101

Question 1

Bacterial Identification and Classification (7)

Answer 1

Morphology
Gram Stain (+ve,-ve)
Growth requirements (aerobic/anaerobic)
Biochemical reaction (Lactose fermenting, non)
Serotypes (A,B,D Streptococcus)
Antibiotic Sensitivity (MSSA, MRSA)
rRNA sequencing

Question 2

Likely Infective organism

Immunosuppressed individuals

Answer 2

Pneumocystis jiroveci

Co-Trimoxazole (Sulfonamide +folic acid inhibitor)

Question 3

Likely Infective organism

IV drug use

Answer 3

Staphyloccocus aureus

Question 4

Likely Infective organism

Exacerbations of chronic bronchitis ; COPD, Asthma

Answer 4

H. Influenzae (Oral amoxicillin mg TDS)

Question 5

Likely Infective organism

Infected birds

Answer 5

Chlamydia pistaci (Macrolides or Tetracyclines)

Question 6

Likely Infective organism

Institutions, water and air con

Answer 6

Legionella pneumophila ( Macrolides, Quinolones + Rifampicin)

Question 7

Likely Infective organism

Alcohol excess, lung disease, diabetes

Answer 7

Klebsiella pneumoniae ( Cephalosporin)

Question 8

Likely Infective organism

Cystic Fibrosis

Answer 8

Pseudomonas aeruginosa ( Penicillin + aminoglycoside ; piperacillin + gentamycin)

Question 9

Likely Infective organism

HAP

Answer 9

co -amoxiclav mg TDS

Question 10

CAP

Answer 10

Cephalosporin + aminoglycides

Question 11

Likely Infective organism

Following a viral infection

Answer 11

Steptococcus pneumoniae