Food Poisoning/Gastroenteritis

Question 1

What investigation would you use to diagnose rota or noravirus?

Answer 1

PCR

Question 2

What is the most common cause of food poisoning in the UK?

Answer 2

Camplylobacter

Question 3

What is the incubation peroid for campylobacter?

Answer 3

2-14 days

Question 4

Which infections can give you blood diarrhoea?

Answer 4

Campylobacter
Salmonella
E.coli 1056
Haemolytic Ureamic Syndrome 
C.diff`

Question 5

Which infection causes outbreaks?

Answer 5

Salmonella

Question 6

Which infections produce toxins?

Answer 6

E.coli

C.diff

Question 7

Which infection produces spores?

Answer 7

C.diff

Question 8

What can cause haemolytic ureamic syndrome?

Answer 8

VTEC- e.coli 0157

Question 9

What are they symptoms of haemolytic ureamic syndrome>

Answer 9

Abdo pain
Fever
Pallor
Petechide
Oliguria 
BLOODY DIARRHOEA

most cases are children

Question 10

WHat are the key investigations for HUS?

Answer 10

Lactate dehydrogenase

Microbiology in a sorbitol non fermenter

Question 11

What drugs should not be given in HUS?

Answer 11

NSAIDS
Anti motiltiy drugs
Anti biotics

Question 12

What can cause a C.diff infection?

Answer 12

Recent trauma/surgery
Antibiotica (broad spectru)
PPI use
Chemotherapy
IDB
H2 receptor antagonist use

Question 13

What is the treatment for non severe c. diff infection

Answer 13

metronidazole

Question 14

What is the treatment for rectal gonorrhoea?

Answer 14

Cephlasporin

Question 15

What is the treament for rectal chlamidia?

Answer 15

Azithromycin

Question 16

What is the treatment for syphillus?

Answer 16

Benzathen penecillin

Question 17

What is the treatment for lymphgranuloma Venereum?

Answer 17

Doxycycline

Question 18

What bacteria grows on rice and starchy food?

Answer 18

Bacillus cereus

Question 19

Why do staph aureus and bacillus cereus have such short incubaton periods?

Answer 19

Preformed toxin

Question 20

What is the diagnostic tool for typhoid?

Answer 20

Blood culture

Question 21

What is the treatment for typhoid?

Answer 21

Chloramphenicol
Ciprifloxacin
Ceftriaxone
Azithromycin
vaccine

Question 22

What is the common causes of travellers diarrhoea?

Answer 22

E.coli, campylobacter, salmonella, shigella
Amoebias
Giardiasis
Cryptosporidiosis

Question 23

What is the general treatment for travellers diarrheoa?

Answer 23

Ciproflaxacin and azithromycin

Question 24

What other symptoms can typhoid cause?

Answer 24

Encephalopathy

bone and joint infection

Question 25

Give risk factors for GI infections

Answer 25

malnutrition
closed communities
contaminated food or water
younger than 5 not breastfeeding, older age
acid suppression 
immunisuppression
genetics

Question 26

what is diarrheoa

Answer 26

more than 3 UNFORMED stools/day with no other cause e.g. laxative use

Question 27

what is the incubation period of bacillus cereus and what type of bacteria is it

Answer 27

1-6 hours gram positive bacillus

Question 28

what types of food usually result in staph aureus food poisoning

Answer 28

creamy foods, eggs, unrefrigerated meat

Question 29

bacteria associated with seafood and watery diarrheoa

Answer 29

vibrio non cholera

Question 30

what blood results do you see in HUS

Answer 30

high white cells
low platelets
low HB
red cell fragments
LDH more than 1.5 times normal

Question 31

complications of HUS

Answer 31

acute renal failure, thrombocytopenia, haemolytic anaemia

Question 32

what is important to remember about HUS

Answer 32

must notify health protection unit of HUS or E0157