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WorksheetsME 527 Tutorial 2
Total questions: 10
Worksheet time: 3mins
A 25-year-old woman presents to the emergency department with a severe headache, fever, and neck stiffness. She has a non-blanching rash on her legs. Her temperature is 39.2°C. What is the most appropriate immediate management?
Wait for blood culture results
Administer oral amoxicillin
Give IV benzylpenicillin immediately
Start oral ciprofloxacin
Begin with paracetamol only
A 45-year-old man is diagnosed with bacterial meningitis in the hospital. He has no known allergies. Which empirical antibiotic regimen is most appropriate?
Cefotaxime alone
Vancomycin alone
Amoxicillin with gentamicin
Chloramphenicol alone
Ciprofloxacin with metronidazole
A 62-year-old diabetic patient presents with signs of meningitis. Which initial antibiotic combination is most appropriate?
Cefotaxime alone
Cefotaxime plus amoxicillin
Vancomycin plus rifampicin
Chloramphenicol alone
Ciprofloxacin plus metronidazole
A 55-year-old man presents with a brain abscess after dental surgery. What is the most appropriate empirical antibiotic combination?
Amoxicillin alone
Cefotaxime plus metronidazole
Vancomycin alone
Ciprofloxacin plus gentamicin
Meropenem alone
A 28-year-old woman presents with foul-smelling vaginal discharge and genital itching. Her symptoms have persisted for 2 weeks. Microscopy confirms Trichomonas vaginalis infection. What is the most appropriate first-line treatment?
Metronidazole 2g single dose
Metronidazole 400mg BD for 7 days
Clindamycin cream for 7 days
Fluconazole 150mg single dose
Metronidazole 2g daily for 5 days
A patient with HIV presents with chronic diarrhea. Stool examination reveals Cryptosporidium parvum. What is the most appropriate treatment?
Metronidazole
Nitazoxanide
Praziquantel
Mebendazole
Diloxanide furoate
A 35-year-old presents with bloody diarrhea and abdominal pain. Fresh stool microscopy shows motile trophozoites with phagocytosed red blood cells. What is the most appropriate treatment regimen?
Diloxanide furoate alone
Metronidazole followed by diloxanide furoate
Praziquantel
Albendazole
Ivermectin
A 32-year-old immunocompromised patient presents with chronic diarrhea. Stool examination reveals Strongyloides stercoralis. What is the most appropriate treatment?
Mebendazole
Praziquantel
Ivermectin
Metronidazole
Diloxanide furoate
A 25-year-old patient presents with symptoms of visceral leishmaniasis that are unresponsive to initial treatment with sodium stibogluconate. What is the most appropriate next step in management?
Increase the dose of sodium stibogluconate
Switch to amphotericin B
Add pentamidine
Switch to metronidazole
Add primaquine
A 40-year-old man presents with abdominal pain and jaundice. Imaging reveals liver cysts consistent with hydatid disease. What is the most appropriate treatment approach?
Praziquantel alone
Surgical removal alone
Albendazole with surgery
Metronidazole
Ivermectin
