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WorksheetsAntibiotic awareness week
Total questions: 10
Worksheet time: 5mins
Which antibiotic has pseudomonas coverage?
Ceftriaxone
Axomicillin/Clavulanic acid
Ceftazidime
Cloxacillin
Cefuroxime
Mr Z is a 56 years old gentleman. He visited to ETD 2pm today for fever three days associated with running nose,cough,arthralgia and myalgia. He just came back from Kuching 5days ago. Chest X-ray done.
What is the most suitable management for this patient?
IV Ceftriaxone 2g stat
IV Augmentin 1.2g stat
Discharge home with paracetamol,advise to drink more water
Isolate patient
TCA PK one week to review symptom
What is the most suitable amount of blood sampling for each bottle?(Adult patient)
3-5ml
5-8ml
8-10ml
10-15ml
15-20ml
Mr L admitted to ward 5days for left foot cellulitis. He was given IV Cloxacillin and he is afebrile over past three days. You noted Mr L has spiking of fever this morning.
What is the appropriate action?(multiple choice)
Repeat blood C&S,IV Ceftazidime 2 g stat
Refer orthopaedic for left foot abscess
HAP,start IV Piperacillin/Tazobactem
Off cannula if there are redness/warm
Take a deep breath,assess patient properly
5 moments hand hygiene consist of:
(Multiple choice)
Before touching a patient
Before aseptic procedures
After exposure to patient blood
Before touching patient surrounding
After eating
Which infection is caused by a type of staphylococcus that 's become resistant to many of the antibioticis?
ESBL(Extended spectrum beta-lactamase)
CRE(Carbapenem resistant Enterobacteriaceae)
MRSA(Methicillin-resistant Staphylococcus Aureus)
MDR Acinetobacter
What is the problem of treating patient with broad spectrum antibiotic without monitor?
Increase risk of drug resistance
Prolonged hospital stay
Increase risk of kidney failure
Steven-Johnson syndrome
No harm,broad spectrum antibiotic can cover multiple source of infection
"Boss always ask for blood culture before antibiotic.But I still got a lot of work to do.Why don't serve antibiotic first and I take blood culture before I go home?"
What is the chances of positive blood culture if it was taken before antibiotic?Chances of positive blood culture after antibiotic?
Pre antibiotic 70%,Post antibiotic 35%
Pre antibiotic 50%,Post antibiotic 30%
Pre antibiotic 40%,Post antibiotic 25%
Pre antibiotic 30%,Post antiotic 20%
A 52‑year‑old female admitted to ward with cough and breathing difficulty. She was treated empirically with IV ceftriaxone 2g OD and T. azithromycin 500 mg OD. Her vitals and WBC counts became normal from the third day of admission.
Later her sputum culture showed growth of Candida albicans.
What is your next action of plan?
To complete IV Ceftriaxone and Azithromycin for one week
Start Tab Fluconazole 200mg OD, off IV antibiotic,off azithromycin
Add IV Fluconazole on top of IV Ceftriaxone,T Azithromycin
Possible colonizer.Continue IV Ceftriaxone for one week,T Azithromycin for 3 days.
A 7 years old boy was admitted for nausea and vomiting,diarrhea on and off for one days. O/E:Temperature:37.4°C, BP:104/56mmHg,Pulse rate 110bpm. Moderately dehydrated. He has reduced oral intake. White blood cells is 9.7k. His elder brother has similar problems after the barbeque yesterday.
Her mother is very concerned and wonder if antibiotic will help.
What is the appropriate management?
IV Drip,oral rehydration salt, IV Ceftriaxone
IV Drip,oral rehydration salt,no need antibiotic first
IV Drip,IV Azithromycin,IV Metronidazole
IV Drip,oral rehydration salt, IV Meropenem
