Clinical Cases
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| 2 | A 43-year-old man presents to the infectious disease unit with a 4-week history of fever and lethargy. He has noticed pale bumps associated with a severely red and itchy rash around both his ankles. He reports bloating and myalgia. He has recently returned from a trip to Egypt and reports taking anti-malarials. Observations reveal a temperature of 38.1 °C. On examination, he has an enlarged spleen. Chest X-ray reveals bilateral infiltrates. Blood tests show raised inflammatory markers with marked eosinophilia.
What is the most likely diagnosis? | 193 |
| 3 | What is the first line antibiotic in the treatment of Shigella dysentery? | 163 |
| 4 | . | 120 |
| 5 | A 7-year-old boy is admitted to hospital after presenting with fever, headache and neck stiffness. A diagnosis of pneumococcal meningitis is made. There are no other reports of meningitis in the local area over the past 4 weeks.
How should the close contacts of this boy be managed? | 113 |
| 6 | . | 96 |
| 7 | A 24-year-old man is admitted to the Emergency Department with breathing difficulties and confusion three weeks after returning from a holiday in Cambodia. His partner says he has had 'the flu' for the past two weeks. A blood film is positive for malarial parasites and a chest x- ray and arterial blood gases suggest acute respiratory distress syndrome. A diagnosis of severe falciparum malaria is suspected.
What is the treatment of choice? | 90 |
| 8 | . | 87 |
| 9 | You are counselling a 26-year-old man who has recently had a positive HIV test. His most recent CD4 count is 650 cells/mm^3.
Which one of the following vaccinations is contraindicated? | 84 |
| 10 | . | 93 |
| 11 | A 34-year-old sewage worker presents with a 3 days history of lower back pain, fever, myalgia, fatigue, jaundice and a subconjunctival haemorrhage. He has no past medical history and has not been abroad in the last 6 months.
What is the most likely diagnosis? | 92 |
| 12 | MCQs Tropical Medicine: | 83 |
| 13 | ... | 155 |
| 14 |  There is a large, low-density mass involving the right kidney (solid white arrow). extends directly into the right renal vein (dashed white arrow).
Spot diagnosis ! | 141 |
| 15 | .... | 107 |
| 16 |  This is a coronal image from a CT urogram that demonstrates a low-attenuation mass (arrow) in the upper pole of the right kidney that is homogeneous in density and
sharply marginated from the rest of the kidney.
Spot diagnosis ! | 150 |
| 17 | ... | 73 |
| 18 |  U.s of the bladder,,,,
Patient has a history of BPH .
Spot diagnosis ! | 68 |
| 19 | .... | 67 |
| 20 |  Name this vessel ? | 110 |
