Cases

Question 1

first line antibiotic for c diff

Answer 1

vancomycin (oral)

Question 2

true or false, PPI is a risk factor for c diff

Answer 2

true

Question 3

is alcohol gel good enough to kill c diff

Answer 3

nope - hand wash.
spores resistant to alcohol gel

Question 4

is c diff gram positive or negative

Answer 4

positive

Question 5

name a gram-positive, anaerobic, spore-forming, toxin-producing bacilli

Answer 5

c diff

Question 6

are IV antibiotics effect against C diff

Answer 6

nope - use oral

Question 7

do c diff patients require isolation

Answer 7

yes

Question 8

water vs bloody diarrhoea

Answer 8

watery - often small bowel
bloody -

Question 9

meats/animal contact organisms

Answer 9

salmonella
campylobacter

Question 10

acute visibly bloody diarrhoea - first thing to think of

Answer 10

e coli 0157

Question 11

meats/cheese organism

Answer 11

listeria

Question 12

additional test for suspected infectious diarrhoea

Answer 12

stool for GI PCR

Question 13

shiga toxin-producing E. coli incubation period

Answer 13

1-10 days

Question 14

shiga toxin-producing E. coli hallmarks of infection

Answer 14

painful bloody diarrhoea
with or without fever

Question 15

What infection is associated with hemolytic uremic syndrome?

Answer 15

E Coli

Question 16

why do we take 3 bottles blood culture

Answer 16

helps us identify any contaminants (they’re unlikely to be in all 3)

Question 17

Prosthetic valve or Suspected MRSA infective endocarditis antibiotic choice

Answer 17

vancomycin IV + gentamicin

Question 18

community acquired pneumonia most common pathogens

Answer 18

strep pneumoniae
Haemophilus influenzae

Question 19

community acquired pneumonia can be caused by legionella - what group is legionella from

Answer 19

atypicals

Question 20

community acquired pneumonia treatment

Answer 20

amoxicillin, doxycycline, levofloxacin and clarithromycin cover the typical organisms

Question 21

staph aureus bacteraemia - how long is IV therapy recommended for?

Answer 21

at least 2 weeks

Question 22

staph aureus bacteraemia gold standard treatment

Answer 22

IV flucloxacillin 2g QDS

Question 23

staph aureus bacteraemia treatment in penicillin allergy

Answer 23

IV vancomycin