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Date Completed: 18/03/2023
Page 1 of 22
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Transmission of Bordetella Pertussis
Bordetella pertussis is spread via which of the following routes:
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Characteristics of Legionella Spp.
Regarding Legionella species which of the following statements is CORRECT:
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Complications of Group A Streptococcal Infection
A patient in ED has been diagnosed with acute bacterial tonsillitis. Which of the following postinfectious complications is most associated
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Clinical Features of Campylobacter Gastroenteritis
Regarding Campylobacter gastroenteritis, which of the following statements is INCORRECT:
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Infectious Disease caused by Rhinovirus
Rhinovirus is primarily implicated in which of the following infectious diseases:
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Clinical Features of Meningococcal Disease
Regarding meningococcal meningitis, which of the following statements is CORRECT:
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Transmission of Legionella Pneumophila
An elderly man with chronic heart and lung disease develops Legionnaires' Disease. By what route was the infection most likely to have been
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Infectious Disease caused by Chlamydia Trachomatis
Regarding Chlamydia trachomatis infection, which of the following statements is CORRECT:
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Infectious Disease caused by Clostridium Botulinum
A patient presents with a progressive symmetric descending flaccid paralysis following a 2 day history of diarrhoea and vomiting. He initial
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Characteristics of Parainfluenza
Regarding parainfluenza virus, which of the following statements is INCORRECT:
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Clinical Features of Tuberculosis
You are alerted that a patient with known active tuberculosis has presented to ED. What is the most common site of infection in TB:
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Investigation of Hepatitis B Infection
Which of the following serology results is consistent with immunity to hepatitis B due to vaccination:
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Investigation of Hepatitis B Infection
Which of the following serology results is most consistent with acute hepatitis B infection:
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Clinical Features of Typhoid Fever
A patient who has recently returned from travelling to South America, presents to ED with a fever and a 'rose spot' rash shown below. He has
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Infectious Disease caused by Salmonella Enterica
Salmonella enterica is typically implicated in which of the following infectious diseases:
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Characteristics of Streptococcus Spp.
Regarding Streptococci species, which of the following statements is CORRECT:
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Infectious Disease caused by Clostridium Tetani
Clostridium tetani causes which of the following infectious diseases:
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Pathogenesis of Tetanus
A patient presents to ED with neck stiffness and trismus which has developed over the last 24 hours. About 10 days ago he sustained a punctu
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Causative Agent of Tetanus
You are asked to give a presentation on tetanus infection to a group of medical students. Which of the following pathogens causes tetanus:
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Diagnosis of Pertussis
An 8 year old child is brought in with a 1 week history of a violent paroxysmal cough. A classmate has recently been diagnosed with whooping
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Transmission of Campylobacter Jejuni
Campylobacter jejuni is primarily spread via which of the following routes:
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Transmission of Salmonella Enterica
Salmonella enterica is primarily transmitted by which of the following routes:
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Risk Factors for Legionnaires' Disease
A patient presents to ED unwell with a high fever, breathlessness and a cough. Chest x-ray demonstrates a left lower lobe pneumonia. His CUR
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Investigation of Tuberculosis
A man presents to ED with a persistent productive cough. The results of a recent sputum sample sent by his GP are available on the computer
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Clinical Features of Measles
A 8 year old unvaccinated girl, originally from Hungary, is brought to ED by her parents who are concerned about a non-itchy rash. She has
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Clinical Features of Roundworm Infection
Regarding Ascaris lumbricoides, which of the following statements is INCORRECT:
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Causative Agents of Gas Gangrene
A diabetic 78 year old man develops a necrotic ulcer on his right foot. Infection spreads rapidly and there is gas in soft tissues. His foot
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Causative Agent of Pertussis
A 10 year old child is brought into ED with recurrent, violent coughing fits that are followed by vomiting. He has been off school with a co
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Clinical Features of Genital Herpes
A 21 year old female patient presents to ED complaining of a painful blistering rash on her genitals and swollen inguinal lymph nodes, follo
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Clinical Features of Hepatitis A Infection
About what percentage of patients with hepatitis A develop chronic infection:
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Complications of Group A Streptococcal Infection
A 19 year old university student develops facial swelling and dark frothy urine. Urine dipstick demonstrates haematuria and proteinuria. Ap
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Management of Oral Candidiasis
Which of the following is usually used first line for oral candidiasis:
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Investigation of Hepatitis B Infection
Which of the following serology results is consistent with immunity to hepatitis B due to natural infection:
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Characteristics of Klebsiella Spp.
