All da bugs

Question 1

Meningitis (standard)

Answer 1

Ceftriaxone IV 2g bd + dexamethasone IV 10mg qds

Question 2

Meningitis and +60 or immunocompromised

Answer 2

add amoxicillin IV 2g 4hrly

Question 3

Encephalitis

Answer 3

IV aciclovir 10mg/kg tds

Question 4

Epiglottitis/Supraglottitis

Answer 4

Ceftriaxone IV 2g od

Question 5

CAP CURB 65 0-2

Answer 5

Amoxicillin 1g tds
pa: doxycycline PO 200mg day 1 then 100mg od
5 days

Question 6

CAP CURB 65 3-5

Answer 6

Co-amoxiclav 1.2g tds + doxycycline PO 100mg bd
pa: levofloxacin IV 500mg bd
7 days

Question 7

CAP ICU/HDU/NBM

Answer 7

Co-amoxiclav IV 1.2g tds
+ clarithromycin IV 500mg bd
pa: levofloxacin IV 500mg bd
7 days

Question 8

HAP non severe

Answer 8

PO amoxicillin
pa: doxycycline 100mg
5 days

Question 9

HAP severe

Answer 9

IV amoxicillin + gentamicin
pa: IV co-trimoxazole + gentamicin
Step down: PO co-trimoxazole
7 days

Question 10

Aspiration pneumonia non severe

Answer 10

PO Amoxicillin + metronidazole
pa: doxycycline 100mg bd + metronidazole
5 days

Question 11

Aspiration pneumonia severe

Answer 11

IV amoxicillin + metronidazole + gentamicin
pa: replace amox with PO doxycycline or IV clarithromycin
Step down: PO amoxicillin + metronidazole
pa: doxycycline 100mg bd + metronidazole
7 days

Question 12

Acute exacerbation COPD

Answer 12

Amoxicillin 500mg tds
or doxycycline 200mg on day 1 then 100mg od
5 days

Question 13

Acute cough/Acute Bronchitis

Answer 13

Amoxicillin 500mg tds or doxycycline 200mg on day 1 then 100mg od
5 days

Question 14

Endocarditis native valve su bacute

Answer 14

Amoxicillin IV 2g 4hrly + gentamicin 1mg/kg bd

Question 15

Endocarditis native valve severe sepsis

Answer 15

Flucloxacillin IV 2g 6hrly (or 4hrly if >85kg)

Question 16

Endocarditis prosthetic valve or MRSA

Answer 16

Vancomycin IV + gentamicin IV 1mg/kg bd

once therapeutic vanc level, add rifampicin PO 600mg bd

Question 17

C diff infection non-severe

Answer 17

Metronidazole PO 400mg tds

10 days

Question 18

C diff infection severe

Answer 18

Vancomycin 125mg qds PO/NG +/- IV metronidazole

10 days

Question 19

Peritonitis/Biliary tract/intra-abdo

Answer 19

IV amoxicillin + metronidazole + gentamicin
Step down: PO co-trimoxazole + metronidazole
pa: IV vancomycin + metronidazole + gentamicin
Step down: PO co-trimoxazole + metronidazole
7 days

Question 20

Proven spontaneous bacterial peritonitis: mild

Answer 20

Co-trimoxazole PO

5-7 days

Question 21

Proven spontaneous bacterial peritonitis: severe

Answer 21

Piperacillin/Tazobactam IV 4.5mg tds

Step down: co-trimoxazole PO

Question 22

Uncomplicated female lower UTI

Answer 22

Nitrofurantoin 100mg MR bd or 50mg qds or trimethoprim 200mg bd
5 days

Question 23

Uncatheterised male UTI

Answer 23

Nitrofurantoin 100mg MR bd or 50mg qds or trimethoprim 200mg bd
7 days

Question 24

Complicated UTI/pyelonephritis/urosepsis

Answer 24

IV amoxicillin + gentamicin
pa: IV co-trimoxazole + gentamicin
Step down: PO co-trimoxazole
7 days

Question 25

Cellulitis

Answer 25

Flucloxacillin 1g qds
pa: doxycycline 100mg bd PO
7 days

Question 26

Diabetic foot infection mild

Answer 26

Flucloxacillin 1g qds or doxycycline 100mg bd

7 days

Question 27

Diabetic foot infection moderate

Answer 27

Flucloxacillin 1g qds + metronidazole 400mg tds or
doxycycline 100mg bd + metronidazole 400mg tds
7 days

Question 28

Open fracture prophylaxis

Answer 28

IV co-amoxiclav 1.2g tds

start within 3 hrs for max 72 hrs

Question 29

Acute septic arthritis/osteomyelitis

Answer 29

IV flucloxacillin 2g qds