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Flashcards in ID Deck (25)
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1
Q

What are the side effects of anti TB therapy?

A
  • R: hepatitis, orange urine, enzyme induction
  • I: hepatitis, peripheral sensory neuropathy, neutropenia
  • P: hepatitis, arthralgia (CI: gout, porphyria)
  • E: optic neuritis
2
Q

How do you treat toxoplasmosis?

A

Pyrimethamine + sulfadiazine + folate

(co trimoxazole for prophylaxis)

3
Q

How do you treat cryptococcal meningitis?

A

Amphotericin B + flucytosie for 2 weeks then fluconazole for 6 months until CD4 >200

4
Q

What LFT pattern is seen in hepatitis A?

A

Very high ALT, High AST (AST:ALT <2)

5
Q

What do the different hep B serology results indicate?

A
  • sAg = current infection (including chronic)
  • eAG = high infectivity
  • HBc IgM = recent infection
  • HBc IgG = past infection
  • HBs = cleared infectino or vaccinated
6
Q

Which vaccines are live attenuated?

A

BCG

MMR

oral polio

yellow fever

oral typhoid

7
Q

What are the common causative organisms for meningitis?

A

0 - 3 months

  • Group B Streptococcus (most common cause in neonates)
  • E. coli
  • Listeria monocytogenes

3 months - 6 years

  • Neisseria meningitidis
  • Streptococcus pneumoniae
  • Haemophilus influenzae

6 years - 60 years

  • Neisseria meningitidis
  • Streptococcus pneumoniae

> 60 years

  • Streptococcus pneumoniae
  • Neisseria meningitidis
  • Listeria monocytogenes

Immunosuppressed: Listeria monocytogenes

8
Q

What is the definition of SIRS?

A

two or more of: body temperature above 38C or below 36C, a heart rate > 90 beats per minute, a respiratory rate > 20 breaths per minute, and a peripheral blood white cell count (WCC) of < 4 * 109/l or >12 * 109/l.

9
Q

What is the treatment for non-falciparum malaria?

A

Chloroquine

10
Q

What should the anti-HbS level be after a hep B vaccine?

A
  • >100 - fine (booster at 5 years)
  • 10-100 - do another dose
  • <10 - non responder; test for current or past infection, give 3 doses again, then test, if still no response needs HBIG if exposed
11
Q

Which pneumonia is commonly associated with reactivation of herpes/cold sores?

A

Strep pneumoniae

12
Q

What is Klebsiella pneumonia associated with?

A

Diabetic and alcoholic patients, cavitating lesions in upper lobe, aspiration, redcurrant jelly haemoptysis.

13
Q

how do you treat legionella?

A

Clarithromycin

14
Q

How do you diagnose lyme disease?

A

Blood test for serology

15
Q

What is the treatment for primary genital herpes?

A

Oral aciclovir (if within 5 days)

16
Q

What is the advice about sports and glandular fever?

A

No contact sports for 8 weeks after having glandular fever

17
Q

Why give primaquine after chloroquine for vivax or ovale malaria?

A

to destroy liver hypnozoites and prevent relapse

18
Q

Most common organisms in central line infections

A

Staph epidermidis

19
Q

Antibiotic for meningococcal meningitis prophylaxis?

A

Ciprofloxacin

20
Q

Most common cause of diarrhoea in HIV positive patients?

A

Cryptosporidium

21
Q

What is the treatment for genital warts?

A
  • multiple, non-keratinised warts: topical podophyllum
  • solitary, keratinised warts: cryotherapy
22
Q

Treatment for amoebiasis?

A

Metronidazole

23
Q

How many tetanus vaccines are needed to get lifelong immunity?

A

5

24
Q
A
25
Q
A