antibiotic treatment

Question 1

IE caused by staph aureus

Answer 1

flucloxacillin IV

Question 2

IE caused by strep viridins

Answer 2

benzylpenicillin IV and gentamicin IV

Question 3

IE caused by staph epidermis

Answer 3

vancomycin and gentamicin IV

Question 4

IE caused by enterococcus

Answer 4

amoxicillin IV and gentamicin IV

Question 5

community acquired pneumonia (mild/moderate)

Answer 5

amoxicillin IV/PO (if allergic then doxycycline PO or clarithromycin IV)

Question 6

community acquired pneumonia (severe)

Answer 6

co-amox IV + doxycycline PO (if allergic levofloxacin IV)

Question 7

hospital acquired pneumonia (non-severe)

Answer 7

amoxicillin PO (if allergic doxycycline)

Question 8

hospital acquired pneumonia (severe)

Answer 8

IV amoxicillin and gentamicin (if allergic IV co-trumoxazole and gentamicin)

Question 9

aspiration pneumonia (non-severe)

Answer 9

PO amoxicillin and metronidazole (if allergic PO doxycycline and metronidazole)

Question 10

aspiration pneumonia (severe)

Answer 10

IV amoxicillin, metronidazole, and gentamicin (if allergic replace amoxicillin with PO doxycycline or IV clarithromycin)

Question 11

acute exacerbation of COPD

Answer 11

1st line: amoxicillin
2nd line: doxycycline

Question 12

acute cough/acute bronchitis

Answer 12

1st line: amoxicillin
2nd line: doxycycline

Question 13

active TB

Answer 13

2 months: rifampicin, isoniazid, pyrazinaminde, and ethambutol
further 4 months: rifampicin, isoniazid

Question 14

latent TB

Answer 14

3 months: rifampicin, isoniazid
OR
6 months: isoniazid

Question 15

whooping cough

Answer 15

macrolide antibiotics

Question 16

aspergillosis

Answer 16

steroids and antifungals

Question 17

gastroenteritis (C. diff)

Answer 17

ORAL vancomycin (never IV)

Question 18

peptic ulcer disease (H. pylori positive)

Answer 18

amoxicillin (if allergic metronidazole) + clarithromycin + PPI (omeprazole)