Pass Med Q's

Question 1

how is the influenza vaccine given to children

Answer 1

intranasally

- this is a live vaccine

Question 2

what type of vaccine is the IM influenza vaccine given to adults

Answer 2

inactivated vaccine

Question 3

what metabolic problems can legionella cause

Answer 3

hyponatraemia

deranged LFTs

Question 4

what metabolic abnormality is associated with cholera

Answer 4

hypoglycaemia

Question 5

what is red man syndrome

Answer 5

redness, pruritis, burning sensation typically in upper body associated with rapid infusion of vancomycin

Question 6

management of red man syndrome

Answer 6

stop transfusion and recommence at a slower rate once symptoms have resolved

• iv fluids if associated hypotension
• antihistamines given in more severe cases

Question 7

what vaccines should not be given to immunosuppressed patients

Answer 7

those which are live-attenuated:

• BCG
• MMR
• polio
• typhoid
• yellow fever

Question 8

examples of inactivated vaccines

Answer 8

rabies
hep A
IM influenza

Question 9

examples of toxoid vaccines

Answer 9

diptheria
pertussis
tetanus

Question 10

what antibiotic can cause a black hairy tongue as a side effect

Answer 10

doxycycline

Question 11

what antibiotic is given for human/animal bites

Answer 11

co-amoxiclav

doxycycline + metronidazole if allergic

Question 12

management of pregnant lady who develops herpes simplex infection >28 weeks gestation

Answer 12

elective C section

oral aciclovir 400mg 3xdaily until delivery

Question 13

complications of mycoplasma pneumonia

Answer 13

erythema multiforme

cold autoimmune haemolysis

Question 14

atypical lymphocytes

Answer 14

infectious mononucleosis

Question 15

triad of symptoms in infectious mononucleosis

Answer 15

sore throat, fever, lymphadenopathy

Question 16

management of pregnant woman with asymptomatic bacteruria

Answer 16

commence antibiotics for 7 days

• nitrofurantoin 1st trimester
• trimethoprim 3rd trimester

Question 17

why is nitrofurantoin avoided in 3rd trimester of pregnancy

Answer 17

linked with haemolytic anaemia of the newborn

Question 18

painful penile ulcer with ragged edge

unilateral painful lymphadenopathy

Answer 18

chancroid

Question 19

bilateral conjunctivitis, bilateral calf pain, high fevers

- what infectious disease ?

Answer 19

leptospirosis

Question 20

how is leptospirosis spread

Answer 20

contact with urine of infected rodents

e.g. more common in sewage workers / farmers

Question 21

tx leptospirosis

Answer 21

high dose benzylpenicillin / doxycycline

Question 22

management of pregnant woman <20 weeks gestation exposed to parvovirus B19 (“Slapped cheek”)

Answer 22

check maternal IgM and IgG

- risk of hydrops fetalis

Question 23

do children need to be kept off school if they have slapped cheek rash

Answer 23

no they are no longer infectious once the rash has appeared

Question 24

tx of syphilis

Answer 24

benzathine penicillin

Question 25

what types of HPV cause genital warts

Answer 25

HPV 6 + 11

Question 26

white streaky plaque on side of tongue that cannot be scraped off

Answer 26

hairy leukoplakia - associated with EBV - indicative of HIV --- Test for HIV

Question 27

what organism causes gas gangrene

Answer 27

clostridium perfringes

Question 28

fever, blisters that burst to produce foul smelling discharge

Answer 28

gas gangrene

Question 29

what can cause a false negative Mantoux test result

Answer 29

immunosuppression: - sarcoidosis - steroids - AIDS - lymphoma

Question 30

what antibiotic is safe to prescribe for UTI whilst breastfeeding

Answer 30

trimethoprim

Question 31

treatment of severe falciparum malaria

Answer 31

IV artesunate

Question 32

treatment of bacterial vaginosis

Answer 32

oral metronidazole 5-7 days

Question 33

fishy, grey, thin watery vaginal discharge

Answer 33

bacterial vaginosis

Question 34

patches of hypopigmentation + sensory loss

Answer 34

leprosy

Question 35

treatment of leprosy

Answer 35

rifampicin + dapsone + clofazimine

Question 36

what blood test abnormalities might be seen in dengue fever

Answer 36

low platelet count | raised ALT

Question 37

what routine vaccines do pregnant woman get

Answer 37

influenza + pertussis, diptheria, polio, tetanus

Question 38

what organism are people susceptible to post splenectomy

Answer 38

H.Influenzae Step.Pneumoniae Meningococci

Question 39

dysphagia + odynophagia in patient with HIV

Answer 39

oesophageal candidiasis

Question 40

treatment of oesophageal candidiasis

Answer 40

Fluconazole + itraconazole

Question 41

pea-green diarrhoea

Answer 41

typhoid

Question 42

fagets sign

Answer 42

relative bradycardia | - Typhoid

Question 43

most common organism found in central line infections

Answer 43

staph epidermidis

Question 44

what treatment should patients +Ve for MRSA receive before surgery

Answer 44

nasal mupricocin + chlorhexidine for the skin

Question 45

what causes necrotising fasciitis type 2? | how does It present?

Answer 45

strep. pyogenes - acute onset - painful erythematous lesions - rapidly worsening cellulitis with pain out of keeping with physical features

Question 46

ground glass hepatocytes on light microscopy

Answer 46

chronic hep B infection

Question 47

triad of symptoms in Behcets disease

Answer 47

oral ulcers, genital ulcers, uveitis | - VTE also seen

Question 48

clue cells on microscopy

Answer 48

bacterial vaginosis

Question 49

strawberry cervix

Answer 49

trichomonas vaginalis

Question 50

side effects of trimethoprim

Answer 50

myelosuppression increased creatinine hyperkalaemia