Question Discuss the role of systemic antibiotic therapy in patients with severe acute pancreatitis. Answer Pass rate: 83% Highest mark: 8.0

Question A 70-year-old male presents to the ED with a 2-week history of increasing dyspnoea, cough with altered sputum and fever. Past history includes chronic obstructive airways disease (COPD), lung cancer seven years ago treated with chemotherapy and radiation therapy…

Question 20.1 A 50-year-old male with a history of chronic pancreatitis presents with several days of nausea and vomiting. His biochemistry profile is below. Interpret the abnormalities in the above results and give likely underlying causes. (30% marks): 20.2 A…

Question a) Interpret the three pharmacodynamic (PD) profiles, labelled Scenario 1, Scenario 2 and Scenario 3, shown below. b) For each PD profile, describe how you would optimise the dose and/or frequency of antibiotic if prescribing: i) a beta lactam…

A 63 year old man was admitted after a community cardiac arrest. He is currently day 5 post admission with uncertain neurological prognosis. He developed bilateral chest infiltrates yesterday

List the possible reasons why a patient with septic shock from infected pancreatitis may have ongoing hypotension despite intravenous fluid therapy, antibiotics and escalating inotrope requirement.

Questions 3.1 What are the distinguishing features on clinical examination between a neuropathy and a myopathy? 3.2 List 4 causes of a mid diastolic murmur over the apex. 3.3 A previously fit 45 year old man was noted to be…

A 26 year old lady presents from home confused with a low-grade fever. Her blood pressure is 160/100 mm Hg. She has no gross motor deficits. Ten days ago she had an emergency termination of pregnancy for an intrauterine death that was complicated by disseminated intravascular coagulation.

30.1. A 62 year old lady has very significant bleeding following an uncomplicated total hip replacement. Her coagulation profile post blood transfusion is as follows: (a)  List two (2) likely causes of her deranged coagulation profile. (b)  List two (2)…

Question With respect to community-acquired bacterial meningitis in Australia and New Zealand: a) List two common pathogens encountered AND the empirical antimicrobial therapy of choice in EACH the following contexts: (70% marks) i)  Neonate aged < 1month ii)  Immunocompetent adult…

Question A 65 year old male with a past history of ischaemic heart disease is admitted to the ICU after a motorcycle crash having sustained long bone fractures of the lower limbs. He has no head, chest or abdominal injuries.…