Miscellaneous

Question 1

Causes of lymphopenia

Answer 1

• Post Chemotherapy/ Radiotherapy
• HIV
• Steroid therapy
• SLE
• Uraemia
• Legionella pneumonia
• Marrow infiltration

Question 2

Antigen detection for
- legionella
- S. pneunmoniae
- Malaria
- Cryptococcus neoformans

Answer 2

Urine
- S. pneunmoniae
- Legionella

Blood
- Malaria (Card test)
- Cryptococcus (or CSF)

Question 3

Features of a complicated UTI

Answer 3

• Abnormal renal tract
• Voiding difficulties/ retention
• Reduced renal function
• Immunocompromised
• Virulent organism (i.e. S.aureus)

Question 4

Examples of atypical organisms that cause UTI

Answer 4

Proteus

Klebsiella

S. aureus

Question 5

Which antibiotic is indicated in lower UTI for eGFR <30

Answer 5

Nitrofurantoin

Question 6

Medical management of lower UTI in non-pregnant women

Answer 6

First line
- Nitrofurantoin 50mg QDS or 100mg MR BD
- 3 day course

Second line
- Trimethoprim 100mg BD
- 3 day course

Question 7

What antibiotic is used for treatment of UTI if normal treatment is contraindicated & there is penicillin allergy

Answer 7

Fosfomycin

Question 8

Medical management of lower UTI in men

Answer 8

Nitrofurantoin 50mg QDS or 100mg MR BD
- 7 day course

2nd line
- Trimethoprim 200mg BD
- 7 day course

Question 9

Medical management of complicated UTI

Answer 9

Gentamicin 5mg/ kg
- 5 day course

Oral switch= Co-amoxiclav

Question 10

Medical management of pyleonephritis

Answer 10

Co-amoxiclav IV + Gentamicin IV