Antibiotics

Question 1

Which antibiotic is used in acute sore throat

Answer 1

1. Phenoxy
2. Clarithromycin/Erythro (pregnant)

Question 2

Which antibiotic is used in scarlet fever

Answer 2

1. Phenoxy (500mg QDS 10 days)
2. Clarithromycin (250-500mg BD 5 days)
   Optimise analgesia and safety net

Question 3

Which antibiotic is used in acute otitis media

Answer 3

1. Amoxicillin
   Pen allergy = Clari/ery
2. Co-amox

(5-7 days)

Question 4

Which antibiotic is used in acute otitis externa

Answer 4

1. Analgesia for pain and apply warm flannel
2. Topical acetic acid 2% OR topical neomycin with corticosteroid
   If cellulitis = flucloxacillin

Question 5

Which antibiotic is used in pericoronitis

Answer 5

1. Metronidazole OR amoxicillin
   If pain limits oral hygiene - chlorhexidine/hydrogen peroxide

Question 6

Which antibiotic is used in dental abscess

Answer 6

1. Amoxicillin OR Phenoxy
   If systemic infection ADD metro
   Pen allergy = clarithro

Question 7

Which antibiotic is used in sinusitis

Answer 7

1. Phenoxy
2. Co-amox
   Pen allergy = doxycline (not under 12)
   Clari/ery

Question 8

Which antibiotic is used in acute exacerbation of COPD

Answer 8

1. Amox OR doxy OR Clari
2. Use alternative 1st choice

Question 9

Which antibiotic is used in CAP

Answer 9

1. Amoxicillin
2. Alternative 1st choice =doxy/clari/ery

Question 10

Which antibiotic is used in HAP

Answer 10

1. Co-amoxiclav

Question 11

Which antibiotic is used in lower UTI

Answer 11

1. Nitrofurantoin (if egfr >45)
   OR Trimethoprim
   Pregnant:
   Still nitro but avoid at term
2. Amoxicillin/Cefalexin

Question 12

Which antibiotic is used in acute pyelonephritis (upper UTI)

Answer 12

1. Cefalexin (for pregnant and 3 months+)
   If culture results and susceptible - Co-amox/trimethoprim/Ciprofloxacin

Question 13

Which antibiotic is used for prophylaxis of recurrent UTIs

Answer 13

1. Trimethoprim OR Nitro
2. Amoxicillin/Cefalexin

Question 14

Which antibiotic is used in suspected meningococcal disease

Answer 14

1. IV/IM benzylpenicllin

Question 15

Which antibiotic is used in suspected bacterial meningitis

Answer 15

1. IV Cefotaxime (bc of unknown cause)

Question 16

Which antibiotic is used in travellers diarrhoea

Answer 16

1. Azithromycin

Question 17

Which antibiotic is used in C diff

Answer 17

1. Vancomycin
2. Fidaxomycin
   Further episode within 12 weeks = fidax
   More than 12 weeks = vanco OR fidax

Question 18

Which antibiotic is used in H. Pylori

Answer 18

1. PPI + Amox + clari/metro
2. PPI + clari + metro

If pen allergy and previous clari

PPI + bismuth subsalicylate + metro + tetracycline

Question 19

Which antibiotic is used in acute diverticulitis

Answer 19

1. Co - amox
   Pen allergy = Cefalexin + metro

Question 20

Which antibiotic is used in chlamydia

Answer 20

1. Doxycycline
2. Azithromycin

Question 21

Which antibiotic is used in BV

Answer 21

1. Metronidazole

Question 22

Which antibiotic is used in genital herpes

Answer 22

1. Aciclovir

Question 23

Which antibiotic is used in gonorrhoea

Answer 23

1. Ceftriaxone OR Ciprofloxacin

Question 24

Which antibiotic is used in pelvic inflammatory disease

Answer 24

1. Ceftriaxone + metro + doxy

Question 25

Which antibiotic is used in eczema (bacterial infection)

Answer 25

1. Fusidic acid 2% Oral 1. Flucloxacillin Pen allergy = clari/ery

Question 26

Which antibiotic is used in impetigo

Answer 26

1. Hydrogen peroxide 2. Fusidic acid 2% Oral 1. Flucloxacillin Pen allergy = clari/ery

Question 27

Which antibiotic is used in tick bites (Lyme disease)

Answer 27

1. Doxy OR Amox

Question 28

What is the drug tx for scabies

Answer 28

1. Permethrin 2. Malathion

Question 29

Which antibiotic is used in human and animal bites

Answer 29

1. Co-amox Pen allergy = doxy / metro

Question 30

What is the tx for skin and nail infections

Answer 30

1. Topical terbinafine

Question 31

What is the drug tx for gingivitis

Answer 31

1. Chlorhexidine 2. Hydrogen peroxide