Case Questions and Tutorial

Question 1

A 17-year-old male presents with a four year history of acne. He possesses severe acne across his face, forehead and upper back. There are large areas of inflammation and well developed pustules. He has been receiving systemic antibiotic therapy but with very little effect. Select the most appropriate class of drug to be given to this patient:

1. Anti-androgens
2. Corticosteroids
3. Systemic isotretinoin
4. Topical antibiotics
5. Topical isotretinoin

Answer 1

2

Question 2

A 56-year-old male patient presents with severe epigastric pain and tenderness. The patient has a raised temperature 39ºC, pulse rate 110/min, respiratory rate of 34/min and a blood pressure of 90/60 mmHg. Blood tests reveal a raised amylase, acute kidney injury (creatinine 130 micro mol/L) and a raised white cell count of 20x109/L. Select the statement which best describes the patient’s condition:

1. The patient has Systemic Inflammatory Response Syndrome caused by pancreatitis
2. The patient has Systemic Inflammatory Response Syndrome and septic shock caused by an infection
3. The patient has Systemic Inflammatory Response Syndrome caused by pancreatitis with an overlying infection
4. The patient has Systemic Inflammatory Response Syndrome caused by an infection
5. The patient has Systemic Inflammatory Response Syndrome and severe shock caused by an ischaemic bowel

Answer 2

?

Question 3

According to the BNF, select the most appropriate antibiotic for treatment of cellulitis.

1. Ciprofloxacin
2. Flucloxacillin
3. Topical fusidic acid
4. Phenoxymethylpencillin
5. Tetracycline

Answer 3

2

Question 4

According to the BNF, select the most appropriate antibiotic for treatment of suspected typical, low severity, community acquired pneumonia:

1. Amoxicillin
2. Flucloxacillin
3. Erythromycin
4. Benzylpenicillin and Clarithromycin
5. Cefuroxime - Clarithromycin

Answer 4

4

Question 5

Eccrine sweat glands are found throughout the skin of humans. Select the method of secretion by which sweat is produced.

Answer 5

?

Question 6

John Dunn, a 34-year-old diabetic, is admitted with a swollen, red, hot, left leg following minor trauma. He is pyrexial, with a temperature of 38ºC, is vomiting and unable to keep fluids down and has tachycardia with a pulse rate of 120/min. A diagnosis of likely cellulitis is made. Select the most appropriate antibiotic or antibiotics to prescribe.