passmed misc

Question 1

genital wart Mx

Answer 1

multiple, non-keratinised = topical podophyllum

solitary, keratinised = cryotherapy

Question 2

HIV screening test

Answer 2

combination

P24 antigen + HIV antibody

Question 3

features signalling Dengue fever

Answer 3

retroorbital headache
fever
facial flush 
thrombocytopenia 
rash 
returning traveller

Question 4

Mx BV

Answer 4

metronidazole

Question 5

what type of pneumonia does influenza infection predispose to

Answer 5

staphylococcus aureus pneumonia

Question 6

cell type on bacterial meningitis CSF

Answer 6

polymorphs

Question 7

staph a gastroenteritis features

Answer 7

very short incubation

profuse vomiting

Question 8

meningococcal meningitis prophylaxis

Answer 8

cirpofloxacin **
or
rifampicin

Question 9

PCP pneumonia causes what when exercising

Answer 9

desaturations

Question 10

features of diptheria

Answer 10

sore throat
grey coating mouth/throat
cervical lymphadenopathy

Question 11

diptheria Mx

Answer 11

IM penicillin

diptheria antitoxin

Question 12

what should bites (human or animal) be treated with ?

Answer 12

co-amoxiclav

Question 13

bacteria assoc with gangrene

Answer 13

clostridium perfringes

Question 14

COPD infective exacerbation

Answer 14

haemophilus influenzae

Question 15

cause of epiglottitis

Answer 15

Haemophilus influnzae type B

Question 16

post exposure prophylaxis - Hep B

Answer 16

vaccinated and good responder = administer booster vaccine

unvacc/non responder = HBVIg + vaccine

Question 17

central line infection - bacteria

Answer 17

staphylococcus epidermis

Question 18

rapid IV vancomycin infusion…

Answer 18

red man syndrome

stop infusion, once symptoms resolve recommence infusion at slower rate

Question 19

pneumonia in alcoholic

Answer 19

klebsiella

Question 20

which class of antib can cause black hairy tongue

Answer 20

tetracyclines

Question 21

Fits Hugh Curtis Syndrome

Answer 21

complication of PID

liver capsule becomes inflamed causing RUQ pain

Question 22

Mx amoebiesis

Answer 22

metronidazole

Question 23

Mx of hospital accqiured pneumonia

Answer 23

≤5 days admission - co-amoxiclav or cefuroxamine

> 5days admission - pipercillin + tazobactam

Question 24

testing for X should be offered to all patients with TB

Answer 24

HIV