Abx + bacteria type

Question 1

flucoclox - advice

Answer 1

empty stomach

Question 2

cellulitis - which antibiotic?

Answer 2

fluclox

clarithro if pen allergic

Question 3

low severity CAP - criteria? which abx? where to be managed?

Answer 3

home based care
5d amoxicillin (clarithro if pen allergic)

score 0-1

Question 4

atypical pneumonia - which antibiotic(s)?

Answer 4

clarithromycin

Question 5

HAP - which antibiotic(s)?

Answer 5

within 5d of adm - co-amoxiclav

> 5d since adm - tazocin

Question 6

mastitis during breastfeeding - which antibiotic(s)?

Answer 6

flucloxacillin 10-14d

Question 7

gonorrhoea - which treatment?

Answer 7

azithromycin (1g oral) + ceftriaxone (500mg IM)

Question 8

chlamydia - which treatment?

Answer 8

1g stat dose azithromycin
or
1 week doxycycline (got foxy and got chlamydia)

Question 9

PID - treatment?

Answer 9

oral metronidazole + ofloxacin
or
oral metronidazole + doxycycline + IM ceftriaxone

Question 10

BV - treatment?

Answer 10

5-7d metronidazole

Question 11

c diff - treatment

Answer 11

metronidazole 10-14d

Question 12

campylobacter enteritis - which treatment?

Answer 12

clarithromycin

Campy = hard C = Clarithro

Question 13

salmonella (non-typhoid) - which treatment?

Answer 13

ciprofloxacin

Salmonella = Sipro
took a Sip of some dodgy meat

Question 14

shigellosis - which treatment?

Answer 14

ciprofloxacin

Question 15

what are the types of bacteria + what do they stain?

Answer 15

gram POsitive - PUrple
gram Negative - piNk

cocci
bacilli (rods)

Question 16

name some gram positive cocci + what they cause

Answer 16

staphyloCOCCUS (pneumonia)
streptoCOCCUS
(pneumonia, meningitis, URTI +
group a - scarlet fever, strep throat
group b - neonatal infection)

positive as common ones

Question 17

name some gram negative cocci

Answer 17

NEisseria meningitidis
NEisseria gonorrhoea
NEgative cocc(k) will give u gonorrhoea

NE, also negative = BAD - don’t want meningitis or gonorrhoea

Question 18

name some gram positive rods (bacilli) + what they cause

Answer 18

clostridium (c diff) - Positive Rodger caught c diff but knew he could fight it!
bacillus cereus (rice) - rice grains look like rods, positive as tasty
listeria + diphtheria (get abroad which = positive cos holiday, rod = fishing (holiday activity)

Question 19

name some gram negative rods (bacilli)

Answer 19

everything else:

salmonella, shigella
pseudomonas, klebsiella, h influenzae, legionella
campylobacter, e coli, enterobacter, h pylori
gardnerella (BV)

Question 20

name a gram negative pleomorphic bacterium

Answer 20

chlamydia

negative - don’t want an STI
pleomorphic - multiple sizes + shapes - multiple partners -> STI

Question 21

name a gram positive bacterium without a cell wall

Answer 21

mycoplasma pneumoniae

Question 22

what is a b-lactam? name some

Answer 22

b-lactam ring lodges in bacterial cell wall

penicillins
cephalosporins (cef-)

Question 23

intermediate-severity CAP - management + criteria? where to be managed?

Answer 23

hospital care
7-10d amoxicillin + a macrolide

score 2

Question 24

high severity CAP - management? criteria? where to be managed?

Answer 24

?ICU
7-10d co-amoxiclav + a macrolide

score 3

Question 25

pneumonia following influenza - common cause? mgmt?

Answer 25

staph aureus

amox + fluclox

Question 26

CAP - infectious agents

Answer 26

strep pneumoniae - 80%
h influenzae
staph aureus

Question 27

CAP - investigations? monitoring?

Answer 27

CXR
intermediate or high risk:
blood + sputum cultures
legionella + pneumococcal urinary antigen tests
monitor CRP to assess response to treatment

Question 28

c diff - diagnosis

Answer 28

WCC raised

c diff toxin in the stool

Question 29

mycoplasma pneumonia - 2 common extra-pulmonary symptoms

Answer 29

erythema Multiforme

acute haeMolysis