Antibiotics

Question 1

treatment for CAP

Answer 1

curb 0-1: amoxicillin (clarithromycin) 5 days in community
1-2: refer to hospital, x ray, community if well, oral amox + claritho (tayside amox)
3-4: refer blue light, oral abx prior to transfer, IV amoxicillin + clarithromycin (tayside amox + doxy)

Question 2

copd exacerbation

Answer 2

amox (clarithomycin)

Question 3

HAP tx

Answer 3

mild- mod (0-2): co-amoxiclav (doxy) oral (tayside amox)

severe (>/=3): IV (follow protocol) piperacillin/ tazobactam ((tayside amox + gent)

Question 4

what urine sample for UTI

Answer 4

midstream

Question 5

who do you not dipstick for UTI

Answer 5

elderly/ cathterised

Question 6

abx for UTI

Answer 6

nitrofurantoin if egfr>45

trimethoprim if low risk of resistance

Question 7

tx for pyelonephritis

Answer 7

oral: cefalexin (can be used if pregnant)/ co-amox
IV: co-amox

Question 8

abx prostatitis

Answer 8

ciprofloxacin review at 14 days

Question 9

impetigo tx

Answer 9

localised hydrogen peroxide cream/ fusidic acid

wide spread- oral fluclox (clarithromycin)

Question 10

cellulitis and erysipelas tx

Answer 10

fluclox (clarithromycin)

Question 11

what causes erysipelas

Answer 11

group A beta haemolytic strep (pyogenes)

more swollen than cellulitis

Question 12

abx for human/ animal bite

Answer 12

co-amox

doxy or met if not

Question 13

mastitis abx

Answer 13

fluclox

Question 14

sinusitis tx

Answer 14

<10 days nothing
>10 days back up abx/ nasal steroid for 14 days
systemically unwell immediate abx and refer (unwell, orbital/ intracranial involvement)

abx- phenoxymethylpenicillin

Question 15

otitis media tx

Answer 15

if discharge after perforation / under 2 with infection in both ears abx (back up if not starting to improve in 3 days or immediate)
if systemically unwell immediate abx and refer

give drops with analgesia- phenazone
abx- amoxicillin (clarithromycin)

Question 16

otitis externa tx

Answer 16

topical ciprofloxacin with steroid

fluclox if severe

Question 17

gonorrhoea

Answer 17

IM ceftriaxone

Question 18

chlamydia

Answer 18

doxy (azithromycin)

Question 19

syphillis

Answer 19

ben pen

Question 20

bacterial vaginosis

Answer 20

oral/ topical metronidazole

Question 21

rapid test for c diff

Answer 21

stool toxin

Question 22

what nerve does should abduction

Answer 22

C5

Question 23

what nerve does elbow flexion and wrist extension

Answer 23

c6

Question 24

which nerve does elbow extension and wrist flexion

Answer 24

c7

Question 25

what does c8 do

Answer 25

thumb extension

Question 26

what does finger abduction

Answer 26

t1

Question 27

what nerves knee reflex

Answer 27

l3/4

Question 28

what nerves ankle refelx

Answer 28

S1/2

Question 29

what nerves biceps reflex

Answer 29

C5/6

Question 30

what nerve tricep

Answer 30

C6,7,8

Question 31

what nerves supinator reflex

Answer 31

C5/6

Question 32

what nerves straight leg raise

Answer 32

l2/3

Question 33

what nerves plantar felxion

Answer 33

s1/2

Question 34

what nerves knee flexion

Answer 34

l5/s2

Question 35

what nerves knee extension

Answer 35

l3/4

Question 36

what nerves great toe dorsifelxion

Answer 36

l5

Question 37

l3/4 prolapse

Answer 37

l4 entrapment, pain down to medial ankle, loss of quad power, reduced knee jerk

Question 38

l4/5 prolapse

Answer 38

l5 entrapment, pain down dorsum of foot, reduced power EHL

Question 39

l5/s1 prolapse

Answer 39

s1 entrapment, pain to sole of foot, reduced plantarflexion, reduced ankle jerks

Question 40

what abx for abdo sepsis

Answer 40

amox met and gent

Question 41

what abx for PID

Answer 41

ceftriaxone, doxy and met

Question 42

what abx for appendicitis

Answer 42

co-amox and met

Question 43

what abx for ascending cholangitis

Answer 43

amox met gent and ercp

Question 44

abx for urinary sepsis

Answer 44

amox and gent