Regarding Klebsiella spp. which of the following statements is CORRECT:
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Infectious Disease caused by Clostridium Difficile
Clostridium difficile primarily causes which of the following infectious diseases:
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Clinical Features of Chickenpox
Regarding the varicella zoster virus, which of the following statements is CORRECT:
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Infectious Disease caused by Salmonella Enterica
A 10 year old child with known sickle cell disease, is brought into ED with a limp complaining of pain in his left knee. X-ray shows changes
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Characteristics of Clostridium Tetani
Regarding Clostridium tetani, which of the following statements is CORRECT:
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Clinical Features of Hepatitis A Infection
Regarding hepatitis A, which of the following statements is CORRECT:
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Risk Factors for Salmonella Osteomyelitis
A 19 year old patient is brought to ED with an acutely painful, swollen red big toe. Imaging shows changes of osteomyelitis and blood cultur
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Management of Tuberculosis
A patient on treatment for tuberculosis infection presents to ED. Regarding the management of TB, the initial phase of treatment using 4 dru
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Characteristics of Dermatophytes
Regarding dermatophytes, which of the following statement is CORRECT:
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Clinical Features of Hookworm Infection
Regarding hookworm, which of the following statements is INCORRECT:
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Complications of Campylobacter Gastroenteritis
A patient presents to ED with a profuse bloody diarrhoea. Stool culture confirms infection with Campylobacter jejuni. Which of the following
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Pathogenesis of Tuberculosis
An immunocompromised patient originally from Nigeria, complaining of a persistent cough and haemoptysis, is sent to ED by his GP with suspec
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Investigation of Clostridium Difficile Colitis
A 74 year old lady is brought to ED from a nursing home complaining of profuse offensive-smelling diarrhoea ongoing for 48 hours. The patien
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Life Cycle of Plasmodium Spp.
Regarding the Plasmodium spp. life cycle, which of the following is injected by the mosquito's bite:
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Clinical Features of Pertussis
A child is sent to ED by her GP with suspected whooping cough as she is having severe coughing fits followed by vomiting and is unable to ke
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Characteristics of Staphylococcus Aureus
An outbreak of Staphylococcal food poisoning has occurred at a local military unit. Which of the following statements regarding Staphylococc
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Clinical Features of Malaria
A 35 year old Nigerian woman presents to ED with a high fever and rigors. She has recently returned from a trip to visit family in her home
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Characteristics of Helicobacter Pylori
Regarding Helicobacter pylori, which of the following statements is INCORRECT:
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Management of Tuberculosis
A patient on treatment for tuberculosis infection presents to ED. The patient was started on the standard treatment regimen for fully suscep
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Complications of Rubella
A pregnant patient presents to ED with a new onset rash which started on her face and spread to her body. She has recently been in contact w
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Risk Factors for Meningococcal Disease
A patient presents to ED with a fever and a headache. You notice that in the patient’s notes it states they are particularly susceptible t
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Characteristics of Neisseria Spp.
