abx

Question 1

meningitis tx

Answer 1

3m-50y/60y (CHECK) = cefotaxime (ceftiaxime)

<3m or 50/60+ (CHECK) = cefotaxime + amox

consider steroids, but not if <3m

Question 2

meningitis GP

Answer 2

benzylpenicillin
cefotaxime if allergic

Question 3

meningitis contacts prophylaxis

Answer 3

ciprofloxacin

Question 4

lyme disease

Answer 4

doxycycline

Question 5

MRSA

Answer 5

vancomycin

Question 6

insect bites

animal bites

Answer 6

insect - fluclox

animal - coamox

Question 7

COPD exacerbation

Answer 7

amoxicillin

Question 8

pneumonia
- CAP/HAP
- COPD
- influenza
- recent coamox
- cystic fibrosis
- atypical or allergic

Answer 8

CURB65
- mild 0-1- amox
- moderate 2 - amox +clarith
- severe 3-5 - coamox +clarith
?HAP coamox

• COPD
• influenza : add flucloxacillin
• recent coamox: tazocin
• cystic fibrosis : ciprofloxacin
  -atypical or allergic : clarithromycin

Question 9

mastitis

Answer 9

fluclox

Question 10

scarlet fever

Answer 10

penV

Question 11

whooping

Answer 11

clarithro

(azithro if allergic)
(erythro if preg)

Question 12

tonsilitis

Answer 12

penV

(allergy - clarithro)

Question 13

cellulitis

Answer 13

fluclox

(around eye/nose - coamox)
(actually eye - cefotaxime)

Question 14

otitis media

Answer 14

amox

Question 15

septic arthristis

Answer 15

fluclox

Question 16

sinusitis

Answer 16

penV

Question 17

pylonephritis

Answer 17

cephlasporin/ quinalone (ciproflaxacin)

Question 18

inhibit cell wall synthesis

Answer 18

penicillin
cephalosporins
vancomycin
beta lactamase i (taz)
carbapenems (meropenem)

Question 19

inhibits protein synthesis

Answer 19

30S
aminoglycosides - gentamicin
tetracyclines (eg doxycycline)

50S
macrolides (-thromycin)
clindamycin
chloramphenicol

Question 20

DNA synthesis i

Answer 20

metronidazole
fluoroquinolones

Question 21

RNA synthesis i

Answer 21

rifampicin