Example of short answer questions and OSPE (FRCPath Microbiology part 2)

A GP has called you about a 2-year-old girl. Her mum noticed scratch marks on the girl's face in the morning. On questioning, Mum told the GP that she noticed a bat in her room but managed to get it out of the room. She doesn't know how long the bat was there or if the girl had any contact with the bat. Advise the GP on the right course of action and management.

A lady had a normal delivery. Some herpetic lesions were noted in the perineal region during delivery. What would you advise the clinicians regarding the management of mother and baby?

16 week pregnant school teacher had contact with a boy in her class with a suspected Parvovirus B19 infection. What would you advise the clinicians?
Assess whether it is a significant contact.
How would you investigate the teacher's need for any intervention?
What intervention would you take, if it is necessary?

20 week pregnant lady had a tick bite. The GP is asking you for advice. H
Advise on the course of action.
What would be your investigation plan?
Which antibiotic would you give if you think it is necessary?

28-week Pregnant lady had contact with chickenpox.
What would you advise the clinicians?
What additional information would you need to make a decision?
If this lady was 39 weeks pregnant with an imminent delivery, what should be the management?

39 weeks pregnant lady with chicken pox presented to the labour ward, and she was in a bay with three other patients before the clinical team came to know about chickenpox. The consultant contacted you for advice immediately. What advice would you give?

A baby born of a hepatitis B-positive mother (serological status unknown). Describe the tests you would do and manage.

A renal transplant patient presented to the A&E with deteriorating renal function.
What are the possibilities?
What serology/molecular test would you consider?
What should be the management?

A pregnant lady presented to the midwife. Her son developed a rash the day before.
What information would you ask for?
What tests would you do?
What advice would you give?
Your laboratory informed you there is no blood booking; what changes would you make in your management plan?

A young boy presented to the A&E after having a needlestick injury from a discarded needle in a playground. This playground is in an area known to have problems with IV drug abusers.
Explain your investigation plan.
Would you use post-exposure prophylaxis? Support your decision.
Any other treatment plan?