antibiotic man

Question 1

treatment of meningitis ?

Answer 1

ceftriaxone IV and IV dexamethasone

Question 2

in meningitis, what give if encephalitis suspected?

Answer 2

IV aciclovir

Question 3

in meningitis, what do you add 4 hourly if immunocompromised or over 60

Answer 3

amoxicillin IV

Question 4

treatment of epiglottis?

Answer 4

IV ceftriaxome 2g

Question 5

CAP mild/moderate treatment. and if penicillin allergic?

Answer 5

IV/oral amoxicillin. If penicillin allergic - doxcycline

Question 6

severe CAP?

Answer 6

co-amoxiclav IV and doxyxycline oral

Question 7

severe CAP with penicillin allergy?

Answer 7

IV levofloxacin

Question 8

ICU/HDU pneumonia treatment ?

Answer 8

IV co-amoiclav and clarithromycin

Question 9

In ICU/HDU - step down to ? after co-amoxiclav and alarithromycin

Answer 9

doxyxycline

Question 10

hospital acquired pneumonia treatment ? if severe

Answer 10

IV amox + gent + metronidazole

Question 11

severe hospital acquired pneumonia. step down to what after IV a+G+M

Answer 11

oral amoxicillin and metronidazole

Question 12

acute exacerbation of COPD?

Answer 12

1st line amoxicillin

2nd line doxycycline

Question 13

acute cough/acute bronchitis?

Answer 13

antibiotics give no specific benefit. but you can consider in frail or elderly.
1st line amoxicillin
2nd line doxycycline

Question 14

endocarditis native valve (subacute)

Answer 14

ag

IV amoxicillin and gentamycin

Question 15

native valve severe sepsis (acute) ?

Answer 15

IV flucloxacillin

Question 16

prosthetic valve or suspected MRSA?

Answer 16

IV vancomycin, gentamycin and rifampicin

Question 17

native valve severe sepsis+ risk factors for resistant pathogens?

Answer 17

IV vancomycin + meropenem

Question 18

c diff infection non severe? Mild M

Answer 18

oral metronidazole

Question 19

severe c diff infection ?

Answer 19

oral vancomycin

Question 20

peritonitis/biliary tract/intra-abdominal ?

Answer 20

IV amoxicillin + gentamycin + metronidazole

Question 21

peritonitis/biliary tract/intra-abdominal if penicillin allergy

Answer 21

use vancomycin

Question 22

peritonitis/biliary tract/intra-abdominal. step down to what after IV AGM?

Answer 22

Oral co trimoxazole and metronidazole

Question 23

SBP treatment ?

Answer 23

Piperacillin/tazobactam IV

Question 24

SBP severe step down to?

Answer 24

oral co trimoxazole

Question 25

mild SBP treatment

Answer 25

oral co-trimoxazole

Question 26

catheterised patients?

Answer 26

do not use urinalysis

do not treat unless clinical symptoms

Question 27

if clinical symptoms in a catheterised patient ?

Answer 27

treat as complicated

Question 28

UTI in older adults?

Answer 28

only treat if clinical signs

Question 29

uncomplicated female UTI

Answer 29

nitrofurentoin or trimethoprim for 3 days

Question 30

uncomplicated male UTI?

Answer 30

nitrofurentoin or trimethoprim for 7 days

Question 31

complicated UTI/pyelonephritis/sepsis

Answer 31

IV amoxicillin and Gentamycin

Question 32

complicated UTI/pyelonephritis/sepsis if penicillin allergic?

Answer 32

co trimoxazole and gentamycin

Question 33

complicated UTI/pyelonephritis/sepsis step down to?

Answer 33

co trimoxazole

Question 34

cellulitis treatment ?

Answer 34

oral flucloxacillin

Question 35

cellulitis treatment if penicillin allergic?

Answer 35

doxycycline

Question 36

acute septic arthritis treatment ?

Answer 36

IV fluclox

Question 37

diabetic foot mild treatment ?

Answer 37

flucloxacillin or doxycycline

Question 38

diabetic foot moderate treatment

Answer 38

flume

flucloxacillin + metronidazole

Question 39

open fracture?

Answer 39

IV co -amox

Question 40

what else can you use for open fracture?

Answer 40

IV co-trimoxazole and metronidazole