Transition Block - Microbiology

Descripción

Honours Degree (Transition Block) Medicine Test sobre Transition Block - Microbiology, creado por Matthew Coulson el 12/04/2019.
Matthew Coulson
Test por Matthew Coulson, actualizado hace más de 1 año
Matthew Coulson
Creado por Matthew Coulson hace más de 5 años
10
1

Resumen del Recurso

Pregunta 1

Pregunta
What is the best specimen to send to the microbiology lab for a STI infection in a 20 year old asymptomatic female?
Respuesta
  • An endocervical swab for PCR
  • A vulvovaginal swab for PCR
  • A first pass urine sample for PCR
  • A mid stream urine sample for PCR

Pregunta 2

Pregunta
What is the best specimen to send to the microbiology lab for a STI infection in a 22 year old asymptomatic male?
Respuesta
  • Swab of glans for PCR
  • Urethral swab for PCR
  • First pass urine sample for PCR
  • Mid stream urine sample for PCR

Pregunta 3

Pregunta
Which of the following infective organisms are treated with Metronidazole?
Respuesta
  • Neisseria Gonorrhoea
  • Trichomonas Vaginalis
  • Gardnerella Vaginalis
  • Treponema Pallidum
  • Chlamydia Trachomatis

Pregunta 4

Pregunta
Which of the following strains are associated with chlamydial eye infections?
Respuesta
  • Serotypes A, B and C
  • Serotypes D-K
  • Serotypes L1-L3

Pregunta 5

Pregunta
Bacterial Vaginosis can be diagnosed if [blank_start]clue[blank_end] cells are seen on microscopy
Respuesta
  • clue

Pregunta 6

Pregunta
IM ceftriaxone and oral azithromycin is the current recommended treatment for Gonorrhoea infection
Respuesta
  • True
  • False

Pregunta 7

Pregunta
Which of the following statements is true?/
Respuesta
  • 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

Pregunta 8

Pregunta
Low blood pressure that does not come back up when IV fluids are given is diagnostic of septic shock
Respuesta
  • True
  • False

Pregunta 9

Pregunta
Gentamicin: [blank_start]Dizziness[blank_end] is a recognised side effect of gentamicin Gentamicin is mainly excreted by the [blank_start]kidneys[blank_end] Gentamicin blood levels should be checked at least once every [blank_start]3 days[blank_end]
Respuesta
  • 3 days
  • 24 hours
  • 2 days
  • kidneys
  • liver
  • Dizziness
  • Headache
  • Tenesmus
  • Diarrhoea

Pregunta 10

Pregunta
If steroids are indicated in a patient with bacterial meningitis, they should be given either [blank_start]just before or with[blank_end] the first dose of antibiotics
Respuesta
  • just before or with
  • with or just after
  • just before or just after

Pregunta 11

Pregunta
Listeria are gram [blank_start]positive[blank_end] [blank_start]bacilli[blank_end]
Respuesta
  • bacilli
  • cocci
  • positive
  • negative

Pregunta 12

Pregunta
Which of the following causative organisms of bacterial meningitis is associated with the consumption of soft cheese?
Respuesta
  • Listeria
  • Streptococcus Pneumoniae
  • Neisseria Meningitidis
  • Haemophilus Influenzae
  • Escherichia Coli

Pregunta 13

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

Pregunta 14

Pregunta
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?
Respuesta
  • 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.

Pregunta 15

Pregunta
A test of cure is required for both chlamydia and gonorrhoea.
Respuesta
  • True
  • False

Pregunta 16

Pregunta
In males: When testing for STIs, a [blank_start]first pass[blank_end] urine sample is taken When testing for UTIs, a [blank_start]midstream[blank_end] urine sample is taken
Respuesta
  • midstream
  • first pass
  • first pass
  • midstream

Pregunta 17

Pregunta
Sepsis can be diagnosed if a patient's NEWS score is greater than [blank_start]5[blank_end]
Respuesta
  • 5
  • 4
  • 6
  • 7

Pregunta 18

Pregunta
Which of the following are part of Sepsis 6?
Respuesta
  • 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

Pregunta 19

Pregunta
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 [blank_start]Aztreonam[blank_end] to avoid possible gentamicin toxicity.
Respuesta
  • Aztreonam
  • Imipenem
  • Ertapenem
  • Trimethoprim

Pregunta 20

Pregunta
Empirical Antibiotics for Sepsis in a patient who is hypersensitive to penicillin are ...
Respuesta
  • Amoxicillin, Gentamicin, Metroidazole
  • Doxycycline, Gentamicin, Metronidazole
  • Ceftriaxone, Gentamicin, Metronidazole
  • Vancomycin, Gentamicin, Metronidazole

Pregunta 21

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

Pregunta 22

Pregunta
Gram positive cocci: [blank_start]Staph Aureus[blank_end] = Coagulase Positive [blank_start]Staph Epidermidis[blank_end] = Coagulase Negative
Respuesta
  • Staph Epidermidis
  • Staph Aureus
  • Staph Aureus
  • Staph Epidermidis

Pregunta 23

Pregunta
Streptococci: Alpha Haemolytic: [blank_start]Partial[blank_end] Haemolysis Colour on gram stain is [blank_start]Green[blank_end] [blank_start]Streptococcus Viridans[blank_end] is an example Beta Haemolytic: [blank_start]Complete[blank_end] Haemolysis Colour on gram stain is [blank_start]Yellow[blank_end] [blank_start]Streptococcus Pyogenes[blank_end] is an example Gamma Haemolytic: [blank_start]No[blank_end] Haemolysis No colour on gram stain
Respuesta
  • Partial
  • Complete
  • No
  • Complete
  • Partial
  • No
  • No
  • Partial
  • Complete
  • Yellow
  • Green
  • Red
  • Green
  • Yellow
  • Red
  • Streptococcus Viridans
  • Streptococcus Pyogenes
  • Streptococcus Pyogenes
  • Streptococcus Viridans
  • Enterococcus
  • Enterococcus
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