Pathology EMQ template.

Name: Mustafa Al-Ansari

Theme: Antimicrobial agents

 

OPTION LIST

 

A	Amoxicillin	I	Clarithromycin
B	Augmentin	J	Flucloxacillin
C	Benzylpenicillin	K	Gentamicin
D	Ceftriaxone	L	Metronidazole
E	Cefuroxime	M	Rifampicin
F	Cephalexin	N	Tazocin
G	Chloramphenicol	O	Trimethoprim
H	Ciprofloxacin	P	Vancomycin

 

 

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 25 year-old man presents to his GP with a 1-week history of fever and cough productive of red-brown sputum. Chest X-ray shows left lower lobe consolidation. What would be the first-choice treatment?

 

2. A 36 year-old man presents to A&E with rapid development of fever, photophobia and rash. Which antimicrobial must be given urgently?

 

 

3. A 70 year-old male in-patient who has been treated for various infections since admission complains of watery stools, fever and abdominal pains. Which agent would be most appropriate to use in this scenario?

 

 

4. A previously healthy 29 year-old lady presents to her GP having noted increased urinary urgency and frequency, as well as haematuria and pain on micturition. What would constitute standard therapy for this case?

 

 

5. A 50 year-old female undergoing therapy for rheumatoid arthritis suffers an abrasion to her leg. Within 2 days, she notices the area has become warm, erythematous and tender. Which treatment is most appropriate?

 

 

 

ANSWERS

1. A

2. D

3. L

4. O

5. J

1)   Community-acquired pneumonia

2)   Meningococcal meningitis

3)   Pseudomembranous colitis

4)   Simple cystitis

5)   Cellulitis (with underlying immunosuppression)