Antibiotics

Question 1

Exacerbations of Chronic Bronchitis

Answer 1

Amoxicillin
Tetracycline
Clarithromycin

Question 2

Uncomplicated CAP

Answer 2

Amoxicillin

Doxycycline or Clarithromycin in penicillin allergy, add flucloxacillin if staphylococci suspected e.g. in influenza

Question 3

Pneumonia possibly caused by atypical pathogen

Answer 3

Clarithromycin

Question 4

HAP

Answer 4

Within 5 days of admission: Co-amoxiclav
More than 5 days after admission: piperacillin with tazobactam
OR Ceftazidime (broad spec cephalosporin)
OR Ciprofloxacin (quinolone)

Question 5

Lower UTI

Answer 5

Trimethoprim or Nitrofurantoin

Alternatively Amoxicillin or cephalosporin

Question 6

Acute pyelonephritis

Answer 6

Broad spec cephalosporin or quinolone

Ceftriaxone

Question 7

Acute prostatitis

Answer 7

Quinolone

Trimethoprim

Question 8

Impetigo

Answer 8

Topical hydrogen perozide, oral flucloxacillin or erythromycin if widespread

Question 9

Cellulitis (near eyes or nose)

Answer 9

Clo-amoxiclav

Clarithromycin + metronidazole if penicillin allergy

Question 10

Erysipelas

Answer 10

Flucloxacillin

Clarithromycin or erithromycin if penicillin allergic

Question 11

Animal or human Bite

Answer 11

Co-amoxiclav

doxycycline + metronidazole in penicillin allergic

Question 12

Mastitis during breast feeding

Answer 12

Flucloxacillin

Question 13

Throat infections

Answer 13

Phenoxymethylpenicillin

erithromycin if penicillin allergic

Question 14

Sinusitis

Answer 14

Phenoxymethylpenicillin

Question 15

Otitis Media

Answer 15

Amoxicillin

erithromycin if penicillin Allergic

Question 16

Otitis Externa

Answer 16

Flucloxacillin

(Erithromycin if penicillin Allergic)

(Combined topical antibiotic and corticosteroid usually used for mild/mod cases)

Question 17

Peripapical or peridontal abscess

Answer 17

amoxicillin

Question 18

Gingitivits: Acute necrotising ulcerative

Answer 18

Metronidazole

Question 19

Gonorrhoea

Answer 19

IM Ceftriaxone

Question 20

Chlamydia

Answer 20

Doxycycline

Azithromycin

Question 21

Pelvic Inflammatory Disease

Answer 21

Oral Ofloxacin + Oral Metronidazole or IM Ceftriaxone _ Oral doxycycline + oral metronidazole

Question 22

Syphilis

Answer 22

Benzathine benzylpenicillin or doxycycline or erythromycin

Question 23

Bacterial Vaginosis

Answer 23

Oral or topical metronidazole or topical clindamycin

Question 24

C. Diff

Answer 24

First episode: Oral vancomycin

2nd or subsequent episode: Oral Fidazomicin

Question 25

Campylobacter enteritis

Answer 25

Clarithromycin

Question 26

Salmonella (non-typhoid)

Answer 26

Ciprofloxacin

Question 27

Shigellosis

Answer 27

Ciprofloxacin