Regarding Neisseria species which of the following statements is CORRECT:
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Investigation of Helicobacter Pylori Infection
A patient presents to ED recurrently with symptoms of dyspepsia. Your consultant asks you to find out if the patient has previously been tes
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Clinical Features of Croup
A 3 year old child is brought into ED with fever, a barking cough and difficulty breathing. On examination you note inspiratory stridor, tac
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Characteristics of Staphylococcus Epidermidis
Regarding Staphylococcus epidermidis, which of the following statements is CORRECT:
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Clinical Features of Shingles
A 69 year old man presents to ED with a painful rash on his chest. He states that he felt tingling in the same area before a blistering rash
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Infectious Disease caused by Streptococcus Pneumoniae
Streptococcus pneumoniae is commonly implicated in all of the following infectious diseases EXCEPT for:
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Attachment Mechanisms of Neisseria Gonorrhoeae
A patient presents to ED complaining of a purulent discharge, urethral discomfort and dysuria. You suspect gonorrhoea. Which of the followi
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Transmission of Mycobacterium Tuberculosis
You are alerted that a patient with known active tuberculosis has presented to ED. How is tuberculosis primarily transmitted:
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Clinical Features of Tuberculosis
A 50 year old homeless man presents to ED suffering from fever, a cough and weight loss for the past three months. You suspect tuberculosis
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Characteristics of Clostridium Difficile
Regarding Clostridium difficile, which of the following statements is CORRECT:
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Incubation Period of Respiratory Syncytial Virus
The incubation period of respiratory syncytial virus (RSV) is about:
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Transmission of Legionella Pneumophila
An outbreak of acute pneumonia occurs in military recruits living in one barrack and only in those persons located near the air conditioner.
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Clinical Features of Hepatitis D Infection
Regarding hepatitis D which of the following statements is CORRECT:
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Clinical Features of Bronchiolitis
A 9 month old baby is brought into the ED with a one day history of wheezing and dyspnoea. She is having difficulty feeding due to her breat
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UK Routine Immunisation Schedule for Pertussis
A 2 year old child is brought to ED with a severe persistent cough ongoing now for about 2 weeks. You are considering the diagnosis of whoop
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Clinical Features of Hepatitis C Infection
Regarding hepatitis C, which of the following statements is INCORRECT:
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Exclusion Period for Measles
A 5 year old presents to ED with a rash associated with Koplik's spots. Measles is diagnosed. What should the parents be advised about retur
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Causative Agents of Impetigo
A 6 year old child is brought to ED by his parents with the rash seen below, he is otherwise well in himself. Which of the following organis
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Infectious Disease caused by Clostridium Perfringens
Clostridium perfringens primarily causes which of the following infectious diseases:
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Infectious Disease caused by Chlamydia Psittaci
Chlamydia psittaci typically causes which of the following infectious diseases:
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Complications of Mumps
Which of the following is NOT a typical complication associated with mumps:
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Management of Tuberculosis
A patient on treatment for tuberculosis infection presents to ED. Which of the following drugs are used in the 4 month continuation phase of
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Complications of Measles
Which of the following complications is primarily associated with measles:
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Investigation of HIV Infection
A 29 year old man with a history of high risk sexual behaviour presents to ED with a 2 week history of flu-like illness with a fever, sore t
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Characteristics of Bordetella Pertussis
Regarding Bordetella pertussis, which of the following statements is INCORRECT:
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Risk Factors for Streptococcal Pneumonia
A 28 year old man, who underwent a splenectomy 1 year ago following trauma, presents to ED having collapsed. On examination he is febrile an
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Clinical Features of Measles
A 10 year old child, originally from Lithuania, presents to ED with a widespread maculopapular rash. His parents explain the rash started be
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Diagnosis of Pertussis
A 17 year old boy presents to ED with a 4 week history of a persistent paroxysmal cough. You can hear the characteristic inspiratory whoop a
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Management of Clostridium Difficile Colitis
A patient is sent to ED by his GP with profuse watery diarrhoea. A stool sample taken by the GP has demonstrated C. difficile cytotoxin. Fir
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Clinical Features of Bronchiolitis
Regarding bronchiolitis, which of the following statements is CORRECT:
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Complications of Typhoid Fever
A patient presents with gastroenteritis which resolves after a few days. For which one of the following enteric illnesses is a chronic stat
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Clinical Features of Clostridium Difficile Colitis
A 73 year old patient who has recently been discharged from a prolonged stay in hospital, including a stay on ITU where she was being treate
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Clinical Features of Hepatitis B Infection
Regarding hepatitis B, which of the following statements is CORRECT:
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Clinical Features of Chickenpox
A 3 year old child is brought into ED by his parents with a widespread itchy rash. The patient is otherwise generally well, other than a mil
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Clinical Features of Hepatitis B Infection
About what percentage of patients with hepatitis B develop chronic hepatitis:
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Pathogenesis of Tuberculosis
