Pathology EMQ template.

Name: Ann Sturdy

Candidate number: 00472716

Theme: Antimicrobial Agents

 

OPTION LIST

 

A	Amoxycillin	I	Tazocin
B	Flucloxacillin	J	Vancomycin
C	Cephalexin	K	Trimethoprim
D	Gentamicin	L	Ceftriaxone
E	Benzyl Penicillin	M	Meropenem
F	Cefuroxime and Metronidazole	N	Cefuroxime and Clarithromycin
G	Chloramphenicol	O	Colistin
H	Co-Trimoxazole	P	Amikacin

 

 

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

 

1. A 21yr old student complains and a headache and an aversion to light.  His flatmate has brought him to A&E after noticing a rash on his arm which does not blanch under a glass

 

2. A 66yr old woman with known diverticular disease is admitted on the surgical take unconscious with a rigid abdomen.  She undergoes an emergency laparotomy and is found to have a perforated bowel.

 

3. A 24yr old office worker is seen in A&E feeling unwell.  Investigations reveal a pyrexia of 37.8, WCC of 12 and a dull right base.  CXR confirms a RLL pneumonia.

 

4. A 54yr old teacher has a benign mole removed from her right shoulder by her GP.  4 days later she returns complaining that the site is still painful.  On examination there is a well demarcated erythematous area around the site of removal.

 

5. A 31yr old refugee from Somalia is recalled to the TB clinic after a month and a half of treatment with the standard regimen.  Cultures have confirmed an MDR strain, and the doctor explains that he needs to start an IV medication.

 

ANSWERS

1. L

2. F

3. A

4. B

5. P