Passmed

Question 1

Causes of post splenectomy sepsis

Answer 1

S pneumoniae
H influenzae
Meningococci

eg encapsulated organsims

Question 2

wHAT TYPE OF LIVER PATHOGENS CAUSE ‘anchovey sauce’ fluid extraction

Answer 2

amoebic
eg Entamoeba. histolytica

Question 3

What in history would suggest parasitic cause

Answer 3

long incubation period eg weeks

Question 4

Amoebic dysentry features

Answer 4

Profuse bloody diarrhoea
Long invubation
Stool microcopy - trophozoites

Question 5

Treatment amoebic dysentry

Answer 5

Oral metronidazole

Question 6

Amoebic liver abscess features

Answer 6

fever
RUQ pain
malaise etc
Hepatomegaly

Question 7

Most common cause of genital warts

Answer 7

HPV 6+11

Question 8

Why don’t trust pulse oximetry in carbon monoxide poisoning

Answer 8

Falsely high due to carboxyhaemoglobin similairty to oxyhaemaglobin
Use ABG or VBG

Question 9

Treatment for carbon monoxide poisoning

Answer 9

100% high flow O2 non rebreather mask
hyperbaric oxygen

Question 10

What orgniasm causes threadworms

Answer 10

Enterobius vermicularis

Question 11

SLE antibodies

Answer 11

Anti dsDNA antibody highly specific, not sensitive
99% ANA +
Rf - 20%