Microbiology

Question 1

what does amoxicillin cover in intraabdominal sepsis?

Answer 1

enterococcus faecalis

Question 2

why do you give ceftriaxone instead of penicillin for meningitis?

Answer 2

longer half life so can give less doses

Question 3

how is septic shock diagnosed?

Answer 3

patient must have infection

patient must have hypotension that is not responding to IV fluids

Question 4

what bacteria is associated with soft cheese?

Answer 4

listeria monocytogenes

Question 5

what chlamydia serotype(s) is/are associated with lympogranuloma venereum

Answer 5

L1
L2
L3

Question 6

which STI requires a test of cure

Answer 6

gonorrhea

Question 7

describe the half life of azithromycin

Answer 7

very long, around 5 days

Question 8

Tx trichomonas

Answer 8

metronidazole

Question 9

how long should someone wait to have sex if they have chlamydia?

Answer 9

7 days AFTER the end of treatment

Question 10

you need a NEWS >_ and infection to diagnose sepsis

Answer 10

5

Question 11

what kind of bugs can be contaminants?

Answer 11

staph epi and skin organisms

Question 12

name the 4C antibiotics

Answer 12

cephalosporins eg ceftriaxone
clindamycin
co-amoxiclav
ciprofloxacin

Question 13

if a patient is still febrile from a coliform after 3 days, should you continue gent or switch? if yes what drug would you switch to?

Answer 13

aztreonam

switch as staying on gent >3 days is bad

Question 14

define recurrent UTIs

Answer 14

3 or more in a year

Question 15

pen allergic Tx of bacterial meningitis

Answer 15

chloramphenicol

Question 16

if you have a clear CSF with high lymphocytes but its NOT viral meningitis what could it be?

Answer 16

partially treated meningitis (check if they have received antibiotics already)

Question 17

when would it be appropriate to inform the health protection team of a meningococcus case?

Answer 17

within 24hrs of admission