• Dr Brennan O’Dempsey

• Access Code
• sss2021week2

Infections GLS 2021

 • Dr Brennan O’Dempsey

• Access Code
• sss2020week2

Think before you answer

 1. Three nodules on the anterior
shin of a hairy individual.
2. Three small papules with
surrounding redness.
3. 3 small pustules with
surrounding erythema with a
possible hair in the centre of
one lesion.
4. 3 three small bite marks most
likely from a mosquito
5. 3 areas of small trauma with
surrounding erythema
A. 24 year old male notices some
lesions on his shin. How would you
describe the lesions?
 1. Furuncle
2. Carbuncle
3. Abscess
4. Mosquito Bite which has
become impetigised
5. Herpes Zoster

B. Peter feels well. He is afebrile.

What is the most likely cause?
 1. Drain and incise
2. Start oral antibiotics
3. Start intravenous antibiotics
4. Nothing- wait and observe
5. Take a swab for MCS and wait
for the result

C. What would you do next?

 1. Topical antibiotics
2. Oral antibiotics
3. Intravenous antibiotics
4. Topical and oral antibiotics
5. Topical and IV antibiotics

D. If you were to start a antibiotic

what would it be?
 1. Cephalexin 500 mg qid
2. Penicillin 500mg qid
3. Flucloxacillin 500mg qid
4. Ciprofloxacin 500mg qid
5. Metronidazole 500mg qid

E. What oral antibiotic would you

prescribe?
 1. Furuncle
2. Carbuncle
3. Abscess
4. Mosquito Bite which has
become impetigised
5. Herpes Zoster

F. Having done nothing the next day

one of the lesions looks like this. What is
your diagnosis?
 1. Drainage with a needle
2. Oral Antibiotics
3. Topical Antibiotics
4. IV Antibiotics
5. Watch and wait

G. How would you treat the

Furuncle?
 1. Central pustule with 5 cm of
surrounding erythema
2. Central nodule with 5 cm of
surrounding erythema
3. Central nodule of deeper
erythema with 5 cm of
surrounding erythema with a
well defined border
4. Central pustule with 5 cm of
surrounding erythema with a
H. You have done nothing but three days poorly defined border
latter Peter returns. He feels unwell. Two 5. Boil

of the lesions have resolved but the one

the redness has spread. Describe your
findings.
 1. Boil
2. Carbuncle
3. Infected bite
4. Abscess
5. Cellulitis

I. What is the most likely diagnosis?

 1. Oral antibiotics
2. Elevate and rest the leg
3. Pain relief such as Paracetamol
4. Check for predisposing factors
5. All of the above

J. What would be your treatment?

 1. Diabetes
2. Break in the skin by trauma
e.g. a Mosquito bite
3. Poor peripheral arterial
circulation
4. Poor venous return e.g.
varicose veins
5. All of the above
6. Answer 1 & 2 & 3

K. What are some predisposing

factors for cellulitis?
 1. Poor blood flow to the area
2. Poor blood from the area
3. Poor peripheral arterial blood
supply
4. Poor skin integrity
5. Poor nutrient gradient from
the arterial to venous side
6. Answer 1 & 2 & 3

M. How does varicose veins

predispose to for cellulitis?
 1. Redness and Swelling
2. Increased warmth
3. Tenderness
4. Erosions , ulceration and
blistering
5. All of the above
6. Answer 1 & 2 & 3

N. What clinical signs may you see

with cellulitis?
 1. Oral antibiotics or IVI
antibiotics
2. Elevate and rest the leg
3. Pain relief such as Paracetamol
4. Check for predisposing factors
and treat what is possible
5. All of the above

O. How would you treat the

cellulitis?
 1. Lip sucking dermatitis
2. Herpes Simplex
3. Impetigo
4. Healing burn
5. All of the above

P. What is the possible cause of

these lesions in a 6 year old boy who has
these for 5 days?
 1. Fever
2. Localised adenopathy
3. Localised pain
4. Other similar sites
5. Other close contact with
similar lesions

Q. What possible symptoms and

signs would you look for if you thought it
was Impetigo?
 1. Staphylococcus Aureus
2. Streptococcus
3. Pseudomonas
4. Varicella
5. Bacteroides

R. What would the most likely

Microorganism be causing the infection?
 1. Multiple plaques with a silver
scale
2. Macular , wrinkled, scaly, pink,
brown macerated areas in skin
fold
3. Localised pain and bleeding
with papules
4. Seen predominantly on the
facial area
5. Fluoresces bright yellow green
with the Woods light
S. What possible symptoms and
signs would you look for if you thought it
was Erythrasma?
 1. Allergic rash due to a virus
2. A rash due to a virus but the
child is always very unwell
3. Localised pain and bleeding
with papules due to virus
4. A rash due to a virus
5. Is never specific for one viral
disease

