The Master Surgeon | Free Extended Matching Questions

QUESTION NO

List of options:

Amoxicillin + Clavulanic acid (Co-Amoxiclav – oral or intravenous)

Doxycycline (oral)

Flucloxacillin (oral or intravenous)

Gentamicin (intravenous)

Meropenem (Carbaepenem group - intravenous)

Metronidazole (oral or intravenous)

Oxytetracycline (Tetracycline group – oral)

Rifampacin (oral)

Trimethoprim (oral)

Vancomycin (intravenous)

Please select the most appropriate, first line antibacterial agent concerned in the following clinical scenarios.
(NB: Question based on common practice within the United Kingdom. Choice of antibiotic may vary from region to region based on local sensitivities)

You may choose each option once, more than once or not at all.

A) A patient with an untreated scrotal abscess presenting to hospital a week later with sepsis, necrotic patches, blisters on the skin in the affected region and surgical emphysema. As the patient is being prepared for emergency surgery you wish to give them some antibiotics.

B) A patient complains of orange urine and yellow sclera having recently being commenced on this antibiotic

C) A patient with chlamydia infection

D) A patient with active clostridium difficile infection

E) A child presents with black stains on their teeth having been started on this antibiotic a week earlier.

F) A young woman with a positive urinary dip-stick, complaining of fever and rigors. Her examination is unremarkable except for loin tenderness. Her temperature is 39C and HR of 120.

Question By Mr. Kasun Wanigasooriya MBCHB, MRCS.