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Year 4: Infectious Disease > Pass Med Q's > Flashcards

Pass Med Q's Flashcards

1
Q

how is the influenza vaccine given to children

A

intranasally

- this is a live vaccine

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2
Q

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

A

inactivated vaccine

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3
Q

what metabolic problems can legionella cause

A

hyponatraemia

deranged LFTs

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4
Q

what metabolic abnormality is associated with cholera

A

hypoglycaemia

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5
Q

what is red man syndrome

A

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

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6
Q

management of red man syndrome

A

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

  • iv fluids if associated hypotension
  • antihistamines given in more severe cases
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7
Q

what vaccines should not be given to immunosuppressed patients

A

those which are live-attenuated:

  • BCG
  • MMR
  • polio
  • typhoid
  • yellow fever
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8
Q

examples of inactivated vaccines

A

rabies
hep A
IM influenza

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9
Q

examples of toxoid vaccines

A

diptheria
pertussis
tetanus

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10
Q

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

A

doxycycline

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11
Q

what antibiotic is given for human/animal bites

A

co-amoxiclav

doxycycline + metronidazole if allergic

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12
Q

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

A

elective C section

oral aciclovir 400mg 3xdaily until delivery

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13
Q

complications of mycoplasma pneumonia

A

erythema multiforme

cold autoimmune haemolysis

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14
Q

atypical lymphocytes

A

infectious mononucleosis

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15
Q

triad of symptoms in infectious mononucleosis

A

sore throat, fever, lymphadenopathy

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16
Q

management of pregnant woman with asymptomatic bacteruria

A

commence antibiotics for 7 days

  • nitrofurantoin 1st trimester
  • trimethoprim 3rd trimester
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17
Q

why is nitrofurantoin avoided in 3rd trimester of pregnancy

A

linked with haemolytic anaemia of the newborn

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18
Q

painful penile ulcer with ragged edge

unilateral painful lymphadenopathy

A

chancroid

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19
Q

bilateral conjunctivitis, bilateral calf pain, high fevers

- what infectious disease ?

A

leptospirosis

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20
Q

how is leptospirosis spread

A

contact with urine of infected rodents

e.g. more common in sewage workers / farmers

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21
Q

tx leptospirosis

A

high dose benzylpenicillin / doxycycline

22
Q

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

A

check maternal IgM and IgG

- risk of hydrops fetalis

23
Q

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

A

no they are no longer infectious once the rash has appeared

24
Q

tx of syphilis

A

benzathine penicillin

25
Q

what types of HPV cause genital warts

A

HPV 6 + 11

26
Q

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

A

hairy leukoplakia

  • associated with EBV
  • indicative of HIV — Test for HIV
27
Q

what organism causes gas gangrene

A

clostridium perfringes

28
Q

fever, blisters that burst to produce foul smelling discharge

A

gas gangrene

29
Q

what can cause a false negative Mantoux test result

A

immunosuppression:

  • sarcoidosis
  • steroids
  • AIDS
  • lymphoma
30
Q

what antibiotic is safe to prescribe for UTI whilst breastfeeding

A

trimethoprim

31
Q

treatment of severe falciparum malaria

A

IV artesunate

32
Q

treatment of bacterial vaginosis

A

oral metronidazole 5-7 days

33
Q

fishy, grey, thin watery vaginal discharge

A

bacterial vaginosis

34
Q

patches of hypopigmentation + sensory loss

A

leprosy

35
Q

treatment of leprosy

A

rifampicin + dapsone + clofazimine

36
Q

what blood test abnormalities might be seen in dengue fever

A

low platelet count

raised ALT

37
Q

what routine vaccines do pregnant woman get

A

influenza + pertussis, diptheria, polio, tetanus

38
Q

what organism are people susceptible to post splenectomy

A

H.Influenzae
Step.Pneumoniae
Meningococci

39
Q

dysphagia + odynophagia in patient with HIV

A

oesophageal candidiasis

40
Q

treatment of oesophageal candidiasis

A

Fluconazole + itraconazole

41
Q

pea-green diarrhoea

A

typhoid

42
Q

fagets sign

A

relative bradycardia

- Typhoid

43
Q

most common organism found in central line infections

A

staph epidermidis

44
Q

what treatment should patients +Ve for MRSA receive before surgery

A

nasal mupricocin + chlorhexidine for the skin

45
Q

what causes necrotising fasciitis type 2?

how does It present?

A

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

46
Q

ground glass hepatocytes on light microscopy

A

chronic hep B infection

47
Q

triad of symptoms in Behcets disease

A

oral ulcers, genital ulcers, uveitis

- VTE also seen

48
Q

clue cells on microscopy

A

bacterial vaginosis

49
Q

strawberry cervix

A

trichomonas vaginalis

50
Q

side effects of trimethoprim

A

myelosuppression
increased creatinine
hyperkalaemia

Year 4: Infectious Disease (17 decks)

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