Infectious Disease Finals Flashcards

1
Q

What condition do you get 24 hours off school for? Post Abx

A

Scarlett Fever

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2
Q

What condition do you get 48 hours off school? Post Abx

A

Whooping Cough

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3
Q

What condition do you get 4 days off school for

A

Measles (from onset of rash)

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4
Q

How much time do you get off with Chickenpox

A

Until All lesions crusted over

Cases of chickenpox are generally infectious from 2 days before the rash appears to 5 days after the onset of rash.

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5
Q

How much time do you get off with Impetigo

A

Until all lesions crusted over/48 hours post Abx

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6
Q

How many days do you get off for Rubella

A

5 days (from onset of rash)

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7
Q

Mx for Otitis Externa

A

topical antibiotic or a combined topical antibiotic with a steroid

If severe: Oral Flucloxacillin/ Erythromycin if peniclillin allergic

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8
Q

What Abx is CI in pregnancy

A

Quinolines - ex: ciprofloxacin

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9
Q

Localised Impetigo Tx

Widespread Impetigo Tx

A

Hydrogen Peroxide 1%/Fusidic acid

Oral Flucloxacillin

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10
Q

Main cause of Cellulitis

Mx of Cellulitis

A

Streptococcus pyogenes

Flucloxacillin (clarithromycin, erythromycin or doxycycline if penicillin-allergic)

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11
Q

Main cause of Erysipelas

A

Strep Pyrogenes

flucloxacillin

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12
Q

Main Cause of Tonsillitis

Main Mx of tonsillitis

A

Strep Pyogenes

Penicillin V

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13
Q

Common causes of Acute Sinusitis

When to prescribe nasal steroid spray

A

Streptococcus pneumoniae, Haemophilus influenzae and rhinoviruses

intranasal corticosteroids may be considered if the symptoms have been present for more than 10 days

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14
Q

Chronic Rhinositus vs Acute Sinusitis

A

Rhino - is a chronic inflammatory condition

acute sinusitis - is an infection

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15
Q

Chronic Bronchitis mx

A

Amoxicillin or tetracycline or clarithromycin

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16
Q

Uncomplicated/Mild CAP mx

A

Amoxicillin (Doxycycline or clarithromycin in penicillin allergic

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17
Q

Atypical Pneumonia mx

A

Clarithromycin

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18
Q

HAP mx

A

Co-Amoxiclav

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19
Q

Gingivitis mx

A

Metronidazole

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20
Q

Salmonella/Shigella mx

A

Ciprofloxacin
(p for poo)

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21
Q

Campylobacter jejuni mx

A

Clarithromycin

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22
Q

most common cause of infective endocarditis

BONUS: most common valve affected

A

Staphylococcus aureus
Staphylococcus epidermidis if < 2 months post valve surgery

Mitral valve

23
Q

Lyme Disease Signs

A

erythema migrans ‘bulls-eye’ rash (1-4 weeks after bite)
systemic features
headache
lethargy
fever
arthralgia

24
Q

Dx of Lyme Disease

A

clinicall by Tick bite
Or ELISA for Borrelia burgdorferi

25
Q

Mx of Lyme disease

A

tick still present - remove it is using fine-tipped tweezers, grasping the tick as close to the skin as possible and pulling upwards firmly

Abx: Doxycycline if early (Amoxicllin if CI)

Ceftriaxone if disseminated disease

26
Q

What causes Scarlett fever

Tx For scarlett fever

A

Strep pyogenes

Penicillin V

27
Q

Features of Scarlett Fever

A

Sandpaper rash - spine
Strawberry tongue
Red flushed cheeks
cervical lymphadenopathy
Sore throat

