Infection Notes

Question 1

Abdominal infections treatment

Answer 1

Co-amoxiclav, unless C. Diff

Question 2

Influenza treatment

Answer 2

Oseltamivir in immunocompromised

Question 3

Community meningitis treatment

Answer 3

Benzylpenicillin

Question 4

Hospital meningitis treatment

Answer 4

<3 months - Cefotraxime and amoxicillin

>3 months - ceftriaxone

Question 5

TB treatment

Answer 5

RIPE

• Rifampicin (orange secretions)
• Isanozid (peripheral neuropathy)
• Pyrazinamide (gout)
• Ethambutol (eye problems)

Question 6

Malaria mosquito

Answer 6

Anophales not aedes

Question 7

Malaria treatment

Answer 7

Quinine

Question 8

Mumps sy

Answer 8

Parotid swelling

Question 9

Measles sy

Answer 9

Koplik sots, maculopapular rash

Question 10

STI treatment

Answer 10

Cla - azithromycin

Gon - cephalosporin

Syph - penicillin

Question 11

Typhoid sy

Answer 11

Rose spots, diarrhoea

Relative bradycardia

Question 12

Typhoid mx

Answer 12

Cephalosporin (ceftriaxone)

Question 13

Rabies ax

Answer 13

Lysavirus

Question 14

Brucellosis sy

Answer 14

Drenching sweats, joint pain, around farm animals

Question 15

Brucellosis mx

Answer 15

Deoxycycline and rifampicin

Question 16

Leptosporosis mx

Answer 16

Deoxycycline

Question 17

Lyme disease ax

Answer 17

Borrelia burgderferi

Question 18

Lyme disease sy

Answer 18

Erythema migrans

Question 19

Lyme disease rx

Answer 19

Deoxycycline

Question 20

Dengue sy

Answer 20

Sudden fever and headache

Severe myalgia

Question 21

Schistosomiasis sy

Answer 21

Itch, splenomegaly, eosinophilia

Question 22

Schistosomiasis mx

Answer 22

Praziquantel

Question 23

Tick typhus ae

Answer 23

Ricketsiosis

Question 24

Tick typhus sy

Answer 24

Sudden fever, confusion, endovasculitis, bleeding

Question 25

Tick typhus mx

Answer 25

Tetracycline

Question 26

Zika ax

Answer 26

Flavivirus

Question 27

Hep - chronic

Answer 27

All but A, E only in immunocompromised

Question 28

Hep vaccines

Answer 28

All but C, E only in China

Question 29

Hep tranmission

Answer 29

B and C parenteral and sexual, rest only parenteral

Question 30

E-coli 0157 mx

Answer 30

No antibiotics as increases risk of HUS

Question 31

Influenza severity assessment

Answer 31

* CURB 65 * Confusion * Urea \> 7mmol/L * RR \> 30 * Blood pressure (diastolic \<60 or systolic \<90)

Question 32

Leptospirosis sy

Answer 32

* Triad * Jaundice * AKI * Bleeding

Question 33

Antifungal prophylaxis

Answer 33

Itraconazole and posazonazole

Question 34

Aspergillus mx

Answer 34

Varicanazole and isavunazole

Question 35

Candida mx

Answer 35

Echinocandins and fluconazole

Question 36

Cryptococcus neoformans mx

Answer 36

Amphotericin B and flucytosine

Question 37

Malaria sy

Answer 37

Fevor, rigor, splenomegaly, hepatomegaly, mild jaundice

Question 38

Viral causes meningitis

Answer 38

* Enteroviruses * Echoviruses * Parechoviruses * Coxsackie A and B * Poliovirus * Herpes simplex virus