phase 4 set 2

Question 1

what lab test would we do to look for active tb infection in the lungs?

Answer 1

sputum smear microscopy

Question 2

how may rifampicin affect the liver in 1 in 100 people?

Answer 2

may cause hepatitis

Question 3

what should we also give patients on isoniazid to prevent peripheral neuropathy?

Answer 3

vitamin B6

Question 4

which of the TB medications is known for causing joint pain?

Answer 4

pyrazinamide

Question 5

which of the TB medications may cause vision problems (optic neuritis)?

Answer 5

ethambutol

Question 6

what is the standard treatment regime for TB?

Answer 6

2 months- rifampicin, isoniazid, pyrazinamide and ethambutol
then 4 months- rifampicin and isoniazid

Question 7

what must be documented before starting ethambutol?

Answer 7

baseline visual acuity

Question 8

what criteria must a person with TB meet to be no longer considered infectious?

Answer 8

no longer coughing
completed 2 weeks of treatment
smear negative sputum microscopy

Question 9

A pregnant women with HIV has an undetectable viral load- what mode of delivery can she have?

Answer 9

normal vaginal delivery

Question 10

a pregnant women with HIV has a high viral load- what would the recommended way to deliver be?

Answer 10

c section

Question 11

what is the recommendation for breast feeding for people with HIV ?

Answer 11

breast feeding is not recommended

Question 12

what population is particularly at risk of hepatitis C infection?

Answer 12

IVDU

Question 13

what test is done after a positive hepatitis C antibody test to confirm active infection?

Answer 13

HCV RNA

Question 14

what type of scan should patients with a new diagnosis of HCV have to look for baseline liver cirrhosis ?

Answer 14

fibroscan

Question 15

what is alpha feto protein a tumour marker for?

Answer 15

hepatocellular carcinoma

Question 16

is there a vaccine for hep c

Answer 16

no

Question 17

is there a vaccine for hep a and b?

Answer 17

yes

Question 18

a patient who is positive for HCV is found to have cirrhosis on their fibroscan- levels of which tumour marker should be taken every 6 months to screen for hepatocellular carcinoma

Answer 18

alpha fetoprotein

Question 19

what class of drug is given to cure hep C?

Answer 19

direct acting antiviral drugs

Question 20

what does pseudomonas aeruginosa look like on gram staining?

Answer 20

gram negative bacilli

Question 21

what is the treatment for genital herpes?

Answer 21

oral aciclovir

Question 22

what class of antibiotic can cause a black hairy tongue?

Answer 22

tetracyclines

Question 23

what class of antibiotic can cause discolouration of teeth?

Answer 23

tetracyclines

Question 24

what is the treatment for giardiasis?

Answer 24

metronidazole

Question 25

what type of rash is typically seen at the site of the tick bite in lyme disease?

Answer 25

bulls eye rash- erythema migrans

Question 26

what antibiotic for UTI is contraindicated in the first trimester of pregnancy ?

Answer 26

trimethoprim

Question 27

how long is the recommended antibiotic course for UTI in pregnancy ?

Answer 27

7 days

Question 28

what is first line treatment for UTI in pregnancy (unless near term)?

Answer 28

nitrofurantoin 7 days

Question 29

what organism causes typhoid?

Answer 29

salmonella typhi `

Question 30

what disease is classically associated with pea green diarrhoea ?

Answer 30

typhoid

Question 31

what is the investigation of choice in genital herepes?

Answer 31

nucleic acid amplification test NAAT

Question 32

what antibiotic is used for prophylaxis is animal bite?

Answer 32

co-amoxiclav

Question 33

which virus causes infectious mononucleosis?

Answer 33

Epstein Barr

Question 34

what is the classic triad in infectious mononucelosis?

Answer 34

sore throat pyrexia lymphadenopathy

Question 35

when a patient with infectious mononucleosis takes amoxicillin what do they develop?

Answer 35

maculopapular pruritic rash

Question 36

what must be avoided in the 4 weeks after glandular fever to prevent splenic rupture?

Answer 36

contact sports

Question 37

what is the most common cause of travellers diarrhoea?

Answer 37

e coli

Question 38

what would we give in a wound that is at high risk for tetanus is a person with uncertain vaccination history ?

Answer 38

tetanus booster and immunoglobulin

Question 39

what antibiotic might we use to treat legionella?

Answer 39

clarithromycin (macrolide)

Question 40

which antibiotic is known for adverse affects when combined with alcohol such as nausea, flushing and palpitations?

Answer 40

metronidazole

Question 41

how many days treatment should a man with a UTI receive ?

Answer 41

7 days

Question 42

which antibiotic is contraindicated in patients on methotrexate ?

Answer 42

trimethoprim

Question 43

what may be found in a stool sample of a person with giardiasis?

Answer 43

cysts or trophozoites

Question 44

what shouldn't you drink when taking metronidazole ?

Answer 44

alcohol