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
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An endocervical swab for PCR
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A vulvovaginal swab for PCR
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A first pass urine sample for PCR
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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?
Pregunta 3
Pregunta
Which of the following infective organisms are treated with Metronidazole?
Respuesta
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Neisseria Gonorrhoea
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Trichomonas Vaginalis
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Gardnerella Vaginalis
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Treponema Pallidum
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Chlamydia Trachomatis
Pregunta 4
Pregunta
Which of the following strains are associated with chlamydial eye infections?
Respuesta
-
Serotypes A, B and C
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Serotypes D-K
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Serotypes L1-L3
Pregunta 5
Pregunta
Bacterial Vaginosis can be diagnosed if [blank_start]clue[blank_end] cells are seen on microscopy
Pregunta 6
Pregunta
IM ceftriaxone and oral azithromycin is the current recommended treatment for Gonorrhoea infection
Pregunta 7
Pregunta
Which of the following statements is true?/
Respuesta
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Most coliforms are sensitive to Gentamicin
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Most coliforms are sensitive to Amoxicillin
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Most coliforms are sensitive to Metronidazole
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Enterococcus Faecalis is a type of Coliform
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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
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
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3 days
-
24 hours
-
2 days
-
kidneys
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liver
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Dizziness
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Headache
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Tenesmus
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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
Pregunta 11
Pregunta
Listeria are gram [blank_start]positive[blank_end] [blank_start]bacilli[blank_end]
Respuesta
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bacilli
-
cocci
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positive
-
negative
Pregunta 12
Pregunta
Which of the following causative organisms of bacterial meningitis is associated with the consumption of soft cheese?
Respuesta
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Listeria
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Streptococcus Pneumoniae
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Neisseria Meningitidis
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Haemophilus Influenzae
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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
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Ceftriaxone penetrates better than penicillin into CSF
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Most bacteria that cause meningitis are now penicillin resistant.
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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
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She should abstain from sex for two weeks in total; one week whilst taking the treatment (doxycycline) and one week following this
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She should abstain from sex for the one week of her doxycycline treatment
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She can continue to have sex provided condoms are used.
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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.
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
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midstream
-
first pass
-
first pass
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midstream
Pregunta 17
Pregunta
Sepsis can be diagnosed if a patient's NEWS score is greater than [blank_start]5[blank_end]
Pregunta 18
Pregunta
Which of the following are part of Sepsis 6?
Respuesta
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Give Oxygen to maintain sats above 94%
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Take bloods for culture
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Give indicated antibiotics
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Give fluids
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Measure Serum lactate and haemoglobin
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Measure Urine output
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Take ECG to assess urgent cardiovascular risk
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Measure white blood cell count
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Take oral swab for microscopy and/or PCR
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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
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Aztreonam
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Imipenem
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Ertapenem
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Trimethoprim
Pregunta 20
Pregunta
Empirical Antibiotics for Sepsis in a patient who is hypersensitive to penicillin are ...
Respuesta
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Amoxicillin, Gentamicin, Metroidazole
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Doxycycline, Gentamicin, Metronidazole
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Ceftriaxone, Gentamicin, Metronidazole
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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.
Pregunta 22
Pregunta
Gram positive cocci:
[blank_start]Staph Aureus[blank_end] = Coagulase Positive
[blank_start]Staph Epidermidis[blank_end] = Coagulase Negative
Respuesta
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Staph Epidermidis
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Staph Aureus
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Staph Aureus
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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
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Partial
-
Complete
-
No
-
Complete
-
Partial
-
No
-
No
-
Partial
-
Complete
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Yellow
-
Green
-
Red
-
Green
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Yellow
-
Red
-
Streptococcus Viridans
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Streptococcus Pyogenes
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Streptococcus Pyogenes
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Streptococcus Viridans
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Enterococcus
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Enterococcus