YOUR NAME: Sanjeeve Sabharwal

TITLE: HOSPITAL INFECTIONS

OPTION LIST

A	MRSA	I	HIV seroconversion sickness
B	TB	J	Staph. aureus
C	Clostridium difficile	K	Amphotericin B
D	Legionella	L	Salmonella
E	Aspergillus Fumigatis	M	Pneumocystis pneumonia
F	CJD	N	Toxoplasma gondi
G	Endocarditis	O	Urinary Tract Infection
H	Hepatitis C	P	Burkholderia cepacia

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.  An 18 year old boy with cystic fibrosis recently underwent a knee operation. After a couple of days recovering in the ward he starts to wheeze, becomes breathless and coughs up sputum. He has a fever and blood cultures indicate the presence of gram-negative bacteria.

2. A 32 year old man admitted to hospital with pain from a gastric ulcer develops a dry cough, diarrhoea and become confused. The patient becomes hyponatraemic and has a four fold increase in antibody titre in the blood. The hospital has recently has repairs conducted to its air conditioning system.

3. A 68 year old woman who has undergone colorectal surgery develops boils on her legs and impetigo. She has a fever and culture of her skin lesions indicates the presence of Staph. Aureus. Treatment with methicillin and flucoxacillin shows no improvement in her condition.

4. A 78 year old man on the ward is suffering from supra-pubic pain and there is blood in his urine. Dipstick test of urine taken from his catheter bag reveals the presence of nitrites and leucocyte esterases.

5. An 80 year old woman on the ward develops severe diarrhoea. Examination of her stool using ELISA shows the presence of toxin A. She has been on antibiotic therapy for a week prior to the diarrhoea.

ANSWERS

1. P

2. D

3. A

4. O

5. C