Antibiotic Man

Question 1

Meningitis Hospital

Answer 1

IV Ceftriaxone and IV Dexamethasone

Question 2

When should the steroid be given in meningitis

Answer 2

With or before the first dose of ceftriaxone

Question 3

Treatment for Epiglotitis

Answer 3

Ceftriaxone

Question 4

Mild to Moderate CAP

Answer 4

Amoxicillin PO

Question 5

Mild to Moderate CAP with penicillin allergy

Answer 5

Doxycylcine

Question 6

Severe CAP

Answer 6

IV co-amoxiclav and Doxycycline

Question 7

Severe CAP with penicillin allergy

Answer 7

IV Doxycycline and Levofloxacin

Question 8

NBM CAP

Answer 8

IV co-amoxiclav and IV clarythromycin

Question 9

Severe HAP

Answer 9

IV Amoxicillin, Gentamicin and Metronidazole

Question 10

Severe HAP with penicillin allergy

Answer 10

IV Co-trimoxazole, Gentamicin and Metronidazole

Question 11

Non Severe HAP

Answer 11

PO Amoxicillin and metronidazole

Question 12

Acute COPD Exacerbation

Answer 12

Amoxicillin or doxycycline. Only if increased sputum purulence

Question 13

Acute cough / chronic bronchitis

Answer 13

No benefit - frail elderly may benefit from amoxicillin

Question 14

Native valve endocarditis

Answer 14

IV Amoxicillin

Question 15

Native valve and severe sepsis Endocarditis

Answer 15

IV Flucloxacillin

Question 16

Prosthetic Heart valve / ?MRSA Endocarditis

Answer 16

IV Vancomycin + Rifampicin PO + IV Gentamicin

Question 17

Resistant pathogens in Endocarditis

Answer 17

IV Vancomycin + IV Meropenum

Question 18

Non severe C diff

Answer 18

Metronidazole PO

Question 19

Severe C diff

Answer 19

Oral Vancomycin +/- IV metronidazole

Question 20

Peritonitis /Biliary Tract/ Intra-abdo

Answer 20

IV amoxicillin + metronidazole + gentamicin

Question 21

Peritonitis /Biliary Tract/ Intra-abdo with penicillin allergy

Answer 21

IV Vancomycin, gentamicin, metronidazole

Question 22

Proven spontaneous Bacterial Peritonitis (severe)

Answer 22

Severe Piperacillin + Tazobactem IV

Question 23

Proven spontaneous Bacterial Peritonitis (Mild)

Answer 23

Co trimoxazole PO)

Question 24

Uncomplicated Female lower UTI

Answer 24

Nitrofurantoin or trimethraprim (3 days)

Question 25

Uncatheterised Male lower UTI

Answer 25

Nitrofurantoin or trimethraprim (7 days)

Question 26

Complicated UTI / Pyelonephritis / Urosepsis / Catherised

Answer 26

IV Amoxiciilin + Gentamicin (IV Co-trimoxazole + Gent)

Step down to PO cotrimoxazole

Question 27

Cellulitis

Answer 27

Flucloxaxillin

Question 28

Cellulitis with penicillin allergy

Answer 28

Doxycylcine

Question 29

Acute septic arthritis / osteomyelitis

Answer 29

IV flucloxacillin

Question 30

Diabetic foot (mild)

Answer 30

flucloxacillin or doxycycline

Question 31

Moderate Diabetic foot

Answer 31

Flucloxacillin + metronidazole or

Doxycycline + metronidazole

Question 32

Open fracture prophylaxis

Answer 32

IV co-amoxiclav + gentamicin

Question 33

Open fracture prophylaxis (penicillin allergy)

Answer 33

IV co-trimoazole

Question 34

Unknown source

Answer 34

IV amoxicillin, metronidazole and gentamicin

Question 35

Unknown source with penicillin allergy

Answer 35

IV vancomycin, metronidazole and gentamicin