An immunocompromised patient originally from Nigeria, complaining of a persistent cough and haemoptysis, is sent to ED by his GP with suspec
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Clinical Features of Rotavirus Infection
A 3 year old girl is brought to ED with a 2 day history of diarrhoea and vomiting. Several other children at nursery have been off with the
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Complications of Clostridium Difficile Colitis
A patient is sent to ED by his GP with profuse watery diarrhoea. A stool sample taken by the GP has demonstrated C. difficile cytotoxin. Whi
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Investigation of HIV Infection
Diagnosis of HIV is predominantly made through which of the following:
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Infectious Disease caused by Staphylococcus Aureus
Staphylococcus aureus is commonly implicated in all of the following infectious diseases EXCEPT for:
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Clinical Features of Gas Gangrene
Regarding gas gangrene, which of the following statements is CORRECT:
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Causative Agents of Ringworm
A 16 year old girl is brought to ED with an itchy scaly rash on her arm shown below. Which of the following is the most likely infective age
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Management of Tuberculosis
A patient on treatment for tuberculosis infection presents to ED. Which of the following drugs is NOT used in the standard 2 month initial t
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Risk Factors for Clostridium Difficile Colitis
A 78 year old woman, recovering in hospital after a fractured neck of femur, develops profuse diarrhoea. She has been on broad spectrum anti
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Transmission of Neisseria Gonorrhoeae
Neisseria gonorrhoeae is transmitted primarily by which of the following routes:
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UK Routine Immunisation Schedule for Tetanus
A 6 year old is brought to ED after sustaining a laceration to his hand with a rusty nail from the garden. The parents are unsure if he is u
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Characteristics of Candida
Regarding Candida species, which of the following statements is INCORRECT:
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Causative Agents of Gas Gangrene
A 45 year old homeless man with poorly controlled diabetes mellitus presents to ED moribund with a severely painful, discoloured, swollen ri
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Clinical Features of Hepatitis C Infection
Regarding hepatitis C, which of the following statements is CORRECT:
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Characteristics of Herpes Simplex
Regarding herpes simplex, which of the following statements is CORRECT:
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Management of Tuberculosis
A patient on treatment for tuberculosis infection presents to ED. Regarding the management of TB, which of the following statements is CORRE
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Pathogenesis of HIV Infection
Opportunistic secondary infections occur in HIV predominantly due to deficiency of which of the following:
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Causative Agents of Ophthalmia Neonatorum
A full term 6 day old neonate is brought in with a unilateral eye purulent discharge which the parents noticed earlier that day. On gram sta
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Investigation of Meningococcal Meningitis
A patient presents with a fever, headache and neck stiffness. A CSF sample of someone with meningococcal meningitis typically shows:
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Clinical Features of Chickenpox
Regarding chickenpox, which of the following statements is CORRECT:
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Infectious Disease caused by Legionella Pneumophila
Regarding Legionellosis, which of the following statements is CORRECT:
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Management of Meningococcal Disease
A 14 year old boy presents to ED unwell with a 8 hour history of fever, drowsiness and a rapidly spreading rash shown below, which his mum r
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Transmission of Herpes Simplex
Herpes simplex virus is transmitted most commonly through which of the following routes:
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Complications of Clostridium Difficile Colitis
Clostridium difficile is typically associated with which of the following complications:
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Characteristics of Neisseria Meningitidis
Regarding Neisseria meningitidis, which of the following statements is CORRECT:
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Clinical Features of Legionnaires' Disease
A 45 year old, with a history of chronic alcohol abuse, attends ED complaining of a 10 day history of fever, persistent cough and shortness
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Clinical Features of Pertussis
Regarding whooping cough, which of the following statements is CORRECT:
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Management of Tuberculosis
A patient on treatment for tuberculosis infection presents to ED. Regarding the management of TB, the continuation phase of treatment using
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Clinical Features of Legionnaires' Disease
An elderly man with chronic heart and lung disease develops Legionnaires' disease. Which of the following clinical features is NOT typical o
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Infectious Disease caused by Bordetella Pertussis
Bordetella pertussis causes which of the following infectious diseases:
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Transmission of Neisseria Meningitidis
A patient has been diagnosed with meningococcal meningitis and given appropriate treatment. His family is concerned about risk to his younge
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Clinical Features of Gonorrhoea
A 21 year old male patient attends ED with a profuse thick green urethral discharge and dysuria. What is the most likely causative pathogen:
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Infectious Diseases caused by Herpesviruses
Which of the following infectious diseases is NOT caused by a herpesvirus:
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Causative Agent of Scarlet Fever
A 5 year old child is brought to ED with a widespread sandpaper-like rash and a sore tongue shown below. She has been off school over the l
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Investigation of Fungal Nail
A 45 year old man presents to ED with a 1 month history of an itchy scaly rash between the toes and a thickened, discoloured nail on the big
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Characteristics of Salmonella Spp.
