Microbiology

Question 1

Staph aureus endocarditis

Answer 1

Flucloxacillin

Question 2

B-haemolytic strep (group A and B Strep) endocarditis

Answer 2

Amoxicillin + gentamicin

Question 3

Slow onset endocarditis > Alpha haemolytic (Viridans)

Answer 3

Amoxicillin and low dose gentamicin

Question 4

Prosthetic valve endocarditis

Answer 4

Vancomycin, gentamicin, rifampicin

Question 5

Mild-mod pneumonia

Answer 5

amoxicillin (doxycycline)

Question 6

Severe pneumonia

Answer 6

Co-amoxiclav and clarithromycin

Question 7

Atypical organisms

Answer 7

Chlamydia, Coxiella burnetti, legionella, mycoplasma

Question 8

Mild Hospital-acquired pneumonia

Answer 8

Amoxicillin + metronidazole (in case of aspiration)

Question 9

Severe Hospital-acquired pneumonia

Answer 9

Amoxicillin + gentamicin + metronidazole

Question 10

Salmonella

Answer 10

Ciprofloxacin (only if systemic infection)

Question 11

Campylobacter

Answer 11

Erythromycin (only if systemic infection)

Question 12

Giardia

Answer 12

Metronidazole

Question 13

Cryptosporidium

Answer 13

Never treat

Question 14

E.coli

Answer 14

never treat

Question 15

Intra-abdominal sepsis

Answer 15

Amoxicillin + metronidazole + gentamicin

Question 16

Bowel flora

Answer 16

coliforms, anaerobes and enterococci

Question 17

Dangers of gentamicin

Answer 17

damages kidneys

Question 18

Elderly, in hospital, V&D

Answer 18

Norovirus

Question 19

Child

Answer 19

Rotavirus

Question 20

Child with bloody diarrhoea and Haemolytic Uraemic Syndrome

Answer 20

E.coli O157

Question 21

Chicken, turkery

Answer 21

campylobacter

Question 22

Symptoms of campylobacter

Answer 22

severe abdo pain and bloody diarrhoea

Question 23

Poultry (5/6 days)

Answer 23

Salmonella

Question 24

Beef

Answer 24

E.coli O157

Question 25

Shigella

Answer 25

person-person spread, nursery school kids

Question 26

Typhoid

Answer 26

human-human spread

Question 27

Clostridium perfringens

Answer 27

meat gravy

Question 28

Staph aureus (food poisoning)

Answer 28

cream cakes

Question 29

C.diff

Answer 29

elderly person, antibiotics, 4C's

Question 30

C.diff non severe

Answer 30

Metronidazole

Question 31

C.diff severe

Answer 31

Vancomycin