Your Name: Emma James

Theme: Hospital Acquired Infection

OPTION LIST

A	Pseudomonas Aeruginosa	I	MRSA
B	Vancomycin Resistant Enterococcus	J	Staphylococcus Epidermidis
C	Pneumocystis Carinii	K	Bacillus Cereus
D	Cryptococcus Neoformans	L	Clostridium Difficile
E	Legionella	M	Staphylococcus Aureus
F	Klebsiella Pneumonia	N	Rotavirus
G	Herpes Simplex	O	Streptococcus Viridans
H	Aspergillus	P	E-Coli

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 45 year old man was admitted for a perforated gastric ulcer for which he had emergency surgery. He was maintained in ITU for the following 2 weeks. His wound culture grew gram positive cocci in chains, which was aesculin-positive and resistant to the conventional anti-streptococcal antibodies.

2. A 25% burns patient with significant wounds grew gram-negative bacilli that produced a green pigment and was oxidase positive. Three other patients in the same ward were found to isolate the same organism.

3. A 85-year-old man admitted for acopia who was catheterised developed a fever. He complained of mild suprapubic pain.

4. A 65 year old lady was admitted for CABG. Blood cultures went on to grow coagulase-positive staphylococcus sp., which was resistant to flucloxacillin. Her wound swab also grew the same organism.

ANSWERS

1. B

2. A

3. P

4. I