antibiotic man

Question 1

Mx of complicated UTI/pyelonephritis

Answer 1

co-trimoxazole or co-amoxiclav

hospital:
IV amoxicillin + gentamicin

if pen allergy
- IV co-trimoxaole + gentamicin

step down = PO co-trimoxazole

Question 2

ophthalamic shingles management

Answer 2

start treatment up to 7 days after onset of rash
aciclovir 800mg 5 times daily

Question 3

CURB65 score

Answer 3

confusion new
urea >7
resp rate >30
BP <90 or <=60 diastolic

65 y/o >

Question 4

diverticulitis management

Answer 4

may respond to analgesia + dietary modification
if indicated - metronidazole plus cotrimoxazole for 5days

Question 5

uncomplicated lower UTI Mx

Answer 5

1st = nitufurantoin
2nd = trimethoprim

Question 6

pyelonephritis MX male or female

Answer 6

send MSSU
cotrimoxazole or co-amoxiclav 7days

Question 7

prostatisis Mx

Answer 7

ofloxacin or ciprofloxacin

if high risk p trimethoprim

Question 8

epididymo-orchitis management

Answer 8

send MSSU, gonorrhoea + chlamydia tests

STI likely (<35) - doxycycline
UTI likely (>35) - ofloxacin or ciprofloxacin

Question 9

management of pelvic inflammatory disease

Answer 9

metronidazole + ofloxacin

Question 10

management of bacterial vaginosis vs vulvovaginal candidiasis

Answer 10

BV = metronidazole (5days)

vulvovaginal candiasis = fluconazole or clotrimazole pessary

Question 11

cellulitis management

Answer 11

flucloxacillin or doxycycline 5 days

facial cellulitis = coamoxiclav

Question 12

management of impetigo

Answer 12

topical hydrogen peroxide 1% cream or fusidic acid 2% cream (5days)

more widespread
- fluclox
- clarithromycin

Question 13

meningitis management

Answer 13

ceftriaxone IV + dexamethasone IV

aciclovir IV if encephalitis suspected
- add amoxicillin IV 4hrly is >= 60 or immunocompromised

Question 14

management of community acquired pneumonia

Answer 14

mild/mod - amoxicillin or doxycycline
severe - coamoxiclav + doxycycline

Question 15

management of hospital acquired pneumonia

Answer 15

non severe - amoxicillin PO

severe - IV amoxicillin + gentamicin

Question 16

aspiration pneumonia Mx

Answer 16

nonsevere - PO amoxicillin + metronidazole

severe - IV amox + metronidazole + gentamicin
—> step down to oral amox + met

Question 17

antibiotics for endocarditis

Answer 17

native valve subacute - amox + gent
native valve sepsis - fluclox

prosthetic valve or suspected MRSA - vancomycin IV + gentamicin

Question 18

acute sepsis arthritis/osteomyelitis Mx

Answer 18

IV fluclox

Question 19

diabetic foot infection

Answer 19

mild - fluclox or doxy
mod - fluclox + metronidazole

Question 20

open fracture prophylaxis

Answer 20

cefuroxime