Antibiotics

Question 1

bacterial tonsilitis

Answer 1

Penicillin V (phenoxymethylpenicillin) or clarithromycin for penicillin allergy

Question 2

chlamydia

Answer 2

Doxcycline
Azithromycin

Question 3

neisseria gonorrhea

Answer 3

IM ceftriaxone

Question 4

syphilis

Answer 4

IM benzylpenicillin

Question 5

urinary tract infections in children

Answer 5

3-12
cefalexin
nitrofurantoin

12-17
nitrofurantoin
cefalexin

Question 6

otitis media

Answer 6

amoxicillin

(think comes up from throat)

Question 7

meningitis

Answer 7

• <3 months: cefotaxime plus amoxicillin (to cover listeria)
• > 3 months: ceftriaxone
• Pneumococcal infection : ceftriaxone + vancomycin

Question 8

TB

Answer 8

rifampicin
isozoniad
pyrazinamide
ethambutal

Question 9

scarlet fever

Answer 9

Same as pharyngitis- Penicillin V for 10 days

Question 10

management of cellulitis

Answer 10

IV flucloxacillin

Question 11

paeds pneumonia

Answer 11

Mild- moderate

• Amoxicillin + erythromycin (if pen allergic just give erythromycin)
• dont give doxy

Severe

• Co-amoxiclav

Question 12

epiglottitis

Answer 12

IV antibiotics e.g. ceftriaxone

Question 13

management of cellulitis

Answer 13

If erysipelas alone, IV penicillin (erythromycin if penicillin-allergic).

Cellulitis

• Combination of IV penicillin and flucloxacillin.
• Consider cefotaxime instead of penicillin if child aged <5yrs and not immunized against Haemophilus.

Question 14

nec fas

Answer 14

IV Antibiotics
- Vancomycin IV plus clindamycin
Supportive treatment e.g. IV fluids

Question 15

scalded skin syndrome

Answer 15

IV penicillinase-resistant penicillin e.g. erythromycin

Question 16

neonatal sepsis

Answer 16

benzylpenicillin and gentamycin (cefotaxime in lower risk babies)

Question 17

maternal sepsis

Answer 17

piperacillin and tazobactam (tazocin) plus gentamicin

Question 18

which Abx to prevent chorioamnionitis if P-PROM

Answer 18

Erythromycin 250mg four times daily for ten days, or until labour is established if within ten days.

Question 19

Antibiotic prophylaxis to protect against infection in sickle cell

Answer 19

with penicillin V (phenoxymethypenicillin)

Question 20

PID

Answer 20

Pus cells

Management of PID

• A single dose of intramuscular ceftriaxone 1g (to cover gonorrhoea)
• Doxycycline 100mg twice daily for 14 days (to cover chlamydia and Mycoplasma genitalium)
• Metronidazole 400mg twice daily for 14 days (to cover anaerobes such as Gardnerella vaginalis)

Question 21

topical antigungals for skin infection

Answer 21

clotrimazole

Question 22

tinea capitis

Answer 22

terbinfine