Infectious disease

Question 1

features of staph aureus diarrhoea

Answer 1

fast onset

lots of vomiting

Question 2

E coli diarrhoea

Answer 2

Common amongst travellers
Watery stools
Abdominal cramps and nausea

Question 3

campylobacter diarrhroea

Answer 3

A flu-like prodrome is usually followed by crampy abdominal pains, fever and diarrhoea which may be bloody
May mimic appendicitis
Complications include Guillain-Barre syndrome

Question 4

bacillus cereus

Answer 4

Two types of illness are seen
vomiting within 6 hours, stereotypically due to rice
diarrhoeal illness occurring after 6 hours

Question 5

amoeba diarrhoea

Answer 5

Gradual onset bloody diarrhoea, abdominal pain and tenderness which may last for several weeks

Question 6

leptospirosis presentation

Answer 6

mild flu like prodromal sx
aki
hepatitis
aseptic meningitis

Question 7

how do you manage epistaxis that is MINOR BLEEDING with VISIBLE SOURCE?

Answer 7

cautery

Question 8

how do you manage eppistaxis that is MAJOR bleeding with no visible source

Answer 8

anteror pack

Question 9

investigation of choice for chlamydia and gonorrhoea

Answer 9

vulvo-vaginal swab for NAAT

Question 10

first line medication for chlamydia

Answer 10

doxycycline 7 day course

Question 11

what is o Herpes zoster ophthalmicus

Answer 11

shingles affecting ophthalmic division of CN V

Question 12

how does herpes zoster ophthalmicus present

Answer 12

• Vesicular rash around eye, may not involve eye itself
• Hutchinson’s sign: rash on tip or side of nose indicates nasociliary involvement and is a strong RF for ocular involvement

Question 13

tx for o Herpes zoster ophthalmicus

Answer 13

antiviral
+/- topical corticosteroids for eye inflammation
ophthal review