MSRA-1189
A 19-year-old non-pregnant, asymptomatic woman with no past medical history is found to have 106 colony-forming units of Escherichia coli/ml of urine on a routine health check.
Which of the following is the most appropriate management?
MSRA Category: Infectious Diseases
MSRA-1190
A 21-year-old woman comes to her General Practitioner with cough, fever and rash. She is tachycardic, tachypnoeic and has a blanching erythematous rash on her face, trunk and arms with scattered white/grey papular lesions on the buccal mucosa. What is the most probable diagnosis?
MSRA-1191
A mother brings her 8-year-old daughter to her General Practitioner, who is acutely unwell and has a high temperature, runny nose and inflamed eyes. The mother explains that her daughter has not had her vaccinations as she is worried about the long-term effects of the measles, mumps and rubella (MMR) jab.
Which of the following best reflects the current understanding of measles infection?
MSRA-1192
A child is admitted for assessment on the Infectious Diseases Ward and is identified to have a notifiable disease. The nurses suggest that you should inform the Consultant in Communicable Disease Control (CCDC).
Which of the following is the most likely diagnosis (recognised as a notifiable disease)?
MSRA-1193
You are asked to evaluate a 19-year-old student who has recently returned from a gap-year trip to India. He complains of extreme fatigue and loss of appetite during the last week of his journey and noticed that he had jaundice just before his return home. He denies being an intravenous drug user and having unprotected sexual intercourse. Additionally, he did not receive any blood transfusions or tattoos during his trip. He reports having a fever, but it subsided once his jaundice appeared. After conducting liver function tests (LFTs), you find that his alanine aminotransferase (ALT) level is 950 iu/l (reference range 20–60 iu/l), total bilirubin level is 240 μmol/l (reference range <20 μmol/l), and his alkaline phosphatase (ALP) level is slightly above the upper limit of normal. His white blood cell count, albumin level, and prothrombin times are all normal. What is the most probable diagnosis based on this clinical presentation?
MSRA-1194
Nosocomial wound infections are often caused by various factors. However, which of the following is the most frequent cause of such infections?
MSRA-1195
A 35-year-old man contacts his General Practitioner to discuss screening for tuberculosis (TB) for himself and his two children. His wife has recently been diagnosed with active TB and started on treatment following release from hospital. He and the children are all completely asymptomatic.
Which of the following screening options would be appropriate for the family?
MSRA-1180
A 16-year-old young woman is completing a summer internship at a daycare center before applying to study medicine. She has received a full schedule of childhood vaccinations. Her primary complaints are difficulty swallowing, a sore throat, malaise, and a fever. Upon examination, she has 5-10 gray ulcers on her buccal mucosa. Additionally, she has a vesicular rash on her hands and feet.
What is the most probable cause of this clinical presentation?
MSRA-1181
A 35-year-old woman presents with fatigue, fever, dry cough, headache, chest discomfort and worsening difficulty breathing. She works as a factory worker in a plant that produces air filters.
Which of the following pathogens is the most probable cause of this illness?
MSRA-1166
An epidemic of diarrhoea and vomiting has broken out on one of the elderly care wards. The catering suppliers assure you that their food is unlikely to be responsible because they follow the strictest hygiene procedures. A total of 15 elderly patients on the ward have become unwell with a sudden onset of diarrhoea and vomiting. Those infected earlier have recovered with rehydration therapy after about 48 hours. Examination of faeces by electron microscopy has revealed circular virus particles with radiating spokes.
Which virus is most likely to be responsible for this outbreak?