Antibiotics

Question 1

woman, dysuria, incr frequency, afebrile, positive urine dipstix
leukocytes
UTI

Answer 1

Treat for uncomplicated lower UTI – ciprofloxacin 500mg, 12hrly,
oral, 3 days

Find out she is pregnant, LMP 10wks ago: change antibiotic – amoxicillin/clavulanic

Question 2

8yo boy, dysuria, incr frequency, afebrile, positive urine dipstix leukocytes

Answer 2

amoxicillin/clavulanic acid

Question 3

40yo male, pyrexial, left sided renal angle tenderness

Answer 3

Treat for complicated upper UTI – ciprofloxacin

Question 4

8yo boy, sore throat, pyrexial, enlarged inflamed tonsils with white exudate

Answer 4

Benzathine benzylpenicillin

Question 5

6months boy, 3 days of runny nose and cough followed by fever and
irritability, is now afebrile, bulging opaque right tympanic membrane with reduced
mobility, no previous episodes of acute otitis media or antibiotic prescription

Answer 5

Amoxicillin

Question 6

3yo boy, febrile, irritable, right ear pulling, symptoms not improved since
began co-trimoxaole for acute otitis media 2.5 days ago. Hx: hives, facial swelling on
amoxicillin and cefprozil. Currently: not acutely ill, bulging and inflamed left tympanic
membrane

Answer 6

Is allergic to penicillin
● Change antibiotic – Macrolide: Erythromycin

Question 7

35yo woman, profuse foul smelling vaginal discharge

Answer 7

metronidazole 2g, oral, single dose AND
clotrimazole vaginal cream, 1
5 months pregnant: change antibiotics – ceftriazone IM 250mg single
dose AND azithromycin 1g oral single dose AND metronidazole 2g oral single dose