QuestionSBA
QuestionChoice
The most likely diagnosis, in this case, is hospital-acquired Clostridium difficile infection. Although paracetamol may be of benefit in addressing this patient's abdominal cramps, it would not address her Clostridium difficile infection or ongoing diarrhoea.
10008061
b
Paracetamol
QuestionChoice
The most likely diagnosis, in this case, is hospital-acquired Clostridium difficile infection. Penicillin is not a suitable antibiotic for this type of infection. In fact, a patient undergoing treatment with penicillin is at an increased risk of developing C. difficile.
10008062
c
Penicillin
QuestionChoice
The most likely diagnosis, in this case, is hospital-acquired Clostridium difficile infection. Ciprofloxacin is not a suitable antibiotic for this type of infection. In fact, a patient undergoing treatment with ciprofloxacin is at an increased risk of developing C. difficile.
10008063
d
Ciprofloxacin
QuestionChoice
The most likely diagnosis, in this case, is hospital-acquired Clostridium difficile infection. Co-Amoxiclav is widely prescribed in hospitals and it may also be linked to an increased susceptibility of Clostridium difficile infection. It is therefore not suitable for treating this infection.
10008064
e
Co-Amoxiclav
QuestionChoice
The most likely diagnosis, in this case, is hospital-acquired Clostridium difficile infection. This patient has multiple risk factors for this infection: hospital stay, age > 65, and treatment with broad-spectrum antibiotics. Vancomycin is therefore the most appropriate treatment option. If the infection is severe, IV metronidazole can be added.
10008060
a
Vancomycin
Concept
Chapter
2693
3935
Clostridium difficile
Topic
136
Gastroenterology
14159
A 79-year-old woman is an inpatient at her local hospital while she is receiving broad-spectrum antibiotics for a lower respiratory tract infection. During her stay, she develops abdominal cramps and two episodes of watery diarrhoea. On examination, she is apyrexial and appears well hydrated.

Which of the following is the most appropriate management of this patient's diarrhoea?
a