Name:Henry Tam

Theme:Antimicrobials

OPTION LIST

A	None	I	Rifampicin
B	Cefotaxime	J
C	Streptomycin	K
D	Penicillin	L
E	Metronidazole	M
F	Aciclovir	N
G	AZT	O
H	Rifampicin, isoniazid and pyrazinamide	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 30 year old lady has been taking prophylactic treatment for meningococcal meningitis subsequent to her son’s diagnosis of the same condition. She now presents with red urine. What is the most likely cause?

2. A 6 year old boy presented with meningism, fever, altered consciousness and seizures. Apart from a third generation cephalosporin, what other antimicrobial agent would you give before results of cultures are available?

3. A 10 year old girl presented to the chest clinic with fever, anorexia, weight loss, and cough. Chest x-rays showed hilar lymphadenopathy and cavities in the right lung based.

4. A 5 year old very ill looking girl presented with sudden onset stridor, inability to speak and a temperature of 38.5^oC. What antimicrobial treatment will she require?

5. What prophylactic treatment would be required for young siblings of a child diagnosed of H.influenzae epiglottitis?

ANSWERS

1. I

2. F

3. H

4. B

5. I