Sepsis week formative

Question 1

cause of prosthetic valve endocarditis

Answer 1

strep. viridian’s

Question 2

strep viridian’s is a gram ———-?

Answer 2

gram positive chain

Question 3

strep viridian’s is an example of ——- haemolysis?

Answer 3

alpha

Question 4

how is strep. viridian’s acquired?

Answer 4

intra-operatively acquired

Question 5

what criteria is used to assess infective endocarditis?

Answer 5

duke criteria

Question 6

enterococcus faecalis is ——– haemolysis?

Answer 6

non

Question 7

where does e. faecalis originate?

Answer 7

gut

Question 8

escheria species is not included in the

Answer 8

typical organisms list for diagnosing endocarditis

Question 9

how do you diagnose infective endocardiditis

Answer 9

2 separate positive blood cultures in the absence of alternative source

Question 10

what organisms are included in the typical organisms in the major criteria for diagnosing endocarditis? (4)

Answer 10

staph. aureus
enterococcus faecalis
viridian’s streptococci
HACEK group organisms

Question 11

how do you diagnose C.diff?

Answer 11

stool toxin test

Question 12

what increase the risk of C.diff infection? (4)

Answer 12

antibiotics within the preceding 3 months
proton pump inhibitors
prolonged hospitalisation
immunosuppression

Question 13

patient visits petting zoo followed by a barbecue. she has a fever of 39 and new blood diarrhea. what is the causative organism?

Answer 13

escherichia coli

Question 14

if patient present with e.coli gastroenteritis then we must avoid?

Answer 14

antibiotics

Question 15

what cultures are required for e.coli gastroenteritis?

Answer 15

stool cultures

Question 16

out of the following which is not part of sepsis 6:

• appropriate culture
• measure urine output
• IV fluid resuscitation
• measure C-reactive protein
• Check serum lactate

Answer 16

measure C -reactive protein

Question 17

what is awn associated complication of e.coli gastroenteritis?

Answer 17

hemolytic-uraemic syndrome

Question 18

e.coli is a gram———?

Answer 18

gram negative rod/bacillus

Question 19

protracted vomiting and nausea a few hours after eating reheated rice? cause

Answer 19

bacillus crus

Question 20

how do you treat bacillus crus infection?

Answer 20

supportive managend only

Question 21

what antibiotic has o activity against anaerobes?

Answer 21

gentamicin

Question 22

what antibiotic is active against gram-positive organisms only?

Answer 22

vancomycin

Question 23

what antibiotic is active against gram negative organisms only?

Answer 23

gentamicin

Question 24

which of the following antibiotic is not a 4c antibiotic:
clarithromycin 
clindamycin 
levofloxacin 
cefazidime 
co-amoxiclav

Answer 24

clarithromycin

Question 25

which of the following drug is not a quinolone:
gentamicin 
moxifloxacin 
levofloxacin 
ciprofloxacin 
ciprofloxacin

Answer 25

gentamicin

Question 26

which drug is safe in penicillin type 1 allergy?

Answer 26

aztreonam

Question 27

what is the likely cause of sepsis in a IV drug user?

Answer 27

staph aureus

Question 28

how many blood cultures are required before antibiotics are given?

Answer 28

3 sets of blood cultures spread over one hour then start antibiotics

Question 29

pain disproportionate in the wound, causative organism?

Answer 29

necrotising fasciitis

Question 30

treatment for necrotising fasciitis?

Answer 30

urgent surgical debridement

Question 31

which antibiotic has anti-toxin effects?

Answer 31

linezolid, clindamycin

Question 32

best organism to cover staph. aureus

Answer 32

IV flucloxacillin