1. Which of the following clinical features makes bacterial tonsillitis LESS likely?
A. Temperature >39
B. Cough
C. Age 5-10 years
D. Tender lymphadenopathy
E. Purulent tonsillar exudate

2. What is the most frequent cause of bacterial meningitis in neonates?
A. Streptococcus pneumoniae
B. Escherichia coli
C. Staphylococcus aureus
D. Streptococcus agalactiae
E. Streptococcus pyogenes

3. Which of the following results has the highest specificity for UTI?
A. Urinalysis positive for leukocyte esterase
B. Urinalysis positive for blood
C. White blood cell count >15
D. Urinalysis positive for nitrites
E. Urine microscopy showing >100 x10^9/L WCC

4. Name the organism for these gram stain appearance in bacterial meningitis.
A. Gram positive rods

4. Name the organism for these gram stain appearance in bacterial meningitis.
B. Gram negative rods

4. Name the organism for these gram stain appearance in bacterial meningitis.
C. Gram positive cocci in chains

4. Name the organism for these gram stain appearance in bacterial meningitis.
D. Gram negative cocci

4. Name the organism for these gram stain appearance in bacterial meningitis.
E. Gram positive cocci in clusters

5. Antibiotics – yes or no?
a. 12 month old child with fever 38.2, pulling at ears, difficult to visualise tympanic membrane ?red on right.

5. Antibiotics – yes or no?
b. 5yo child wakes screaming with pain in ear, bulging tympanic membrane on examination.

5. Antibiotics – yes or no?
c. 18 month old child with fever 37.8, rhinorhoea, red pharynx.

5. Antibiotics – yes or no?
d. 7yo child with sore throat for 24 hours, fever 38.5, tender cervical nodes.