Summaries

Question 1

Discount urine dipstick when…

Answer 1

Patient is using a catheter

Question 2

Smelly, more concentrated urine

Answer 2

Does not directly indicate UTI

Question 3

G6PD deficiency + primaquine (anti-malarial)/nitrofurantoin =

Answer 3

Episodic haemolytic anaemia

because primaquine/nitrofurantoin both cause oxidative stress

Question 4

First-line for primary (idiopathic) autoimmune haemolytic anaemia

Answer 4

Corticosteroids

Question 5

Sepsis six

Answer 5

BUFALO

Blood
Urine
Fluids
Antibiotics
Lactate
Oxygen

Question 6

Encapsulated organisms that may cause infection following splenectomy

Answer 6

‘Some Killers Have Pretty Nice Capsules’

Streptococcus pneumoniae
Klebsiella pneumoniae
Haemophilus influenzae
Pseudomonas aeruginosa
Neisseria meningitidis
Cryptococcus neoformans

Question 7

Investigation for multiple myeloma

Answer 7

Serum protein electrophoresis + free light chain assay

Detects paraproteins

then use serum immunofixation to identify paraprotein

Question 8

Strict anaerobes

Answer 8

Clostridium sp
Bacteroides sp
Anaerobic cocci

Question 9

Drug of choice for sepsis with anaerobes

Answer 9

Metronidazole

(IV bioavailability = oral bioavailability)

Question 10

Drug of choice for gram positives in sepsis and enterococci in GI

Answer 10

Amoxicillin (GRAM POSITIVES)

Question 11

Investigation for malaria

Answer 11

Blood smear