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phase 4 > phase 4 set 2 > Flashcards

phase 4 set 2 Flashcards

1
Q

what lab test would we do to look for active tb infection in the lungs?

A

sputum smear microscopy

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2
Q

how may rifampicin affect the liver in 1 in 100 people?

A

may cause hepatitis

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3
Q

what should we also give patients on isoniazid to prevent peripheral neuropathy?

A

vitamin B6

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4
Q

which of the TB medications is known for causing joint pain?

A

pyrazinamide

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5
Q

which of the TB medications may cause vision problems (optic neuritis)?

A

ethambutol

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6
Q

what is the standard treatment regime for TB?

A

2 months- rifampicin, isoniazid, pyrazinamide and ethambutol
then 4 months- rifampicin and isoniazid

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7
Q

what must be documented before starting ethambutol?

A

baseline visual acuity

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8
Q

what criteria must a person with TB meet to be no longer considered infectious?

A

no longer coughing
completed 2 weeks of treatment
smear negative sputum microscopy

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9
Q

A pregnant women with HIV has an undetectable viral load- what mode of delivery can she have?

A

normal vaginal delivery

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10
Q

a pregnant women with HIV has a high viral load- what would the recommended way to deliver be?

A

c section

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11
Q

what is the recommendation for breast feeding for people with HIV ?

A

breast feeding is not recommended

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12
Q

what population is particularly at risk of hepatitis C infection?

A

IVDU

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13
Q

what test is done after a positive hepatitis C antibody test to confirm active infection?

A

HCV RNA

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14
Q

what type of scan should patients with a new diagnosis of HCV have to look for baseline liver cirrhosis ?

A

fibroscan

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15
Q

what is alpha feto protein a tumour marker for?

A

hepatocellular carcinoma

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16
Q

is there a vaccine for hep c

A

no

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17
Q

is there a vaccine for hep a and b?

A

yes

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18
Q

a patient who is positive for HCV is found to have cirrhosis on their fibroscan- levels of which tumour marker should be taken every 6 months to screen for hepatocellular carcinoma

A

alpha fetoprotein

19
Q

what class of drug is given to cure hep C?

A

direct acting antiviral drugs

20
Q

what does pseudomonas aeruginosa look like on gram staining?

A

gram negative bacilli

21
Q

what is the treatment for genital herpes?

A

oral aciclovir

22
Q

what class of antibiotic can cause a black hairy tongue?

A

tetracyclines

23
Q

what class of antibiotic can cause discolouration of teeth?

A

tetracyclines

24
Q

what is the treatment for giardiasis?

A

metronidazole

25
Q

what type of rash is typically seen at the site of the tick bite in lyme disease?

A

bulls eye rash- erythema migrans

26
Q

what antibiotic for UTI is contraindicated in the first trimester of pregnancy ?

A

trimethoprim

27
Q

how long is the recommended antibiotic course for UTI in pregnancy ?

A

7 days

28
Q

what is first line treatment for UTI in pregnancy (unless near term)?

A

nitrofurantoin 7 days

29
Q

what organism causes typhoid?

A

salmonella typhi `

30
Q

what disease is classically associated with pea green diarrhoea ?

A

typhoid

31
Q

what is the investigation of choice in genital herepes?

A

nucleic acid amplification test NAAT

32
Q

what antibiotic is used for prophylaxis is animal bite?

A

co-amoxiclav

33
Q

which virus causes infectious mononucleosis?

A

Epstein Barr

34
Q

what is the classic triad in infectious mononucelosis?

A

sore throat
pyrexia
lymphadenopathy

35
Q

when a patient with infectious mononucleosis takes amoxicillin what do they develop?

A

maculopapular pruritic rash

36
Q

what must be avoided in the 4 weeks after glandular fever to prevent splenic rupture?

A

contact sports

37
Q

what is the most common cause of travellers diarrhoea?

A

e coli

38
Q

what would we give in a wound that is at high risk for tetanus is a person with uncertain vaccination history ?

A

tetanus booster and immunoglobulin

39
Q

what antibiotic might we use to treat legionella?

A

clarithromycin (macrolide)

40
Q

which antibiotic is known for adverse affects when combined with alcohol such as nausea, flushing and palpitations?

A

metronidazole

41
Q

how many days treatment should a man with a UTI receive ?

A

7 days

42
Q

which antibiotic is contraindicated in patients on methotrexate ?

A

trimethoprim

43
Q

what may be found in a stool sample of a person with giardiasis?

A

cysts or trophozoites

44
Q

what shouldn’t you drink when taking metronidazole ?

A

alcohol

phase 4 (4 decks)

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