Infectious Disease – Urinary Tract and Related Infections
1. Asymptomatic Bacteriuria and Subsequent UTI
- Key Areas:
- Identifying asymptomatic bacteriuria and appropriate management in aged care
- Educating nursing staff on management of non-specific urinary symptoms
- Pharmacological management of a urinary tract infection (UTI)
- Management of a subconjunctival hemorrhage
- Common Errors:
- Advising regular urine testing, which is inappropriate in aged care
- Not administering simple analgesia or prematurely ceasing sodium–glucose cotransporter 2 inhibitors for UTI
- Incorrect management of subconjunctival hemorrhage
2. Genital Herpes
- Key Areas:
- Diagnosis and management, focusing on key non-pharmacological advice for a sexually transmitted infection
- Improvements Needed:
- Providing essential non-pharmacological advice relevant to managing genital herpes and its transmission risks
3. Sexually Transmitted Infection
- Medical Heading: Infectious disease, focusing on STI management in an indigenous teenager
- Candidates Did Well On:
- Identifying need for specific investigation and correct antibiotic treatment
- Improvement Areas:
- Considering cultural aspects and providing focused follow-up and advice specific to STI management
Infectious Disease – Viral Infections
1. Ross River Virus Infection
- Insight:
- Recognizing and managing vector-borne diseases, considering long-term patient expectations
- Strengths:
- Correct diagnosis and management of zoonotic infections
- Improvements:
- Enhance understanding of the epidemiology and clinical presentation of endemic infections
2. Epstein–Barr Virus Infection
- Insight:
- Recognizing the importance of stopping unnecessary antibiotics in the management of viral infections like Epstein–Barr virus
- Strengths:
- Accurate diagnosis and management including the cessation of unnecessary medication
- Improvements:
- Emphasize the role of supportive care and patient education in managing viral infections
Infectious Disease – Pediatric Infections
1. Fever and Sore Elbow in a Child of Aboriginal Descent
- Key Topics Discussed:
- Differential diagnoses
- Initial investigations
- Management advice considering rurality
- Candidate Performance:
- Insufficient breadth of knowledge for pediatric presentations in a rural context
- Improvement Areas:
- Tailored diagnostic and management strategies considering the child’s background and rural healthcare setting
Infectious Disease – General and Chronic Infections
1. Non-Healing Wound in an Older Aboriginal Patient
- Specifics:
- Initial management sometimes included inappropriate choices, like compressive dressings without vascular assessment
- Importance of Doppler ultrasound was not universally recognized
- Improvement Areas:
- Prioritize vascular assessments in wound management
- Articulate specific investigation requests, including detailed justification for each test