antibiotic man

Question 1

Empirical Tx for Meningitis

Answer 1

Ceftriaxone IV 2g BD + Dexamethasone IV 10mg QDS

Question 2

when to add amox in meningitis?

Answer 2

immunocompromised or > 60. (to cover listeria)

Question 3

if encephalitis suspected?

Answer 3

Aciclovir IV 10mg/kg TDS

Question 4

Tx for epiglottitis/supraglottitis?

Answer 4

Ceftriaxone IV 2g OD

Question 5

CAP mild/mod?

Answer 5

Amoxicillin 1g TDS 5 days

Question 6

CAP severe Tx?

Answer 6

co-amox IV 1.2g TDS + Doxycycline PO 100mg BD

Question 7

CAP severe in ICU/HDU or nil by mouth?

Answer 7

Co-amox IV 1.2g TDS + Clarithromycin IV 500mg BD 7 days

Question 8

HAP non-severe?

Answer 8

PO amox 1g TDS 5 days

Question 9

Severe HAP?

Answer 9

IV amox and gent 7 days

step down: Co-trimox

Question 10

Aspiration pneumonia non-severe?

Answer 10

amox and metronidazole PO

Question 11

Aspiration pneumonia severe?

Answer 11

IV amox + met + gent

step down: amox and met

Question 12

COPD exacerbation?

Answer 12

Amox 500mg TDS

Question 13

2nd line for COPD exacerbation?

Answer 13

doxycycline

Question 14

Native valve subacute Tx?

Answer 14

Amox IV 2g 4 hourly + gent 1mg/kg BD

Question 15

Native valve acute Tx?

Answer 15

Flucloxacillin IV 2g 6 hourly

Question 16

Peritonitis/biliary tract/intra-abdo Tx?

Answer 16

IV amox + met +gent

Question 17

step down for intra-abdo sepsis?

Answer 17

PO - Co-trimox + metronidazole

Question 18

SBP mild Tx?

Answer 18

Co-trimox PO

Question 19

SBP severe disease?

Answer 19

piperacillin/Tazobactam IV 4.5 TDS

Question 20

Uncomplicated lower UTI?

Answer 20

Nitrofurantoin 50mg QDS or Trimethoprim 200mg BD 3 days

Question 21

Uncatheterised male UTI Tx?

Answer 21

same as female but 7 days

Question 22

acute bacterial prostatitis or epididymo-orchitis?

Answer 22

young -doxy (+/- ceft)

old - ofloxacin

Question 23

cellulitis Tx?

Answer 23

fluclox 1g QDS 7 days

Question 24

cellulitis for pen allergic Tx?

Answer 24

Doxycline

Question 25

open fracture prophylaxis?

Answer 25

IV co-amox + met

Question 26

Diabetic foot infection mild Tx?

Answer 26

fluclox or doxy

Question 27

diabetic foot infection moderate Tx?

Answer 27

fluclox + met OR Doxy + met

Question 28

acute septic arthritis/osteomyelitis?

Answer 28

IV fluclox

Question 29

organisms in sinusitis?

Answer 29

pneumococcus (strep pneumonia)

Question 30

organisms in acute otitis media?

Answer 30

pneumococcus, h.influenzae

Question 31

organism in tonsillitis?

Answer 31

Group A strep

Question 32

CAP mild/moderate organisms?

Answer 32

pneumococcus, h.influenza

Question 33

CAP severe organisms?

Answer 33

same as mild but also maybe atypicals such as legionella, mycoplasma, chlamydia etc?

Question 34

pneumonia post influenza organism?

Answer 34

staph aureus

Question 35

acute exacerbation of COPD organism?

Answer 35

Pneumococcus, h.influenza

Question 36

HAP organisms?

Answer 36

same as CAP but also coliforms

Question 37

native valve acute endocarditis organism?

Answer 37

staph aureus

Question 38

native valve subacute organisms?

Answer 38

strep viridians, enterococci

Question 39

if patient stable with subacute endocarditis, how many blood cultures should be taken?

Answer 39

3 sets, 6 hours apart

Question 40

pyelonephritis organisms?

Answer 40

E.coli, pseudomonas, enterococci.

Question 41

prosthetic valve or MRSA?

Answer 41

vanc + gent + add in rifampicin when vanc at therapeutic dose