Multiple Choice Questions (MCQ)

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Category: Prometric--->Infectious Diseases
Page: 2

Question 6# Print Question

A 24-year-old woman who is 18 weeks pregnant presents to the Emergency Department. Earlier on in the morning she came into contact with a child who has chickenpox. She is unsure if she had the condition herself as a child.

What is the most appropriate action?

A. Advise her to present within 24 hours of the rash developing for consideration of IV aciclovir
B. Reassure her that there is no risk of fetal complications at this point in pregnancy
C. Give varicella immunoglobulin
D. Check varicella antibodies
E. Prescribe oral aciclovir

Question 7# Print Question

A 19-year-old man presents with dysuria associated with a watery discharge from his urethral meatus. A urethral swab shows non-specific urethritis and urine is sent for Chlamydia/gonococcus.

What is the most appropriate antibiotic to use? 

A. Erythromycin
B. Ciprofloxacin
C. Metronidazole
D. Cefixime
E. Azithromycin

Question 8# Print Question

A 54-year-old female is admitted with a severe pneumonia following a holiday in Turkey. Bloods reveal both hyponatraemia and deranged liver function tests. A chest x-ray shows patchy alveolar infiltrates with consolidation in the right lower lobe.

Which one of the following investigations is most likely to confirm the probable diagnosis?

A. Sputum culture
B. Urinary antigen
C. Blood cultures
D. Bone marrow aspirate
E. Lumbar puncture

Question 9# Print Question

A 28-year-old man is admitted to the Emergency Department with dyspnoea and fever. Two days ago he developed an itchy, vesicular rash after coming into contact with a child who had chickenpox. On examination his temperature is 38.6ºC, respiratory rate 24 / min, pulse 120 / min and blood pressure 135/68 mmHg. Oxygen saturations are 95% on room air. Examination of chest reveals only occasional fine crackles bilaterally.

What is the most important intervention?

A. Elective intubation within the next 2 hours
B. Prednisolone
C. Varicella zoster immunoglobulin
D. IV aciclovir
E. Paracetamol

Question 10# Print Question

A 17-year-old female presents for review. Four days ago she presented to her doctor with a severe sore throat, lethargy and headache. Her doctor prescribed a course of amoxicillin to treat an upper respiratory tract infection. Two days ago she developed a widespread, pruritic maculopapular rash. Her original symptoms have also not improved.

What is the most likely diagnosis?

A. Infectious mononucleosis
B. Kawasaki disease
C. Penicillin allergy
D. HIV seroconversion
E. Beta-lactamase producing streptococcal sore throat

Category: Prometric--->Infectious Diseases
Page: 2 of 5