Pass Med

Question 1

Commonest Cause of traveller’s diarrhoea?

Answer 1

E. Coli

Question 2

Rx severe Falciparum malaria

Answer 2

IV Artesunate

Question 3

Rx Non-severe falciparum malaria

Answer 3

Oral artesunate combination therapy

Question 4

Toxoplasmosis

• on MRI
• Rx?

Answer 4

Ring enhancing lesions on MRI

Give 6M of sulfadiazine and pyrimethamine

Question 5

CSF - Bacterial Meningitis

Answer 5

Cloudy

Low Glucose (<50% of plasma)
High protein >1g
Polymorph WC

Question 6

CSF - Viral Meningitis

Answer 6

Clear/cloudy

Glucose 80% plasma
Normal/high protein
Lymphocytes

Question 7

CSF - TB meningitis

Answer 7

Cloudy

Low Glucose (<50% of plasma)
High protein >1g
Lymphocytes

Question 8

Indications for Stool Sample?

Answer 8

1. Sepsis suspected
2. Blood/mucous in stool
3. Immuno Compromised patient

Question 9

Tetanus - When to give?

Answer 9

Give if pt is unsure of tetanus status

If had 5 doses that is enough

Give IM Tetanus IgG REGARDLESS if high risk wound

• Compound #
• Surgical intervention
• devitalised tissue

Question 10

Typhoid

Answer 10

Salmonella typhi

• headache, fever, diarrhoea, cough
• abdominal pain
• rose spots

Question 11

Cause of Lyme Disease?

Answer 11

Borrelia burgdorferi

Question 12

Incubation Period

<1 week

Answer 12

Meningococcus
Diptheria
Influenza
Scarlet fever

Question 13

Incubation

1-2 weeks

Answer 13

Malaria
Dengue
Typhoid
Measles

Question 14

Incubation

2-3 weeks

Answer 14

Mumps
rubella
chicken pox

Question 15

Incubation

> 3 weeks

Answer 15

EBV
CMV
hepatitis
HIV

Question 16

Rules for EBV

Answer 16

Avoid contact sports for 8 weeks

Question 17

EBV Malignancies

Answer 17

Burkitts lymphoma
Hodgkins lymphoma
Nasopharyngeal carcinoma