ID

Question 1

What are the criteria for SIRS?

Answer 1

Any 2 of:

• Temp over 38 or less than 36
• RR over 20bpm
• HR over 90bpm
• WCC over 12 or less than 4

Question 2

What type of organisms is a post-splenectomy patient susceptible to?

Answer 2

Encapsulated (pneumococcus, HiB, meningococcus, klebsiella)

Question 3

What is the most common cause of traveller’s diarrhoea?

Answer 3

Enterotoxigenic E. coli

ETEC

Question 4

What infection are abattoir workers particularly susceptible to?

Answer 4

Q fever. Caused by Coxiella burnetti

Question 5

Define febrile neutropaenia

Answer 5

Single oral temp of 38.3 or a temp 38.0 over several hours

Neutrophils less than 1.0

Question 6

What level defines severe neutrophilia?

Answer 6

Less than 0.5

Question 7

Define severe sepsis

Answer 7

Sepsis + hypoperfusion (hypotension, oliguria, confusion, acidosis)

Question 8

Define septic shock

Answer 8

Sepsis with refractory hypoperfusion (ie fluids don’t correct hypotension, oliguria, confusion, acidosis)

Question 9

What is the one ABx you really shouldn’t mix with alcohol?

Answer 9

Metronidazole (Nausea and vomiting +++)