Infectious Disease – KFP public report review 2016-2024 topics in exam

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

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

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

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