1st year Hospital Adult

Question 1

Mild - Moderate CAP

Answer 1

Amoxicillin tds IV / PO 5 days

Question 2

Mild-moderate CAP (penicillin allergy)

Answer 2

Doxycycline PO 200mg on day 1 then 100mg od

Question 3

Severe CAP

Answer 3

Co-amoxiclav IV + either Clarithromycin IV or doxycycline PO 100mg bd

Question 4

Severe CAP (penicillin allergy)

Answer 4

IV levofloxacin 500mg bd)

step down to doxycycline 100mg bd for all patients

Question 5

Severe Hospital acquired pneumonia or aspiration pneumonia

Answer 5

IV amoxicillin + metronidazole + gentamicin

Step down to PO Co-trimoxazole + metronidazole

Question 6

Severe Hospital acquired pneumonia or aspiration pneumonia (with penicillin allergy)

Answer 6

IV co-trimoxazole + metronidazole + gentamicin

step down to PO co-trimoxazole + metronidazole

Question 7

Non severe HAP

Answer 7

PO amoxicillin + metronidazole 5 days

Question 8

Acute exacerbation of COPD

Answer 8

Amoxicillin 500mg tds

2nd line doxycycline 200mg on day 1 then 100mg daily (5 days)

Question 9

Endocarditis

Answer 9

Appropriate blood cultures

Empirical therapy

Question 10

Native valve subacute

Answer 10

Amoxicillin IV 2g 4 hourly + gentamicin bd

Question 11

Native valve severe sepsis (acute)

Answer 11

flucloxacillin IV 2g 6 hourly

Question 12

Prosthetic valve or MRSA

Answer 12

vancomycin IV + rifampicin PO 600mg bd + gentamicin IV

Question 13

Non severe C diff

Answer 13

Metronidazole PO 400 mg tds 10 days

Question 14

Severe C diff

Answer 14

Vancomycin 125mg qds +/- IV metronidazole

Question 15

Acute gastroenteritis

Answer 15

No antibiotic

Question 16

Peritonitis

Answer 16

IV amoxicillin + Metronidazole + gentamicin then step down to PO co-trimoxazole + metronidazole

Question 17

Peritonitis (penicillin allergic)

Answer 17

IV vancomycin + metronidazole + gentamicin then step down to PO Co-trimoxazole + metronidazole