Pathology EMQ template

YourName: Batul Kaj

YourIdentifier: 00404757

Theme: Hospital-Acquired Infections

OPTION LIST

A	Metronidazole or vancomycin	I	Staphylococcus aureus
B	Aspergillus fumigatus	J	Surgical site infection
C	MRSA	K	Admit to ITU, fluid resuscitation
D	Streptococcus pyogenes	L	Clostridium difficile
E	Abx 3 hrs after the op. for 3 days	M
F	Cefuroxime and metronidazole	N
G	Abx 1 hr before the op. for 24hrs	O
H	Abx 0-2hrs before the op. for 3 days	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 56-yr old man is admitted to hospital for an elective large bowel procedure. The procedure was complicated by accidental perforation. Two days later, he became acutely unwell, with high grade fever, respiratory rate of 30bths/min and pulse of 120. How would you manage this patient?

2. A 74-yr old woman is admitted to hospital with high grade fever and productive cough. She recovers well with treatment but a week later, develops profuse diarrhoea. What should you prescribe?

3. A 45-yr old man is admitted to a newly-renovated unit for a liver transplant. On the third day post-op., he develops dyspnoea, cough and fever.

4. Following elective upper GI surgery, a 21-yr old woman develops erythema and itchiness on the back of her hand. Swab cultures reveals Gram-positive, coagulase-positive cocci.

5. A 60-yr old man is due to be admitted for a hip replacement. What is the most appropriate antibiotic prophylaxis regime?

ANSWERS

1. K

2. A

3. B

4. I

5. G