Infectious Diseases 2

Question 1

Antibiotic to treat bacterial meningitis caused by listeria monocytogenes

Answer 1

Ampicillin plus gentamicin

Question 2

Facial weakness

Prior Joint pain

Transient rash

Answer 2

Lyme disease neuropathy

Question 3

Patient is HbS AG negative but

nurse not immunised

Answer 3

Full immunisation for hepatitis for nurse

But no immunoglobulins

Question 4

If a pregnant woman has hepatitis C

Answer 4

Hepatitis C serology should be checked at 18 months of age

Checking at birth is not recommended as maternal antibodies would still be present causing false positive

Question 5

Salmonella typhi treatment

Answer 5

Ciprofloxacin

Question 6

Photophobia and the
retro orbital pain

Answer 6

Q fever

Question 7

Headache, fever, myalgia nausea vomiting

rash after three days

After visiting Flinder Islands

Answer 7

Rocky Mountain spotted fever

Question 8

Does a patient need tetanus immunoglobulin if triple vaccine was given more than five years ago

Answer 8

Keep a vaccine booster, but immunoglobulin is not required

Even if the would is dirty

Question 9

Recent infection with hepatitis B

Answer 9

Anti-HBc IgM

Question 10

How to prevent sleeping sickness

Answer 10

Avoid area with tsetse flies

Question 11

Contraindication to use interferon for viral hepatitis

Answer 11

Child-Pugh category C status - define prognosis of chronic liver disease

Question 12

Hepatitis C treatment

Answer 12

Sofosbuvir / ledipasvir

Question 13

most common cause of hepatitis C in Australia

Answer 13

IV drug use

Question 14

First test to do if bacterial meningitis is suspected

Answer 14

Blood culture

Before lumbar puncture

Question 15

Sexually acquired PID and anaphylaxis to penicillin

Answer 15

Gentamicin + azithromycin + clindamycin

Question 16

Tetanus toxoid is recommended as part of the vaccine

Answer 16

dTpa

Question 17

BCG vaccine protects from

Answer 17

Disseminated tuberculosis in children

But unclear about pulmonary tuberculosis

Question 18

Chemoprophylaxis for hepatitis C

(When another family member has it but the patient has severe chronic liver disease)

Answer 18

ciprofloxacin

Question 19

Pregnant woman got exposed to chickenpox and she doesn’t know her vaccination status or if she ever had chickenpox

Answer 19

Check her varicella zoster antibody status

If she had chickenpox as a child, no further action is required

Question 20

Ross River fever

Answer 20

Rash
PolyaRthritis
Fever

Mosquito

Question 21

Headache and fever

Returned from Southeast Asia

Answer 21

Malaria

Question 22

Screening for sex workers

Answer 22

HIV, hep C every year

Syphilis serology every year

Swaps for chlamydia and gonorrhoea every three months

HPV every 5 years

Hepatitis A and B only if not immunised

Question 23

Penis ulcers - caused by

Answer 23

Herpes simplex

Inv: Tzank preparation

Question 24

Anti-HIV antibodies are detected in serum, next step to confirm diagnosis

Answer 24

Enzyme immunoassay = ELISA

and western blot

Question 25

Child bitten by a bat

Answer 25

Give rabies vaccine and immunoglobulin

Question 26

Early sign of snakebite envenomation

Answer 26

Vomiting Start antivenom

Question 27

Not a feature of mycoplasma pneumonia

Answer 27

High fever

Question 28

Not an indication to screen for hepatitis C

Answer 28

Received blood transfusion last year

Question 29

Blue bottle jellyfish sting

Answer 29

Hot water immersion

Question 30

Box jellyfish sting or other jellyfish

Answer 30

Apply vinegar and remove tentacles

Question 31

Gardening + minor cuts + pustules and erythema up the arm

Answer 31

Cutaneous sporotrichosis Itraconazole

Question 32

Cat bite wound is infected by

Answer 32

Pasteurella multocida

Question 33

Sequela of CMV infection

Answer 33

GI ulceration and haemorrhage

Question 34

Patient has been in contact with measles and has not been vaccinated

Answer 34

Receive MMR vaccine now Unless pregnant. Then prophylaxis with natural immunoglobulin.