Infectious diseases

Question 1

Typhoid
- organism
- presentation
- complications
- diagnosis

Answer 1

Salmonella Typhi

fever, pea-soup diarrhoea, soft splenomegaly, severe abdominal distension

Peyer’s patches that can cause obstruction/perforation

Blood and/or bone marrow culture

Question 2

Dengue fever
- organism/transmission
- presentation
- diagnosis

Answer 2

Dengue virus - mosquito

High fever, chills, facial flushing

Serology

Question 3

Inaccurate HbA1c

Answer 3

HIV infection

Question 4

Associated with Guillen Barre Syndrome

Answer 4

Campylobacter jejuni

Question 5

Helicobacter pylori
associated with

Answer 5

Peptic ulcer disease
Gastric MALToma
Adenocarcinoma
Iron deficiency anaemia
Coronaritis (coronary arteritis)
Menetrier’s disease (high protein gastropathy)

Question 6

Toxoplasmosis
- management

Answer 6

Spyramicin

Question 7

Syphilis
- organism
- management

Answer 7

Treponema pallidum
STAT penicillin

Question 8

Live attenuated vaccines

Answer 8

MMR, BCG, yellow fever, oral typhoid, oral polio

Question 9

Men B vaccine timings

Answer 9

2,4,12 months

Question 10

Bacterial meningitis commonest pathogens
- Adults 1,2,3
- Children <1month, 1,2,3

Answer 10

Adults: Strep pneumoniae, N. meningitides, H. influenzae B
Infants: GBS, E coli, Strep pneumoniae, Listeria monocytogenes

Question 11

Chancroid
- describe
- causative organism

Answer 11

Painful genital ulcer, lymphadenopathy
Haemophilus ducreyi

Question 12

HIV with diarrhoea and cysts in stool

Answer 12

Cryptosporidium