28
Q

Measles tx

A

self-resolving

29
Q

Vaccines at 1 year old

v

A

Pneumococcal
Men B
Men C
MMR
HipB

30
Q

Vaccines at 8 weeks

A

6-in-1, Rotavirus, MenB

31
Q

Vaccines at 12 weeks

A

6-in-1, Pneumococcal, Rotavirus

32
Q

Vaccines at 16 weeks

A

6-in-1, Men B

33
Q

Vaccines at 3 years 4 months

A

MMR
4 in 1

34
Q

Vaccines at 14 years old

A

3 in 1
Men ACWY

35
Q

What is in the 6-in-1 vaccine

A

diphtheria, tetanus, pertussis, polio, haemophilus influenzae type B (Hib) and hepatitis B)

36
Q

What does HPV vaccine protect against

A

HPV 6 and 11 - genital warts

HPV 16 and 18 - cervical cancer

37
Q

When can you do a normal vaginal delivery with HIV

A

When there are less than 50 copies/ml

38
Q

What is Roseala Infantum caused by

A

HH6

39
Q

Roseala Infantum S/S

A

Rash consists of a mild erythematous macular rash

High Fever followed by this rash (not itchy)

40
Q

What is Parovirus B19 caused by

Slapped Cheek features

A

Prodromal - mild fever

then slapped cheek rash
reticular mildly erythematous rash affecting the trunk

41
Q

Slapped Cheek complications

slapped cheek tx

A

High risk of aplastic anaemia

self limiting rash

42
Q

Tetanus cause

Tetanus features

A

Clostridium tetani - often in infected soil going into wounds

prodrome fever, lethargy, headache
trismus (lockjaw)
risus sardonicus: facial spasms
opisthotonus (arched back, hyperextended neck)
spasms (e.g. dysphagia)

43
Q

Tx Of Tetanus

A

Patient has had a full course of tetanus vaccines, with the last dose < 10 years ago - nothing needed

> 10 years ago - if tetanus prone wound: reinforcing dose of vaccine
high-risk wounds (e.g. compound fractures, delayed surgical intervention, significant degree of devitalised tissue): reinforcing dose of vaccine + tetanus immunoglobulin

If vaccination history is incomplete or unknown
reinforcing dose of vaccine, regardless of the wound severity
for tetanus prone and high-risk wounds: reinforcing dose of vaccine + tetanus immunoglobulin

(+ supportive therapy and muscle relaxants and metronidazole if needed)

44
Q

Dx of legionella

Mx of legionella

A

urinary antigen

erythromycin/clarithromycin

45
Q

Mycoplasma pneumoniae dx

A

Serology

46
Q

Cause of threadworms

A

Enterobius vermicularis
b and v - bums and vagina

47
Q

Features of Mumps

A

fever
malaise, muscular pain
parotitis (‘earache’, ‘pain on eating’): unilateral initially then becomes bilateral

48
Q

Cause of Mumps

A

caused by RNA paramyxovirus and spread by droplets

49
Q

Epididymo-orchitis Causes

A

In younger adults - Chlamydia and Gonorrhae

In older adults who are low risk - e.coli (so investigation is MSU for this)

50
Q

Features of Dengue Fever

A

Due to Aedes aegypti mosquito - in tropics/subtropical
KEY: can progress to viral haemorrhagic fever
fever
headache (often retro-orbital)
myalgia, bone pain and arthralgia (‘break-bone fever’)
pleuritic pain
facial flushing (dengue)
maculopapular rash
haemorrhagic manifestations e.g. positive tourniquet test, petechiae, purpura/ecchymosis, epistaxis

51
Q

Dengue Fever dx

Dengue Fever mx

A

diagnostic tests
serology
nucleic acid amplification tests for viral RNA
NS1 antigen test

Mx - supportive, fluid resus and blood products

52
Q

Yellow Fever features

A

Brief Viral Haemorrhagic illness
mild flu-like illness lasting less than one week
classic description involves sudden onset of high fever, rigors, nausea & vomiting. Bradycardia may develop. A brief remission is followed by jaundice, haematemesis, oliguria

On blood councilman bodies

Aedes Aegypti again

53
Q

Most common cause of encephalitis

A

HSV - in adults

54
Q

Most common causes of Meningitis

A

Babies - GBS

Adults - Neisseria meningitidis
Streptococcus pneumoniae