Regarding Salmonella species which of the following statements is CORRECT:
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Complications of Campylobacter Gastroenteritis
A patient presents to ED complaining of a 3 day history of progressive muscle weakness and paraesthesia which started in both feet and appea
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Clinical Features of Legionnaires' Disease
Regarding Legionnaires disease, which of the following statements is CORRECT:
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Characteristics of Cryptococcus
Regarding Cryptococcus neoformans, which of the following statements is INCORRECT:
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Management of Pertussis
A 7 year old child is brought into ED with a severe cough that has been ongoing for about 10 days. The nurse in charge overhears the patient
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Clinical Features of Gonorrhoea
Regarding gonorrhoea, which of the following statements is INCORRECT:
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Complications of Gonorrhoea
A patient presents to ED with a fever and a red, hot swollen painful left knee that is painful to move. On further questioning, you discover
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Characteristics of Streptococcus Pyogenes
Regarding Streptococcus pyogenes, which of the following statements is CORRECT:
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Risk Factors for Clostridium Difficile Colitis
A patient is sent to ED by his GP with profuse watery diarrhoea. A stool sample taken by the GP has demonstrated C. difficile cytotoxin. The
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Clinical Features of Hepatitis A Infection
Regarding hepatitis A, which of the following statements is CORRECT:
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Clinical Features of Genital Herpes
A 25 year old patient presents to ED complaining of painful ulcerations on her vulva. She has felt a little flu-like over the past few days
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Clinical Features of Threadworm Infection
Regarding threadworms, which of the following statements is CORRECT:
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Transmission of Chlamydia Psittaci
Chlamydia psittaci transmission is classically associated with which of the following:
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Management of Helicobacter Pylori Infection
A patient presents to ED complaining of indigestion. After excluding a gastric perforation, you review his recent investigations and note a
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Management of Malaria
A 28 year old woman, who is 10 weeks pregnant, is brought to ED with drowsiness and confusion. She has had a persistent fever since recently
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Pathogenesis of Tetanus
Regarding Clostridium tetani, which of the following statements is CORRECT:
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Life Cycle of Plasmodium Spp.
