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Massive Haemoptysis BAE — SCE Infectious Diseases MCQ

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HardRespiratory InfectionMassive Haemoptysis BAESCE Infectious Diseases

CSF culture confirms Listeria monocytogenes meningitis in a 71-year-old with diabetes. They have no penicillin allergy and are improving. Which organism-directed plan follows NICE NG240?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: A — IV amoxicillin or ampicillin for 21 days, with infection consultation about IV co-trimoxazole for the first 7 days

Explanation lettering: E = shown as A · C = shown as B · A = shown as C · B = shown as D · D = shown as E

E is correct. NICE recommends IV amoxicillin or ampicillin for 21 days and infection-specialist advice about adding IV co-trimoxazole for the first 7 days. A is unreliable because Listeria is intrinsically not covered by third-generation cephalosporins. B is too short and unreferenced. C uses an inappropriate oral route. D shortens treatment and imposes gentamicin rather than the current NICE adjunct.

Reference: NICE NG240: bacterial meningitis recommendations: https://www.nice.org.uk/guidance/ng240/chapter/Recommendations