Matthew Coulson
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Honours Degree Medicine (Transition Block) Quiz on Transition Block - Microbiology, created by Matthew Coulson on 12/04/2019.

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Matthew Coulson
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Transition Block - Microbiology

Question 1 of 23

1

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

Select one of the following:

  • An endocervical swab for PCR

  • A vulvovaginal swab for PCR

  • A first pass urine sample for PCR

  • A mid stream urine sample for PCR

Explanation

Question 2 of 23

1

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

Select one of the following:

  • Swab of glans for PCR

  • Urethral swab for PCR

  • First pass urine sample for PCR

  • Mid stream urine sample for PCR

Explanation

Question 3 of 23

1

Which of the following infective organisms are treated with Metronidazole?

Select one or more of the following:

  • Neisseria Gonorrhoea

  • Trichomonas Vaginalis

  • Gardnerella Vaginalis

  • Treponema Pallidum

  • Chlamydia Trachomatis

Explanation

Question 4 of 23

1

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

Select one or more of the following:

  • Serotypes A, B and C

  • Serotypes D-K

  • Serotypes L1-L3

Explanation

Question 5 of 23

1

Fill the blank space to complete the text.

Bacterial Vaginosis can be diagnosed if cells are seen on microscopy

Explanation

Question 6 of 23

1

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

Select one of the following:

  • True
  • False

Explanation

Question 7 of 23

1

Which of the following statements is true?/

Select one of the following:

  • 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

Explanation

Question 8 of 23

1

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

Select one of the following:

  • True
  • False

Explanation

Question 9 of 23

1

Select from the dropdown lists to complete the text.

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 )

Explanation

Question 10 of 23

1

Select from the dropdown list to complete the text.

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

Explanation

Question 11 of 23

1

Select from the dropdown lists to complete the text.

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

Explanation

Question 12 of 23

1

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

Select one of the following:

  • Listeria

  • Streptococcus Pneumoniae

  • Neisseria Meningitidis

  • Haemophilus Influenzae

  • Escherichia Coli

Explanation

Question 13 of 23

1

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

Select one of the following:

  • 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

Explanation

Question 14 of 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?

Select one of the following:

  • 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.

Explanation

Question 15 of 23

1

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

Select one of the following:

  • True
  • False

Explanation

Question 16 of 23

1

Select from the dropdown lists to complete the text.

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

Explanation

Question 17 of 23

1

Select from the dropdown list to complete the text.

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

Explanation

Question 18 of 23

1

Which of the following are part of Sepsis 6?

Select one or more of the following:

  • 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

Explanation

Question 19 of 23

1

Select from the dropdown list to complete the text.

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.

Explanation

Question 20 of 23

1

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

Select one of the following:

  • Amoxicillin, Gentamicin, Metroidazole

  • Doxycycline, Gentamicin, Metronidazole

  • Ceftriaxone, Gentamicin, Metronidazole

  • Vancomycin, Gentamicin, Metronidazole

Explanation

Question 21 of 23

1

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

Select one of the following:

  • True
  • False

Explanation

Question 22 of 23

1

Select from the dropdown lists to complete the text.

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

Explanation

Question 23 of 23

1

Select from the dropdown lists to complete the text.

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

Explanation

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