Microbiology - Microbiology 1 Flashcards
at which point is chickenpox infectious
a.48 hrs after rash onset
b.48 hrs before reach onset
b.48 hrs before reach onset
if pregnant woman in contact with infectious chickenpox case prior to 20 weeks what is there an increased risk of
a.congenital varicella syndrome
b.neonatal varicella
c.hydrops fetalis
a.congenital varicella syndrome
if pregnant woman in contact with infectious chickenpox case near end of pregnancy?@ delivery s what is there an increased risk of
a.congenital varicella syndrome
b.neonatal varicella
c.hydrops fetalis
b.neonatal varicella
if a pregnant woman has no hx of chickenpox what should be tested for
a.igG
b.IgE
c.IgM
d.IgA
a.igG
memory antibodies that indicate immunity
if a pregnant woman is tested for IgG after being in contact with chickenpox and does not have it what treatment should be given
a. varicella immunoglobulin
b.follow up at feral ultrasound unit
c.oral vancomycin
d.gentamicin
a. varicella immunoglobulin
how is c diff tested for
c diff toxin +ve in stool sample
3 key elements of managing symptomatic c diff
antibiotics
are they on them already? can they be stopped
active treatment - oral vancomycin
infection control- soap and water hand hygiene and isolation room
other GI drugs
stop psi and laxatives while on vancomycin
which antibiotic is given orally for c diff infection
a.vancomycin
b.gentamycin
c.ciprofloxacin
d.trimethoprim
e.co amoxiclav
a.vancomycin
slapped cheek syndrome is associated with which virus
a.cmv
b.ebv
c.parvovirus b19
d.herpes simplex
e.varicella zoster
c.parvovirus b19
what are the implications for the foetus if the pregnant woman gets parvovirus b19
a.congenital varicella syndrome
b.neonatal varicella
c.hydrops fetalis
c.hydrops fetalis
anaemia, heart failure, death
if pregnant woman in contact with someone with parvovirus b 19 what should be done
a.test for igG
b.test for igG and Igm
c.give varicella immunoglobulin
d.referall to fetal medicine unit
e.throat swab
b.test for igG and Igm
IGG for immunity
IGM for acute infection
pregnant woman being tested for parvovirus
results IGG -ve and IGM -ve
a.no acute infection, no immunity
b.acute infection
c.previous infection (immunity)
a.no acute infection, no immunity
pregnant woman being tested for parvovirus
results IGG -ve and IGM +ve
a.no acute infection, no immunity
b.acute infection
c.previous infection (immunity)
b.acute infection
pregnant woman being tested for parvovirus
results IGG +ve and IGM -ve
a.no acute infection, no immunity
b.acute infection
c.previous infection (immunity)
c.previous infection (immunity)
if there is an acute infection of parvovirus b19 present i.e iGM +ve what should be done
a.test for igG
b.oral vancomycin
c.give varicella immunoglobulin
d.referall to fetal medicine unit
e.gentamicin/vancomycin
d.referall to fetal medicine unit
will follow up and do a high res ultrasound to look for metal heart failure
intrauterine transfusion if anaemia present
