antibiotic man

Question 1

meningitis

Answer 1

benzylpenicillin (IV/IM)

cefotaxime if know anaphylaxis

Question 2

ophthalmic shingles

Answer 2

aciclovir/valaciclovir

–> start 7 days after onset of rash

Question 3

otitis media

Answer 3

delayed prescription, amoxicillin/clarithromycin

Question 4

otitis externa

Answer 4

mild = acetic acid 2% (EarCalm)

moderate = sofradex

Question 5

oral candidiasis

Answer 5

miconazole gel or nyastin

Question 6

CURB65 score

Answer 6

Confusion
Resp rate >=30
BP <90 sys or <=60 diastolic
65yrs or older

0-2 - treat at home = amoxicillin/doxycycline
3-4 - urgent hosp admission = amoxicillin/benzylpenicillin

Question 7

C difficile infection

Answer 7

vancomycin / metronidazole

Question 8

uncomplicated female lower UTI

Answer 8

nitrofurantoin = 1st
trimethoprim = 2nd

(mild = self care advice)

Question 9

pyelonephritis (male or female)

Answer 9

co-trimoxazole or co-amoxiclav 7 days

send MSSU?

Question 10

male UTI (uncatherterised)

Answer 10

1st = nitrofurantoin
2nd  = trimethoprim

(send MSSU?)

Question 11

UTI in old + catherterised patients

Answer 11

do NOT use urinanalysis

do NOT treat unless clinical signs/symptoms of infection

if symptoms - co-trimoxazole/co-amoxiclav

Question 12

prostatitis

Answer 12

ofloxacin or ciprofloxacin

trimethoprim in C diff risk

Question 13

epididymo-orchitis

Answer 13

send MSSU, gonorrhoea + chlamydia tests

if STI likely = doxycycline
UTI likely (>35/no new partner) = ofloxacin or ciprofloxacin

Question 14

uncomplicated chlamydia

Answer 14

doxycycline

azithromycin if intolerant

Question 15

pelvic inflammatory disease

Answer 15

metronidazole + ofloxacin

Question 16

cellulitis

Answer 16

flucloxacillin or doxycycline

commonest cause = strep pyogenes (GroupAStrep)

Question 17

facial cellulitis

Answer 17

co-amoxiclav
(sinus/dental/mandibular)

(cutaneous = flucloxacillin)

Question 18

diabetic foot

Answer 18

mild = flucloxacillin or doxycycline

moderate = flucloxacillin(or doxycycline) +metronidazole

Question 19

impetigo

Answer 19

localised = topical hydrogen peroxide 1% or fusidic acid 2%

widespread = flucloxacillin (2nd = clarithromycin

Question 20

impetigo

Answer 20

localised = topical hydrogen peroxide 1% or fusidic acid 2%

widespread = flucloxacillin (2nd = clarithromycin)