Antibiotics

Question 1

Exacerbations of chronic bronchitis

Answer 1

Amoxicillin or tetracycline or clarithromycin

Question 1

Uncomplicated community-acquired pneumonia

Answer 1

Amoxicillin (Doxycycline or clarithromycin in penicillin allergic, add flucloxacillin if staphylococci suspected e.g. In influenza)

Question 2

Pneumonia possibly caused by atypical pathogens

Answer 2

clarithromycin

Question 3

Hospital-acquired pneumonia

Answer 3

Within 5 days of admission: co-amoxiclav or cefuroxime
More than 5 days after admission: piperacillin with tazobactam OR a broad-spectrum cephalosporin (e.g. ceftazidime) OR a quinolone (e.g. ciprofloxacin)

Question 4

LUTI

Answer 4

Trimethoprim or nitrofurantoin. Alternative: amoxicillin or cephalosporin

Question 5

acute pyelonephritis

Answer 5

Broad-spectrum cephalosporin or quinolone

Question 6

acute prostatitis

Answer 6

Quinolone or trimethoprim

Question 7

impetigo

Answer 7

Topical hydrogen peroxide, oral flucloxacillin or erythromycin if widespread

Question 8

cellulitis

Answer 8

Flucloxacillin (clarithromycin, erythromycin or doxycycline if penicillin-allergic)

Question 9

cellulitis (near eyes or nose)

Answer 9

Co-amoxiclav (clarithromycin, + metronidazole if penicillin-allergic)

Question 10

erysipelas

Answer 10

Flucloxacillin* (clarithromycin, erythromycin or doxycycline if penicillin-allergic)

Question 11

animal or human bite

Answer 11

Co-amoxiclav (doxycycline + metronidazole if penicillin-allergic)

Question 12

mastitis in breastfeeding

Answer 12

flucloxacillin

Question 13

throat infections

Answer 13

phenoxymethylpenicillin

Question 14

sinusitis

Answer 14

Phenoxymethylpenicillin

Question 15

otitis media

Answer 15

Amoxicillin (erythromycin if penicillin-allergic)

Question 16

otitis externa

Answer 16

Flucloxacillin (erythromycin if penicillin-allergic)

Question 17

periapical/periodontal abscess

Answer 17

Amoxicillin

Question 18

gingivitis

Answer 18

Metronidazole

Question 19

gonorrhoea

Answer 19

Intramuscular ceftriaxone

Question 20

chlamydia

Answer 20

Doxycycline or azithromycin

Question 21

PID

Answer 21

Oral ofloxacin + oral metronidazole or intramuscular 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
Second or subsequent episode of infection: oral fidaxomicin

Question 25

campylobacter enteritis

Answer 25

Clarithromycin

Question 26

salmonella

Answer 26

ciprofloxacin

Question 27

shigellosis

Answer 27

ciprofloxacin