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12
Q

Behcet’s disease signs?

A
  • recurrent oral or genital ulcers

- uveitis

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13
Q

Common causative agent of acute pharyngitis?

A
  • viral

- group a strep (s.pyrogens)

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14
Q

Mononucleosis is also called?

A
  • glandular fever
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15
Q

What organism causes mononucleosis?

A
  • Epstein Barr Virus
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16
Q

Severe complication of pharyngitis/tonsilitis?

17
Q

Describe the microbiology of s.pyogenes?

A
  • gram positive
  • cocci chains
  • beta haemolytic
18
Q

Glomerulonephritis may present as a complication of s.pyogenes infection ____ weeks post infection

19
Q

Rheumatic fever may present as a complication of s.pyrogens infection ___ weeks post infection?

20
Q

Name 2 scoring systems that can be used to decide if antibiotics should be given in group A, beta haemolytic strep?

A
  • CENTOR

- FEVERPAIN

21
Q

DMARDs have a risk of what?

A
  • neutropenia
22
Q

Diptheria presentation?

A
  • pseudomembrane in the posterior pharynx
23
Q

Treatment of diphtheria?

A
  • antitoxin

- penicillin

24
Q

Symptoms of infectious mononucleosis

A
  • fever
  • enlarged lymph nodes
  • malaise
  • jaundice
25
Diagnosis of infectious mononucleosis?
- serology | - IgM epstein-barr virus
26
Treatment of infectious mononucleosis?
- bed rest | - paracetamol
27
Candida presents as?
- white patches on red, raw mucosa
28
Treatment of candida?
- nystatin | - fluconazole
29
How might you diagnosis otitis media?
- swab pus if eardrum perforates
30
Symptoms of otitis externa?
- redness and swelling - itchy - discharge
31
Describe malignant otitis?
- extension of otitis externa into the surrounding bone - may be fatal - risk of osteomyelitis
32
Symptoms of malignant otitis?
- pain and headache - granulation tissue at bone - exposed bone in ear canal - facial nerve palsy
33
Treatment of sinusitis?
- self-limitng - phenoxymethylpenicilin - doxycycline