Pathology EMQ template.

Name: Alex Tindale    

Theme: Antimicrobials

 

OPTION LIST

 

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

 

 

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 42 year-old woman is recovering in hospital after a caesarian section that required a catheter to be inserted. After 2 days she feels quite unwell, and is passing cloudy urine 12 times per day. Her basic obs are: pulse 110, temperature of 38 degrees Celsius.

 

2. A 42 year-old woman comes into hospital complaining of increased frequency and cloudy urine. A routine urine dip reveals nitrates ++ and leucocytes ++.

 

3. A 42-year old woman is leaving Chelsea and Westminster after treatment for a UTI when she is knocked over by the 211 to Hammersmith. After spending a week on the Intensive care unit she is moved to the ward, but quickly develops a cough before 2 days later her saturation levels drop to 90% on room air. What is the first line treatment?

 

4. A 42 year-old mature student moves into accommodation with a lot of undergraduates, before a week later developing a severe fever, photophobia, and notices that she is unable to place her chin on her chest.

 

5. After an extended hospital stay, a 42 year-old woman was treated for MRSA with clindamycin. Soon after she developed a fever as well as profuse, offensive diarrhoea.

 

 

 

ANSWERS

1. B

2. N

3. F

4. E

5. L