Regarding the Plasmodium spp. life cycle, which of the following infects erythrocytes:
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Complications of Mumps
A 12 year old child presents to ED with severe painful facial swelling mainly of his left face. He also complains of fever, malaise, myalgia
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Risk Factors for Klebsiella Infection
Which patient group are most commonly associated with infection with Klebsiella spp:
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Pathogenesis of Tetanus
A mother brings her child to ED with a dirty wound sustained at a playground. The patient is due a tetanus booster and you decide to give i
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Investigation of Meningococcal Meningitis
A 64 year old woman presents to ED complaining of fever, photophobia and a headache. On examination you note positive Kernig's sign. Lumbar
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Complications of Helicobacter Pylori Infection
Helicobacter pylori infection predisposes to which of the following complications:
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Clinical Features of Malaria
A 21 year old student has recently returned from travelling around Kenya and presents to ED with a headache and persistent fever. Malaria is
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Clinical Features of Meningococcal Disease
A 23 year old man presents to ED complaining of a headache with neck stiffness and photophobia. On examination you note a non-blanching purp
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Clinical Features of Norovirus Infection
Which of the following pathogens is the most common cause of viral infectious gastroenteritis in adults in the UK:
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Infectious Disease caused by Escherichia Coli
A 10 year old child is brought to ED with a 5 day history of diarrhoea which has now turned bloody, following eating at a fast-food burger r
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Causative Agent of Rheumatic Fever
A 71 year old patient presents to ED with shortness of breath on exertion and malaise. His notes state he has a history of rheumatic fever.�
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Clinical Features of Influenza
Regarding influenza, which of the following statements is INCORRECT:
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Infectious Disease caused by Streptococcus Pyogenes
Streptococcus pyogenes is commonly implicated in all of the following infective diseases EXCEPT for:
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Characteristics of Respiratory Syncytial Virus
Regarding respiratory syncytial virus (RSV), which of the following statements is INCORRECT:
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Clinical Features of Norovirus Infection
Regarding norovirus, which of the following statements is INCORRECT:
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Clinical Features of AIDS
Which of the following could denote a diagnosis of acquired immunodeficiency syndrome (AIDS) in a patient infected with HIV:
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Investigation of Hepatitis B Infection
Which of the following serology results is consistent with chronic hepatitis B infection:
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Investigation of Hepatitis B Infection
Which of the following is diagnostic for acute hepatitis B infection:
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Characteristics of Staphylococcus Aureus
Regarding Staphylococcus aureus, which of the following statements is CORRECT:
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Management of Chlamydia
A 20 year old presents to ED stating that she has had a text message from the GUM clinic that she has tested positive for chlamydia infectio
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Characteristics of Clostridium Spp.
Regarding Clostridium species, which of the following statements is INCORRECT:
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Infectious Disease caused by Cryptococcus Neoformans
Cryptococcus neoformans is primarily implicated in which of the following conditions:
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Transmission of Cryptococcus Neoformans
Cryptococcus neoformans is primarily transmitted by which of the following routes:
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Risk Factors for Herpes Simplex Infection
Which patients are particularly susceptible to infection with herpes simplex, those with:
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Clinical Features of Tapeworm Infection
Regarding tapeworm, which of the following statements is CORRECT:
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Exclusion Period for Rubella
A 6 year old is brought into ED with a fine red maculopapular rash and lymphadenopathy. Rubella is diagnosed. What advice should the parents
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Causative Agent of Tuberculosis
An unkempt man presents to ED with a history of weight loss, fever and a productive cough. You suspect tuberculosis. Tuberculosis is caused
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Incubation Period of Chickenpox
An 8 year old child is brought into ED with a widespread itchy maculopapular rash. You suspect chickenpox. The incubation period for chicken
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Clinical Features of Hepatitis C Infection
About what percentage of patients with hepatitis C develop chronic infection:
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Causative Agent of Bronchiolitis
Which of the following pathogens is most commonly implicated in bronchiolitis:
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Life Cycle of Plasmodium Spp.
Regarding the Plasmodium spp. life cycle, which of the following infects hepatocytes:
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Characteristics of Pseudomonas Aeruginosa
Regarding Pseudomonas aeruginosa which of the following statements is CORRECT:
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Pathogenesis of Tetanus
Regarding Clostridium tetani, which of the following statements is CORRECT:
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Characteristics of Escherichia Coli
Regarding Escherichia coli, which of the following statements is INCORRECT:
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Attachment Mechanisms of Escherichia Coli
A 21 year old female is diagnosed with a lower UTI. Culture demonstrates Escherichia coli. Which of the following virulence factors of E. c
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Characteristics of Clostridium Perfringens
Regarding Clostridium perfringens, which of the following statements is CORRECT:
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Management of Typhoid Fever
A patient who has recently returned from travelling to South America, presents to ED with a fever, constipation and a 'rose spot' rash. Your
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Characteristics of Streptococcus Pneumoniae
Regarding Streptococcus pneumoniae, which of the following statements is CORRECT:
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Management of Gonorrhoea
A patient presents to ED with a 2 day history of burning pain when passing urine and a green urethral discharge. He tells you his partner ha
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Investigation of Hepatitis B Infection
Chronic hepatitis B infection is indicated by which of the following:
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