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Lyme Disease (PG)
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Course Curriculum
1. What is the characteristic rash of Lyme disease?
*
Urticaria
Erythema nodosum
Erythema migrans
Pityriasis rosea
2. What is the first-line treatment for early Lyme disease with erythema migrans?
*
Flucloxacillin
Doxycycline
Metronidazole
Amoxicillin
3. Which organism causes Lyme disease?
*
Borrelia burgdorferi
Staphylococcus aureus
Treponema pallidum
Escherichia coli
4. What is the vector for Lyme disease?
*
Mosquito
Flea
Louse
Tick
5. What neurological symptom may occur in Lyme disease?
*
Bell’s palsy
Vertigo
Tinnitus
Hyperreflexia
6. When should a two-tier serological test be considered?
*
Immediately after tick bite
With erythema migrans
With systemic symptoms or complications
Never
7. Which tick species is most commonly responsible for Lyme disease in the UK?
*
Ixodes ricinus
Dermacentor variabilis
Rhipicephalus sanguineus
Haemaphysalis longicornis
8. What is the usual duration of doxycycline for Lyme disease with erythema migrans?
*
3 days
7 days
14–21 days
6 weeks
9. What is the best method to prevent Lyme disease in tick-prone areas?
*
Avoid walking altogether
Use DEET repellent and check skin
Wear sandals
Stay indoors at all times
10. In which season is Lyme disease most common in the UK?
*
Winter
Spring
Summer
Autumn
11. What is NOT a symptom of early Lyme disease?
*
Fatigue
Fever
Productive cough
Headache
12. What is an alternative treatment to doxycycline in pregnant women?
*
Ciprofloxacin
Azithromycin
Amoxicillin
Erythromycin
13. Which statement is TRUE about Lyme disease?
*
It can only be transmitted by direct contact
A negative antibody test rules it out immediately
The classic rash may not always be present
It is not found in the UK
14. Which of the following is a late complication of Lyme disease?
*
Appendicitis
Carditis
Conjunctivitis
Dermatitis
15. Which blood test is used in the second-tier testing for Lyme disease?
*
FBC
ELISA
Western blot
CRP
16. What should you do if a patient presents with erythema migrans and no other symptoms?
*
Start antibiotics
Request Lyme serology
Wait for fever
Refer to neurology
17. Which part of the UK has the highest tick exposure risk?
*
Urban parks
Mountains
Woodlands and grassy areas
Beaches
18. What is the incubation period for early Lyme disease symptoms?
*
12 hours
2–30 days
6–8 weeks
3 months
19. How is Lyme disease diagnosed if erythema migrans is visible?
*
Tick PCR
ELISA
Clinical diagnosis
MRI
20. Which symptom suggests Lyme neuroborreliosis?
*
Photophobia
Facial nerve palsy
Rash on hands
Wheeze