microbiology

Question 1

asymptomatic female needing STI svcreen, what is first line?

Answer 1

vulvovaginal swab

if they were symptomatic you may want to view the cervix so would do speculum exam and take endocervical swab

Question 2

what serotypes of chlamydia are associated with lymphogranuloma in men that shag men?

Answer 2

serotypes L1, L2, L3

Question 3

what serotypes of chlamydia are associated with trachoma eye infection

Answer 3

A, B, C

Question 4

is gardnerella an anaerobe or aerobe?

Answer 4

anaerobe

so needs treatment with metronidazole

Question 5

what is a clue cell

Answer 5

a vaginal epithelial cell with a fuzzy bit which is the bacteria

Question 6

“tap of pus”

Answer 6

gonorrhoea

Question 7

why is IM ceftriaxone used for gonorrhoea instead of oral cefixime

Answer 7

less treatment failure

remember to use azithromycin as well to cover the ceftraixone resistance and to treat concurrent chlamydia

Question 8

why do give one off dose of azithromycin for chlamydia/

Answer 8

it has a long half life

Question 9

if someone with an STI wont tell their partner, what can the STI clinic do?

Answer 9

they cant contact partner anonymously to offer treatment

Question 10

after having treatment for chlamydia, how long is it until you can have sex again

Answer 10

you should wait a week before having sex again

Question 11

is a test of cure done for chlamydia?

Answer 11

no, just for gonorrhoea

Question 12

how do you test for herpes

Answer 12

take a swab of the blister ( use a red coloured swab for most viruses)

Question 13

do neutrophils have bother phagocytosing gonorrhoea?

Answer 13

no

Question 14

what type of antibiotic is cefixime

Answer 14

cephalosporin

Question 15

how do you treat SEVERE community acquired pneumonia

Answer 15

co- amoxiclav and clarithromycin

Question 16

what is diagnostic of septic shcok

Answer 16

a low blood pressure that does not come back up with Iv fluids

Question 17

how often is gentamicin given in a day

Answer 17

usually once

Question 18

how is gentamicin mainly excreted

Answer 18

by the kidneys

Question 19

is dizzieness a side effect of gentamicin

Answer 19

yes

Question 20

what type of meningitis is associated with consumption of soft cheese and pate. it can also cross the placenta and cause neonatal sepsis

Answer 20

listeria

Question 21

does ceftriaxone have a longer half life than penicillin?

Answer 21

yes- this is why it is used to treat bacterial meningitis

Question 22

what types of things does metronidazole treat?

Answer 22

anaerobes and protozoa

Question 23

gram positive diplococcus

Answer 23

pneumococcus

Question 24

what type of meningitis are young adults ( uni entrants) at risk of?

Answer 24

meningococcal

Question 25

in the general populations, what is the most common meningitis

Answer 25

pneumococcal

Question 26

listeria is a gram positive bacillus, true or false

Answer 26

true

Question 27

is gentamicin good at getting into the CSF?

Answer 27

no

Question 28

if you think they have an infection and they have SIRS, what do they have?

Answer 28

sepsis

Question 29

if you are in the community and need to treat bacterial meningitis, what do you give

Answer 29

BENPEN

Question 30

how quickly do you need to inform the health protection team if you suspect meningitis?

Answer 30

within 24 hours of admission

Question 31

purulent penis or cervical discharge

Answer 31

gonorrhoea

Question 32

what stage of sypillis do you get chancre

Answer 32

stage 1/primary

Question 33

what are most coliforms sensitive to?

Answer 33

gentamicin

Question 34

what are the 3 broad spec antibiotics to give in sepsis

Answer 34

amoxicillin, metronidazole and gentamicin