Travel Related Infection

Question 1

Name 6 Water Related infections

Answer 1

Schistosomiasis
Leptospirosis
Liver Flukes
Strongyloidiasis
Hook Worms
Guinea Worms

Question 2

Which athropod is involved in Malaria , Filariasis and Dengue Fever

Answer 2

Mosquitos

Question 3

which arthropod is involved in rickettsial infections

Answer 3

ticks

Question 4

which arthropod is involved in lesihmaniasis

Answer 4

sand flies

Question 5

which arthropod is involved in trypanosomiasis

Answer 5

tsetse fly

Question 6

which arthropod is involved in onchocerciasis

Answer 6

black fly

Question 7

Which malaria species can cause severe malaria

Answer 7

Plasmodium Falciparum

Question 8

Malaria symptoms 9)

Answer 8

Fever
Rigors
Aching Bones
Abdo Pain
Headache
Dysuria
Frequency
Sore Throat
Cough

Question 9

Malaria Signs (3)

Answer 9

Splenomegaly
Hepatomegaly
Mild Jaundice

Question 10

Complications of Malaria (6)

Answer 10

• Cerebral Malaria (Encephalopathy)
• Blackwater Fever
• Pulmonary Oedema
• Jaundice
• Severe Anaemia
• Algid Malaria

Question 11

Cerebral Malaria can cause what symptoms/signs (2)

Answer 11

Convulsions

Hypoxia

Question 12

Blackwater Fever in Malaria can cause (5)

Answer 12

• Severe Intravascular Haemolysis
• High Parasitemia
• Profound Anaemia
• Haemoglobinuria
• Acute Renal Failure

Question 13

What is Algid Malaria in Malaria

Answer 13

Gram Neg septicaemia

Question 14

Diagnosis of Malaria (3)

Answer 14

• Thick and Thin Blood Films: Giemsa, Field Stain
• QBC
• Rapid Antigen Test: Optimal, Parasight F

Question 15

If the parasite count is >2% in Malaria or Haemoglobin <8mg or Renal Impairement <7.3 what does this mean

Answer 15

It’s complicated

Question 16

Malaria Drugs (2)

Answer 16

• Quinine

- Artemisinins

Question 17

Treatment for Uncomplicated P Falciparum Malaria (5)

Answer 17

1. Ritamet for 3 Days
2. Euratesim for 3 Days
3. Malarone for 3 Days
4. Quinine for 7 Days
   Plus Oral Doxycycline

Question 18

Treatment for Complicated or Severe P Falciparum Malaria (3)

Answer 18

1. IV Artesunate
2. IV Quine
   Plus Oral Doxycycline or Clindamycin

Question 19

Treatment for P Virax, P Ovale, P Malariae, P Knowlesi Malaria (2)

Answer 19

Choloroquine 3 Days

Riamet for 3 Days

Question 20

Typhoid Enteric Fever are caused by what bacterias (2)

Answer 20

Salmonella Typhi

Salmonella Paratyphi

Question 21

How to Diagnose Typhoid Fever (4)

Answer 21

-Culture Blood, Urine, Stool, Bone Marrow

Question 22

Typhoid Fever Treatment (2)

Answer 22

Oral Azithromycin

IV Ceftriazxone

Question 23

Dengue is commonest what type of infection

Answer 23

Human Arbovirus Infection

Question 24

How is Dengue Transmitted

Answer 24

Aedes Aegypti

Question 25

Presentation of Dengue (10)

Answer 25

``` Sudden Fever Severe Headache Retro-Orbital Pain Myalgia Arthralgia Macular/Maculopapular Rash Petechiae Purpura Positive Toruqniuet Test ```

Question 26

Testing of dengue (6)

Answer 26

``` Thrombocytopenia Leucopenia Elevated Transaminases Positive Tourniquet Test PCR Serology ```

Question 27

Complications of Dengue

Answer 27

Dengue Haemorrhagic Fever | Dengue Shock Syndrome

Question 28

Schistosomiasis caused by

Answer 28

Freshwater Snails

Question 29

Bacteria in Schistosomiasis (3)

Answer 29

S Haematobium S Mansoni S Japonicum

Question 30

What do eggs release in schistosomiasis

Answer 30

Miracida

Question 31

Features of Schistosomiasis (9)

Answer 31

``` Swimmers Itch Cough Abdo Discomfort Splenomegaly Eosinophilia Fever Urticaria Lymphadenopathy Diarrhoea ```

Question 32

Schistosomiasis is called what after 15-20 days

Answer 32

Katayama Fever

Question 33

How is Schistosomiasis diagnosed

Answer 33

Antibody Tests Ova in Stools and urine Rectal Snip

Question 34

Treatment of Schistosomiasis (2)

Answer 34

Praziquantel | Prednisolone if severe

Question 35

Rickettsiosis caused by which bacteria (2)

Answer 35

R Conorri | R Africae

Question 36

Commonest type of Rickettsiosis

Answer 36

Caused by Tick Typhus

Question 37

Features of Rickettsiosis (5)

Answer 37

``` Abrupt onset swing fever headache confusion rash bleed ```

Question 38

Management of Rickettsiosis (1)

Answer 38

Tetracycline

Question 39

Name four Viral Haemorrhagic Fevers (4)

Answer 39

Ebola Congo Crimea Haemorrhagic Fever Lassa Fever Marburg disease

Question 40

Maximum Incubation period for Viral Haemorrhagic period

Answer 40

3 Weeks

Question 41

Zika is caused by which bacteria

Answer 41

Flavirus

Question 42

Zika is transmitted by

Answer 42

daytime biting aedes mosquito

Question 43

Zika Symptoms (6)

Answer 43

``` Headache Rash Fever Malaise Conjunctivitis Joint Pain ```

Question 44

Zika can cause which condition

Answer 44

Guilian Barre

Question 45

Most common cause of fever in traveller

Answer 45

Malaria

Question 46

Rash is present in which travellers diseases (3)

Answer 46

Typhoid Typhus Dengue

Question 47

Jaundice is present in which travellers disease (3)

Answer 47

Hepatitis Malaria Yellow Fever

Question 48

The spleen is affected in which travellers diseases (3)

Answer 48

Visceral Lesihmaniasis Typhoid Malaria