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Diagnosis of Infectious Disease

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70 Questions

What is the primary goal of genomics in disease control?

To characterize pathogens and help control the disease they cause

What is the primary advantage of laboratory automation?

It reduces the time and increases the throughput of samples

What is the first antibody to appear in most patients after exposure?

IgM

What is the primary application of WGA in SARSCov-2 surveillance?

Surveillance of VOI and VOC

What is the primary purpose of serodiagnosis?

To detect the presence of antibodies in a patient's serum

What is syndromic testing used for?

To diagnose a range of infectious diseases

What is multiplex PCR used for?

To amplify several DNA sequences simultaneously

What is the benefit of using ELISA in immune assays?

It is a highly sensitive and specific test

What is the primary limitation of syndromic testing?

It is expensive

What is the primary advantage of indirect diagnosis?

It is used to detect the presence of antibodies in a patient's serum

What is the primary reason for diagnosing an infection?

To determine the infectious agent

What is the purpose of infection control in relation to diagnosis?

To prevent the spread of infection

What type of sample can be collected for laboratory tests?

Various types including blood, saliva, urine, pus, and feces

Why is it essential to minimize specimen contamination during collection?

To obtain accurate test results

What is the importance of collecting sufficient quantity of specimens?

To allow for complete microbiologic examination

Why is it essential to determine the type of infection?

To determine the appropriate treatment and management

What is the primary purpose of Matrix-assisted laser desorption/ionization time of flight (MALDI-TOF)?

To identify the species of microorganisms through protein peak analysis

What is the process by which protein molecules are converted into ions in the gas phase in MALDI-TOF?

A laser strikes the sample

What is the principle behind the measurement of time of flight in MALDI-TOF?

Lighter ions take less time to travel to the detector

What is the primary role of the matrix solution in MALDI-TOF?

To allow the sample to dry

What is the primary advantage of using MALDI-TOF for microbial identification?

It is a rapid and accurate method for identifying microorganisms

What is the primary limitation of colony and cellular morphology in microbial identification?

It may not provide a definitive identification

What is the primary advantage of using serology in diagnostic methods?

It can provide indirect evidence of past infection or vaccination

What is the primary application of genomics in disease control?

To characterize pathogens and help control the disease they cause

What is the primary advantage of multiplex PCR?

It can detect multiple DNA sequences simultaneously

What is the primary goal of syndromic testing?

To provide a rapid diagnosis of common infectious diseases

What is the primary limitation of syndromic testing?

It is a costly approach

What is the primary role of IgM in immune assays?

To appear first in most patients after exposure

What is the most suitable diagnostic test for a 26-year-old teacher who has been in contact with a measles case at school?

Both Measles IgM and IgG

What is the significance of a negative Measles IgM and a positive Measles IgG result in the teacher?

The patient is immune to measles

What type of sample is required to diagnose a sore throat caused by Streptococcus pyogenes?

Charcoal swab

What is the characteristic of Streptococcus pyogenes growth on blood agar?

Beta haemolysis

What is the appropriate antibiotic choice for treating pharyngitis caused by Streptococcus pyogenes?

Penicillin or amoxicillin

What is the significance of a positive Lancefield group A result in a throat swab?

It indicates the presence of Streptococcus pyogenes

What is essential when collecting specimens for microbiologic examination?

Obtaining enough tissue for both histopathologic and microbiologic examination

What is the purpose of selective media in microbiologic diagnosis?

To permit the isolation of specific types of microorganisms

Which of the following is a direct diagnosis method?

Immunofluorescence

What is a key consideration when diagnosing infections in the lab?

How fast do we need the result?

What is an additional step in microbial identification?

Colony and cellular morphology

What is the purpose of antimicrobial susceptibility testing?

To determine the best treatment option

The GI tract is essentially a long ______, ascending from the mouth to the anus.

tube

The GI tract is heavily colonised with ______ and viruses and encounters millions of new ones every day.

microorganisms

All intestinal surfaces are coated with layers of ______, which provides mechanical protection.

mucus

The muscular surfaces of the GI tract ensures movement termed ______.

peristalsis

Various fluids in the GI tract also have ______ properties.

antimicrobial

Normal ______ is also vitally important to prevent infection.

flora

The respiratory system is the most commonly infected ______ system.

human

Health care providers will see more respiratory infections than any other type of ______.

infection

The respiratory tract is divided into two ______ tracts: upper and lower.

respiratory

The upper respiratory tract includes the ______, sinuses, pharynx, and larynx.

nasal

Respiratory pathogens can be transmitted from human to human and can ______ within a community.

circulate

Some respiratory pathogens exist as part of the normal ______ flora.

human

The respiratory viruses that most commonly circulate in all continents as endemic or epidemic agents are ______ virus and others.

influenza

Respiratory Syncytial Virus is an ______ RNA virus and belongs to the Paramyxoviridae family.

enveloped

The very young (under ______ year of age) and the elderly are at the greatest risk of developing severe disease.

1

Diagnosis is typically made via ______-transcription real-time PCR (RNA) or RT-PCR (DNA).

reverse

Children born prematurely, or with underlying ______ lung disease, are also at increased risk of developing severe disease.

chronic

Monitored by UKHSA, outbreaks of seasonal ______/Influenza occur every year.

RSV

Lower respiratory tract infection can be caused by a virus or so-called ‘atypical’ bacteria, including ______ pneumoniae.

Mycoplasma

Nosocomial pneumonia usually occurs approximately ______ hours after admission to hospital.

48

Aspiration pneumonia is a major problem in ______ patients.

hospital

Community-acquired pneumonia usually presents as a ______ pneumonia.

lobar

Staphylococcus aureus is usually associated with ______ pneumonia.

Nosocomial

Fluid losses of nearly 1 litre per hour have been reported in severe cases of a disease, and an untreated patient can lose up to 50% of ______ during the course of the disease.

body weight

Don’t forget about ______-2 in lower respiratory tract infections.

SARS-CoV

The voided fluid contains flecks of ______, giving the description of ‘rice-water stool’.

mucus

______ Spp Thioshulphate citrate bile salts (TCBS) Agar is used for the selective isolation of cholera vibrios and Vibrio parahaemolyticus from a variety of clinical and nonclinical specimens.

Vibrio

Clostridium difficile is a Gram-positive, ______ rod-shaped bacterium found as part of the normal intestinal biota.

endosporeforming

The predominant symptoms of C. difficile is ______, with abdominal cramps, fever and leucocytosis in more severe cases.

diarrhoea

Gastritis is experienced as a sharp or burning ______ emanating from the upper abdomen.

pain

This quiz covers the importance of diagnosing infectious diseases, determining the infectious agent, and managing infections. It also discusses infection control and diagnostic questions. Test your knowledge of infectious disease diagnosis!

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