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Year 3 Laboratory Medicine course: Microbiology

Year 3 Laboratory Medicine course: Microbiology. Welcome !. Teaching Staff in Microbiology. Prof Tom Rogers ( rogerstr@tcd.ie ) Dr Fred Falkiner ( fflkiner@tcd.ie ) Dr Stephen Smith ( sgsmith@tcd.ie ) Consultant and trainee Microbiologists at St James’s and AMNCH Tallaght

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Year 3 Laboratory Medicine course: Microbiology

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  1. Year 3 Laboratory Medicine course: Microbiology Welcome !

  2. Teaching Staff in Microbiology • Prof Tom Rogers (rogerstr@tcd.ie) • Dr Fred Falkiner (fflkiner@tcd.ie) • Dr Stephen Smith (sgsmith@tcd.ie) • Consultant and trainee Microbiologists at St James’s and AMNCH Tallaght • Other teaching/clinical staff in hospitals • External Consultant Microbiologists

  3. What do Clinical Microbiologists do? • 5 years’ training in Clinical Microbiology (SpR) post MRCPI • Give professional direction to Diagnostic Microbiology laboratory (300,000 specimens processed annually) • Provide a Consultation service for other clinicians in the hospital and advice to GPs • Usually the Infection Control Doctor (Dr Boyle) • Often chair Antimicrobial Stewardship committee setting antibiotic policy (Prof Rogers, Dr Fennell) • Research and postgraduate teaching

  4. Topics dealt with under systems include • Respiratory • Cardiovascular • Gastrointestinal/hepatobiliary • Central Nervous system

  5. Topics considered within systems • Causative agents • Pathogenic mechanisms • Clinical presentations • Investigative procedures • Treatment • Prevention

  6. Additional subjects • Antimicrobial stewardship programmes • Immunization schedules and policies • Infection control policies and practice • Engaging clinicians and the public

  7. Teaching is delivered by: • Lectures • ‘Small group’ tutorials • ‘dry’ practical sessions • Clinicopathological conferences

  8. Main Infectious diseases seen in clinical practice • Community acquired pneumonia • Meningitis • Gastroenteritis • Urinary tract infections • Sepsis • Nosocomial infections

  9. Where do I get my information from? • Teaching course • Textbooks • Websites:- • Ireland: www.hpsc.ie • UK: www.hpa.org.uk • US: www.cdc.gov • International: www.who.int

  10. Laboratory Medicine assessment:December 2010 Paper 1: • 30 single best fit questions + • 90 extended matching questions Paper 2: • Section A: answer 10 of 14 Short answer questions • Section B: answer 1 of 2 CPC questions • Section C: answer 2 of 4 essay questions

  11. In each case match the 5 names on the left with the best matching choice on right • Robert Koch • Barry Marshall • Luc Montagnier • Louis Pasteur • Denis Burkitt • Syphilis • Lymphoma • Helicobacter pylori • Legionella pneumophila • Rabies • HIV • M tuberculosis • Pneumocystis carinii • Leprosy • Influenza

  12. Which one of the following is not a Eukaryote: • Homo sapiens • Candida albicans • Escherichia coli • Toxoplasma gondii • Pneumocystis carinii

  13. Which one of these is an RNA virus • Herpes simplex • Varicella zoster • Hepatitis B • Influenza • Smallpox

  14. An 18 year old medical student presents with headache, fever, and neck stiffness; the most likely diagnosis is: • Hangover • Jetlag • Meningitis • Malaria • Influenza

  15. Which of the following is a gram positive non-sporing aerobic bacillus that can cause life threatening throat infection • Lactobacillus acidophilus • Clostridium difficile • Listeria monocytogenes • Corynebacterium diphtheriae • Bacillus cereus

  16. When a strain of Staph aureus is resistant to Meticillin it is also always resistant to: • Gentamicin • Vancomycin • Flucloxacillin • Rifampicin • Linezolid

  17. An infection is termed “Hospital acquired” if it presents clinically how many hours/days after admission • 12 hours • 24 hours • 48 hours • 7 days • 14 days

  18. An often asked question: • Do I have to know what I learned in Microbiology last year? • Will I be examined on what I learned last year?

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