T. What is a viral exanthem?

 1. Spread by direct contact
2. A rash begins on the trunk and
spreads to the face
3. The rash is very pruritic
maculo-papular
4. Initial symptoms are of a URTI
and conjunctival injection and
possible photophobia
5. Rash fades after 14 days

U. What statement is true

concerning Measles?
 1. Viral URTI
2. Measles
3. Rubella
4. Chickenpox infection
5. Roseola

V. Case Study. A four year old boy

presents a URTI symptoms and
conjunctival injection. He has no fever.
What is the most likely cause of this
child’s illness?
 1. Viral URTI
2. Measles
3. Rubella
4. Chickenpox infection
5. Roseola

W. Case Study. A four year old boy

presents a URTI symptoms and conjunctival injection.
He has no fever. When examining him you notice he
has developed small white spots on the buccal
membrane and a morbilliform rash on the head then
the body. What is the most likely cause of this child’s
illness?
 1. Viral exanthema
2. Apthous ulcers
3. Kolpiks spots
4. Varicella
5. Pustules

X. Case Study. A four year old boy presents

a URTI symptoms and conjunctival injection. He
has no fever. When examining him you notice
he has developed small white spots on the
buccal membrane but no rash on the body. What
is the name of these lesions?
 1. Hand, foot & mouth disease
2. Measles
3. Rubella
4. Chickenpox infection
5. Roseola

Y. Case Study. A four year old boy presents

a URTI symptoms and conjunctival injection. He
has no fever. He does not develop Kolpiks spots.
Instead he develops small light red macules on
the face and then the extremities. It lasts for 5
days . What is the cause of these rash?
 1. Hand, foot & mouth disease
2. Measles
3. Rubella
4. Chickenpox infection
5. Roseola

Z. Case Study. A four year old boy presents a URTI

symptoms and conjunctival injection. He has no fever. He
does not develop Kolpiks spots. Instead he develops small
light red macules on the trunk which spread to his face and
extremities. He develops a high fever of 40 C and the rash
fades after a couple of hours. The child is relatively well.
What is the cause of these rash?
 1. Hand, foot & mouth disease
2. Measles
3. Rubella
4. Chickenpox infection
5. Roseola

ZA. Case Study. A four year old boy presents a URTI

symptoms and conjunctival injection. He has no fever. He
does not develop Kolpiks spots. Instead he develops small
light red macules on the face which spread to his trunk and
extremities. What is the cause of this rash?
 1. Hand, foot & mouth disease
2. Measles
3. Rubella
4. Chickenpox infection
5. Roseola

ZB. Case Study. A four year old boy presents a

URTI symptoms and conjunctival injection. He has no
fever. He does develops small ulcers s on his fingers
and soles of his feet. What is the cause of this rash?
 1. Betadine wash
2. Topical antibiotics such as
mupirocin crème
3. Oral antibiotics such as
Cephalexin or Erythromycin
4. IVI antibiotics such as
Flucloxacillin
5. Tea Tree oil

ZC. How would you treat this impetigo

 1. Glomerulonephritis
2. Diabetes Insipidus
3. Scarring
4. Meningitis
5. Pneumonia

ZD. Serious complications of impetigo

and cellulitis include which of the
following?
 1. Impetigo
2. Carbuncle
3. Cellulitis
4. Deep Venous Thrombus
5. Erythema Nodosum

ZE. What is the most likely diagnosis of

this spreading redness on the leg of a
bed ridden 66 year old woman in a
nursing home?
 1. Usually due to Streptococcus
Pyrogens
2. Usually bilateral
3. Thin walled and contains a
clear yellow fluid which rapidly
ruptures
4. Usually painless
5. Fever is rare

ZF. What is the best answer

concerning Bullous Impetigo?
 1. Acne
2. Herpes Zoster
3. Folliculitis
4. Impetigo
5. Herpes Simplex 1

ZG. What is the most likely diagnosis

in this photo with the lesions appearing
over the last 2 months and slowly
spreading?
 1. Occlusion
2. Dermatophyte infection
3. Radiation
4. Staph infection
5. Trauma from shaving
6. Yeasts

ZH. What is not a cause of the

folliculitis?
 1. Acute paronychia
2. Chronic paronychia
3. Herpes Simplex whitlow
4. Tinea pedis
5. Impetigo

ZI. What is the most likely diagnosis

of the sore toe for 21 days?