Matthew Coulson
Quiz von , erstellt am more than 1 year ago

Honours Degree Medicine (Transition Block) Quiz am Transition Block - Microbiology, erstellt von Matthew Coulson am 12/04/2019.

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Matthew Coulson
Erstellt von Matthew Coulson vor mehr als 5 Jahre
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Transition Block - Microbiology

Frage 1 von 23

1

What is the best specimen to send to the microbiology lab for a STI infection in a 20 year old asymptomatic female?

Wähle eine der folgenden:

  • An endocervical swab for PCR

  • A vulvovaginal swab for PCR

  • A first pass urine sample for PCR

  • A mid stream urine sample for PCR

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Frage 2 von 23

1

What is the best specimen to send to the microbiology lab for a STI infection in a 22 year old asymptomatic male?

Wähle eine der folgenden:

  • Swab of glans for PCR

  • Urethral swab for PCR

  • First pass urine sample for PCR

  • Mid stream urine sample for PCR

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Frage 3 von 23

1

Which of the following infective organisms are treated with Metronidazole?

Wähle eine oder mehr der folgenden:

  • Neisseria Gonorrhoea

  • Trichomonas Vaginalis

  • Gardnerella Vaginalis

  • Treponema Pallidum

  • Chlamydia Trachomatis

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Frage 4 von 23

1

Which of the following strains are associated with chlamydial eye infections?

Wähle eine oder mehr der folgenden:

  • Serotypes A, B and C

  • Serotypes D-K

  • Serotypes L1-L3

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Frage 5 von 23

1

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Bacterial Vaginosis can be diagnosed if cells are seen on microscopy

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Frage 6 von 23

1

IM ceftriaxone and oral azithromycin is the current recommended treatment for Gonorrhoea infection

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 7 von 23

1

Which of the following statements is true?/

Wähle eine der folgenden:

  • Most coliforms are sensitive to Gentamicin

  • Most coliforms are sensitive to Amoxicillin

  • Most coliforms are sensitive to Metronidazole

  • Enterococcus Faecalis is a type of Coliform

  • Pseudomonas Aeruginosa is a type of Coliform

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Frage 8 von 23

1

Low blood pressure that does not come back up when IV fluids are given is diagnostic of septic shock

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 9 von 23

1

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Gentamicin:
( Dizziness, Headache, Tenesmus, Diarrhoea ) is a recognised side effect of gentamicin
Gentamicin is mainly excreted by the ( kidneys, liver )
Gentamicin blood levels should be checked at least once every ( 3 days, 24 hours, 2 days )

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Frage 10 von 23

1

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If steroids are indicated in a patient with bacterial meningitis, they should be given either ( just before or with, with or just after, just before or just after ) the first dose of antibiotics

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Frage 11 von 23

1

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Listeria are gram ( positive, negative ) ( bacilli, cocci )

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Frage 12 von 23

1

Which of the following causative organisms of bacterial meningitis is associated with the consumption of soft cheese?

Wähle eine der folgenden:

  • Listeria

  • Streptococcus Pneumoniae

  • Neisseria Meningitidis

  • Haemophilus Influenzae

  • Escherichia Coli

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Frage 13 von 23

1

Ceftriaxone is used for empirical treatment of suspected bacterial meningitis because ...

Wähle eine der folgenden:

  • It has a longer half life than penicillin

  • Ceftriaxone penetrates better than penicillin into CSF

  • Most bacteria that cause meningitis are now penicillin resistant.

  • Ceftriaxone also has activity against Listeria

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Frage 14 von 23

1

A woman has recently been diagnosed with chlamydia infection. She wishes to know if she can continue to have sex with her regular partner (who is not infected). What do you tell her?

Wähle eine der folgenden:

  • She should abstain from sex for two weeks in total; one week whilst taking the treatment (doxycycline) and one week following this

  • She should abstain from sex for the one week of her doxycycline treatment

  • She can continue to have sex provided condoms are used.

  • She can continue to have unprotected sex during Doxycycline treatment as female to male transmission is low.

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Frage 15 von 23

1

A test of cure is required for both chlamydia and gonorrhoea.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 16 von 23

1

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In males:
When testing for STIs, a ( first pass, midstream ) urine sample is taken
When testing for UTIs, a ( midstream, first pass ) urine sample is taken

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Frage 17 von 23

1

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Sepsis can be diagnosed if a patient's NEWS score is greater than ( 5, 4, 6, 7 )

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Frage 18 von 23

1

Which of the following are part of Sepsis 6?

Wähle eine oder mehr der folgenden:

  • Give Oxygen to maintain sats above 94%

  • Take bloods for culture

  • Give indicated antibiotics

  • Give fluids

  • Measure Serum lactate and haemoglobin

  • Measure Urine output

  • Take ECG to assess urgent cardiovascular risk

  • Measure white blood cell count

  • Take oral swab for microscopy and/or PCR

  • Urgent ultrasound to assess for structural pathology

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Frage 19 von 23

1

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In septic patients, Gentamicin is typically only given for 3 days, for gram negative cover in days following this Gentamicin should be swapped out for ( Aztreonam, Imipenem, Ertapenem, Trimethoprim ) to avoid possible gentamicin toxicity.

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Frage 20 von 23

1

Empirical Antibiotics for Sepsis in a patient who is hypersensitive to penicillin are ...

Wähle eine der folgenden:

  • Amoxicillin, Gentamicin, Metroidazole

  • Doxycycline, Gentamicin, Metronidazole

  • Ceftriaxone, Gentamicin, Metronidazole

  • Vancomycin, Gentamicin, Metronidazole

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Frage 21 von 23

1

Gentamicin is known to penetrate into the CSF thus making it more important to regulate its levels due to potential toxicity.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 22 von 23

1

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Gram positive cocci:
( Staph Aureus, Staph Epidermidis ) = Coagulase Positive
( Staph Epidermidis, Staph Aureus ) = Coagulase Negative

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Frage 23 von 23

1

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Streptococci:

Alpha Haemolytic:
( Partial, Complete, No ) Haemolysis
Colour on gram stain is ( Green, Yellow, Red )
( Streptococcus Viridans, Streptococcus Pyogenes, Enterococcus ) is an example

Beta Haemolytic:
( Complete, Partial, No ) Haemolysis
Colour on gram stain is ( Yellow, Green, Red )
( Streptococcus Pyogenes, Streptococcus Viridans, Enterococcus ) is an example

Gamma Haemolytic:
( No, Partial, Complete ) Haemolysis
No colour on gram stain

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