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Y4 > Antibiotic man > Flashcards

Antibiotic man Flashcards

1
Q

Gram -ve coliforms. Which antibiotic is commonly used?

A

Gentamicin

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2
Q

Pseudomonas aeruginosa organism is resistant to many antibiotics. Which antibiotic is used?

A

Ciprofloxacin

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3
Q

ESBLs (extended spectrum beta lactamase) are mainly sensitive/resistant to most penicillins?

A

Resistant

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4
Q

Anaerobic organism. Which antibiotic is commonly used?

A

Metronidazole

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5
Q

Anaerobes are generally sensitive to which antibiotics

A

Mainly metronidazole

Also

  • co-amoxiclav
  • clindamycin
  • pip-tazobactam
  • meropenem
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6
Q

MRSA is sensitive to which antibiotic?

A

Vancomycin

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7
Q

Bacterial meningitis - which antibootic is used (incl dose)

A

IV Ceftriaxone 2g bd

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8
Q

Along with antibiotic therapy, what is used to tread bacterial meningitis

A

IV dexamethasone 10mg qds

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9
Q

What is the treatment of bacterial meningitis in pt over 60 years old and likely organism is listeria?

A

IV ceftriaxone 2g bd +
IV dexamethasone 10mg qds +
IV amoxicillin 2g 4 hourly

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10
Q

What is the treatment for suspected encephalitis?

A

IV aciclovir

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11
Q

Pneumococci are sensitive/resistant to penicillin?

A

Sensitive

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12
Q

Meningococci are resistant/sensitive to penicillin ?

A

Sensitive

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13
Q

Listeria is sensitive/resistant to amoxicillin

A

Sensitive

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14
Q

Herpes simplex virus is sensitive to which viral drug

A

IV aciclovir

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15
Q

Common causative organism for epiglottitis?

A

Haemophilus influenza

Strep

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16
Q

Common causative organism for tonsillitis

A

Group A streptococcus

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17
Q

Beta haemolytic streptococci are sensitive/resistant to penicillin

A

Sensitive

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18
Q

Epiglottitis management

A

IV ceftriaxone 2g od

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19
Q

Mild/moderate CAP causative organisms

A

Strep pneumonia
Haemophilus influenzae
Mycoplasma pneumonia

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20
Q

Severe CAP causative organisms

A 
Same as mild/moderate:
Strep pneumoniae, haemophilus influenzae
Plus
Coliforms
Atypicals
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21
Q

Post flu pneumonia is classically caused by which organism

A

Staph aureus

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22
Q

Common causative organisms for acute exacerbation of COPD

A

Pneumococcus

Haemophilus influenzae

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23
Q

Common causative organisms of HAP

A

Strep pneumonia
Haemophilus influenzae
Coliforms

24
Q

Most haemophilus influenzae are sensitive to amoxicillin. True or false?

25
Q

CAP curb score of 0-2 treatment (incl dose and duration)

A

Amoxicillin 1g tds for 5 days

If penicillin allergic use doxycycline

26
Q

CAP severe 3-5 CURB score then what is the management

A

IV Co amoxiclav + P.O. doxycycline
Step down to P.O. doxycycline

If penicillin allergy then monotherapy of IV levofloxacin

27
Q

Severe CAP but patient is NBM. What is the treatment?

A

IV co-amoxiclav + IV clarithromycin

28
Q

Non severe HAP management

A

P.O. amoxicillin for 5days

Doxycycline if penicillin allergic

29
Q

Severe HAP management

A

IV amoxicillin + IV gentamicin
Step down to P.O. co-trimoxazole
Total 7 days

30
Q

Aspiration pneumonia non severe management

A

P.O. amoxicillin + metronidazole for 5 days

31
Q

Severe aspiration pneumonia management

A

IV amoxicillin + metronidazole + gentamicin
Step down to P.O. amoxicillin + metronidazole
Total 7 days

32
Q

What is first line d treatment of acute exacerbation of COPD

A

Amoxicillin P.O. 5 days

33
Q

What is second line treatment for acute exacerbation of COPD

A

Doxycycline P.O. for 5 days

34
Q

Endocarditis - Native valve acute - what is likely causative organism

A

Staph aureus

35
Q

Endocarditis - native valve sub acute - what is the most likely organism

A

Strep viridans

36
Q

Prosthetic valve endocarditis what is likely causative organism

A

Staph epidermidis

37
Q

Native valve acute endocarditis management

A

IV flucloxacillin 2g 6 hourly

38
Q

Native valve subacute endocarditis management

A

IV amoxicillin + IV gentamicin

39
Q

Prosthetic valve endocarditis management

A

IV vancomycin + IV gentamicin

After 3-5 days add in rifampicin P.O.

40
Q

E. coli 0157 is most common in adults or children?

41
Q

C diff non severe management

A

P.O. metronidazole for 10 days

42
Q

C diff severe management

A

P.O. vancomycin +/- metronidazole for 10days

43
Q

Peritonitis management

A

IV amoxicillin c metronidazole + gentamicin

For 7 days

44
Q

Uncomplicated lower UTI common organisms (2)

A

Coliforms

Enterococcus

45
Q

Complicated UTI investigation

A

Urinalysis - MSU - white bottle
Urine culture
Blood cultures

46
Q

Catheter associated UTI - investigation

A

Blood culture

47
Q

Uncomplicated female lower UTI management

A

P.O. Trimethoprim or nitrofurantoin for 3 days

48
Q

Uncatheterised male lower UTI management

A

P.O. Nitrofurantoin or trimethoprim for 7 days

49
Q

Complicated lower UTI (both male and female) in gp setting management

A

Co-amoxiclav or co-trimoxazole for 14 days

50
Q

Complicated upper UTI (pyelonephritis) management

A

IV amoxicillin + gentamicin
Step down to P.O. co-trimoxazole
Total 7 days

51
Q

Catheterised patient UTI management

A

IV amoxicillin+ gentamicin
Step down to P.O. co-trimoxazole
Total 7 days

52
Q

Common causative organism for cellulitis

A

Staph aureus

53
Q

Diabetic foot infection. What is the most likely causative organism?

A

Staph aureus

54
Q

Management of cellulitis

A

IV flucloxacillin

55
Q

Management of diabetic foot infection

A

Flucloxacillin for 7 days

56
Q

Which antibiotics are used in sepsis 6

A

IV amoxicillin + metronidazole + gentamicin

Y4 (23 decks)

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