Question 1
Question
What is the best specimen to send to the microbiology lab for a STI infection in a 20 year old asymptomatic female?
Answer
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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
Question 2
Question
What is the best specimen to send to the microbiology lab for a STI infection in a 22 year old asymptomatic male?
Question 3
Question
Which of the following infective organisms are treated with Metronidazole?
Answer
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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
Question 4
Question
Which of the following strains are associated with chlamydial eye infections?
Answer
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Serotypes A, B and C
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Serotypes D-K
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Serotypes L1-L3
Question 5
Question
Bacterial Vaginosis can be diagnosed if [blank_start]clue[blank_end] cells are seen on microscopy
Question 6
Question
IM ceftriaxone and oral azithromycin is the current recommended treatment for Gonorrhoea infection
Question 7
Question
Which of the following statements is true?/
Answer
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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
Question 8
Question
Low blood pressure that does not come back up when IV fluids are given is diagnostic of septic shock
Question 9
Question
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]
Answer
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3 days
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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
Question 10
Question
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
Question 11
Question
Listeria are gram [blank_start]positive[blank_end] [blank_start]bacilli[blank_end]
Answer
-
bacilli
-
cocci
-
positive
-
negative
Question 12
Question
Which of the following causative organisms of bacterial meningitis is associated with the consumption of soft cheese?
Answer
-
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
Question 13
Question
Ceftriaxone is used for empirical treatment of suspected bacterial meningitis because ...
Answer
-
It has a longer half life than penicillin
-
Ceftriaxone penetrates better than penicillin into CSF
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Most bacteria that cause meningitis are now penicillin resistant.
-
Ceftriaxone also has activity against Listeria
Question 14
Question
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?
Answer
-
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.
Question 15
Question
A test of cure is required for both chlamydia and gonorrhoea.
Question 16
Question
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
Answer
-
midstream
-
first pass
-
first pass
-
midstream
Question 17
Question
Sepsis can be diagnosed if a patient's NEWS score is greater than [blank_start]5[blank_end]
Question 18
Question
Which of the following are part of Sepsis 6?
Answer
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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
Question 19
Question
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.
Answer
-
Aztreonam
-
Imipenem
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Ertapenem
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Trimethoprim
Question 20
Question
Empirical Antibiotics for Sepsis in a patient who is hypersensitive to penicillin are ...
Answer
-
Amoxicillin, Gentamicin, Metroidazole
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Doxycycline, Gentamicin, Metronidazole
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Ceftriaxone, Gentamicin, Metronidazole
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Vancomycin, Gentamicin, Metronidazole
Question 21
Question
Gentamicin is known to penetrate into the CSF thus making it more important to regulate its levels due to potential toxicity.
Question 22
Question
Gram positive cocci:
[blank_start]Staph Aureus[blank_end] = Coagulase Positive
[blank_start]Staph Epidermidis[blank_end] = Coagulase Negative
Answer
-
Staph Epidermidis
-
Staph Aureus
-
Staph Aureus
-
Staph Epidermidis
Question 23
Question
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
Answer
-
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