SBA Infections

Question 1

Traveller’s diarrhoea

Answer 1

E. coli

Question 2

Water stool, cramps, nausea, >3 bowel motions in 24hrs

Answer 2

E. coli

Question 3

Prolonged non bloody diarrhoea, associated with bloating, burping, passing wind

Answer 3

Giardia

Question 4

Seen in travellers from Eastern Europe and Russia

Answer 4

Giardia

Question 5

Profuse watery diarrhoea (“rice-water”)

Answer 5

Cholera

Question 6

Giardia treatment

Answer 6

Metronidazole

Question 7

Seen in travellers from Africa, Asia, Haiti

Answer 7

Cholera

Question 8

Cholera treatment

Answer 8

Rehydration, doxycycline and ciprofloxacin

Question 9

Bloody diarrhoea, vomiting and pain

Answer 9

Shigella

Question 10

Shigella treatment

Answer 10

Ciprofloxacin

Question 11

Ill after eating offs, chicken

Answer 11

Salmonella

Question 12

Salmonella treatment

Answer 12

Ciprofloxacin

Question 13

Severe vomiting 4-8 hrs after ingestion

Answer 13

Staphylococcus

Question 14

Staphylococcus treatment

Answer 14

Normally self limiting - rehydration

Question 15

Flu-like prodrome, fever and diarrhoea

Answer 15

Campylobacter

Question 16

Transmitted from farmyard animal foods

Answer 16

Campylobacter

Question 17

Campylobacter treatment

Answer 17

Clarithromycin

Question 18

Campylobacter complications

Answer 18

Guillain-Barre syndrome, Miller-fisher syndrome

Question 19

Diarrhoea and vomiting within 6 hrs after reheating rice

Answer 19

Bacillus cereus

Question 20

Gradual onset bloody diarrhoea and tenderness

Answer 20

Amoebiasis

Question 21

TB treatment

Answer 21

6 months:
Rifampacin
Isoniazid

2 months:
Pyrazinamide
Ethambutamol

Question 22

TB treatment complications

Answer 22

Rifampacin - orange
Isoniazid - hepatotoxicity
Pyrazinamide - GI upset
Ethambutamol - optic neuritis and blindness

Question 23

CAPs

Answer 23

Chlamydophila pneumoniae
Haemophilus influenza
Legionella pneumophila
Moraxella catarrhalis
Mycoplasma pneumoniae
Streptococcus pneumoniae

Question 24

HAPS

Answer 24

Pseudomonas aeruginosa
Staphylococcus aureus
Streptococcus pneumoniae
Klebsiella
Acinetobacter

Question 25

Pneumonia with rusty sputum, Gm positive cocci

Answer 25

Strep pneumoniae

Question 26

Pneumonia in patients with COPD, alcoholics, elderly, Gm negative rods

Answer 26

Klebsiella pneumoniae

Question 27

Neonates, lung necrosis, Gm negative rods

Answer 27

E coli

Question 28

Green sputum, abscess formation, common cause of pneumonia in CF patients, Gm negative rods

Answer 28

Pseudomonas aeruginosa

Question 29

Gram negative bacilli with faecal oral route

Answer 29

Salmonella type

Question 30

>70 y/o, use of abx, antiperistaltic drugs

Answer 30

Clostridium difficile

Question 31

Food, 1-6 hours after eating, short-lived

Answer 31

Staph aureus

Question 32

Rice water diarrhoea, poor sanitation, shock

Answer 32

Vibrio cholera

Question 33

Leafy vegetables | Bloody diarrhoea followed by HUS

Answer 33

E coli

Question 34

Reheated rice, cerebral abscess

Answer 34

Bacillus cereus

Question 35

Eggs, constipation

Answer 35

Salmonella

Question 36

Bloody diarrhoea (dysentry) following uncooked poultry

Answer 36

Campylobacter

Question 37

Dysentry | Poor sanitation, tropical places

Answer 37

Antamoeba histolytica

Question 38

Dysentry | Person-to-person contact, poor sanitation

Answer 38

Shigella

Question 39

Dysentry | Eggs

Answer 39

Salmonella

Question 40

Fever, jaundice, raised ALT/AST | Acute, travel history

Answer 40

Hep A

Question 41

Fever, jaundice, raised ALT/AST Enteric, epidemics (water) Expectant mothers

Answer 41

Hep E

Question 42

``` Fever, jaundice, raised ALT/AST Initial flu like prodrome Rash, lymphadenopathy Acute - nausea, RUQP, anorexia, jaundice Unprotected sex, IVDU, blood transfusion ```

Answer 42

Hep B

Question 43

Chronic jaundice, hepatomegaly etc.

Answer 43

Hep C

Question 44

Infection only occurs in those with Hep B

Answer 44

Hep D

Question 45

UTI management

Answer 45

Trimethoprim

Question 46

UTI causative organisms

Answer 46

E coli, Staph saprophytic, Proteus mirabilis, Enterococci