Capsule Case Rounds

Question 1

Name two gram positive cocci

Answer 1

Streptococcus pyogenes

MRSA (methicillin resistant Staphylococcus aureus)

Question 2

Name a gram negative cocci

Answer 2

Neisseria meningitidis

Question 3

Name three gram negative rods

Answer 3

Escherichia coli
Pseudomonas aeruginosa
Haemophilus influenza

Question 4

Most likely cause of wound infection

Answer 4

Staph aureus

Question 5

Three things to check before giving antibiotics

Answer 5

MRSA screen
Renal function
Allergies

Question 6

Which antibiotic will cover for MRSA?

Answer 6

Intravenous vancomycin

Question 7

Two things to monitor if giving longer term vancomycin

Answer 7

Renal function
Trough levels (lowest levels in blood) between 15 and 20 mcg/mL

Question 8

Gram negative rods

Answer 8

Shigella

Question 9

What antibiotic do you give for normal staph?

Answer 9

Flucoxacillin

Question 10

What sign would make you think typhoid?

Answer 10

Red spots

Question 11

What is the

Answer 11

NO CARRIER STATUS

You survive and clear it, or you die

Question 12

Name the types of malaraia parasites that can be passed on /carrier state

Answer 12

Plasmodium malariae
Plasmodium ovale
Plasmodium vivax

Question 13

What would you see on a stained blood film for malaria?

Answer 13

Ring shaped dots of the malaria parasites in the

Black water fever

Question 14

Is malaria notifiable?

Answer 14

Yes

Question 15

Gentamicin is against

Answer 15

Anti gram negative

Question 16

When do you give primaquine?

Answer 16

Only for P vivax and P ovale i.e. the carrier states, in order to kill the remaining parasites

Question 17

What do you give for meningitis?

Answer 17

Ceftriaxone

Question 18

What do you give as chemoprophylaxis for meningitis?

Answer 18

Rifampicin

Question 19

What causes meningitis in the neonate?

Answer 19

Listeria monocytogenes

Question 20

Meningitis septicemia signs

Answer 20

Purple rash

Question 21

What do you give in mengitis if someone is alelrgic to penecillin?

Answer 21

Chloramphenicol

Question 22

What do babies get with mengitis?

Answer 22

Haemophilus