Year 3 Laboratory Medicine course:
Microbiology
Welcome !
Teaching Staff in Microbiology
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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
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
Topics dealt with under systems
include
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Respiratory
Cardiovascular
Gastrointestinal/hepatobiliary
Central Nervous system
Topics considered within systems
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Causative agents
Pathogenic mechanisms
Clinical presentations
Investigative procedures
Treatment
Prevention
Additional subjects
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Antimicrobial stewardship programmes
Immunization schedules and policies
Infection control policies and practice
Engaging clinicians and the public
Teaching is delivered by:
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Lectures
‘Small group’ tutorials
‘dry’ practical sessions
Clinicopathological conferences
Main Infectious diseases seen in
clinical practice
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Community acquired pneumonia
Meningitis
Gastroenteritis
Urinary tract infections
Sepsis
Nosocomial infections
Where do I get my information from?
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Teaching course
Textbooks
Websites:Ireland: www.hpsc.ie
UK: www.hpa.org.uk
US: www.cdc.gov
International: www.who.int
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
In each case match the 5 names on the left with
the best matching choice on right
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Robert Koch
Barry Marshall
Luc Montagnier
Louis Pasteur
Denis Burkitt
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Syphilis
Lymphoma
Helicobacter pylori
Legionella pneumophila
Rabies
HIV
M tuberculosis
Pneumocystis carinii
Leprosy
Influenza
Which one of the following is not a
Eukaryote:
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Homo sapiens
Candida albicans
Escherichia coli
Toxoplasma gondii
Pneumocystis carinii
Which one of these is an RNA virus
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Herpes simplex
Varicella zoster
Hepatitis B
Influenza
Smallpox
An 18 year old medical student presents with
headache, fever, and neck stiffness; the most likely
diagnosis is:
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Hangover
Jetlag
Meningitis
Malaria
Influenza
Which of the following is a gram positive non-sporing
aerobic bacillus that can cause life threatening throat
infection
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Lactobacillus acidophilus
Clostridium difficile
Listeria monocytogenes
Corynebacterium diphtheriae
Bacillus cereus
When a strain of Staph aureus is resistant to Meticillin
it is also always resistant to:
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Gentamicin
Vancomycin
Flucloxacillin
Rifampicin
Linezolid
An infection is termed
“Hospital acquired” if it presents clinically how many
hours/days after admission
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12 hours
24 hours
48 hours
7 days
14 days
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?