Antibiotics Flashcards

1
Q

What is the first line treatmnet for exudative tonsilitis?

A

Penicillin V, 7-10days

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2
Q

What is the the treatment for exudative tonsilitis if the patient is allergic to penicillin?

A

Clarithromycin BD for 7days 500mg

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3
Q

What is the first line treatment for CAP?

A

Amoxicillin TD for 7days

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4
Q

Your patient has CAP but is allergic to penicillin. What do you prescribe?

A

Clarithromycin or Doxycycline

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5
Q

What do you prescribe first line in an exacerbation of COPD? and what do you prescribe if they are penicillin allergic?

A

Amoxicillin

Clarithromycin/Doxycyline

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6
Q

What is the first line for UTI?

A

Trimethoprim BD 3 days or 5-7 days in men

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7
Q

When is Trimethoprim contra-indicated?

A

Frail/elderly/systemically unwell
1st trimester of pregnancy
Methotrexate

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8
Q

What is the alternative to trimethoprim?

A

Nitrofurantoin

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9
Q

Which antibiotic is known to make urine orange?

A

Nitrofurantoin

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10
Q

When is nitrofurantoin contra-indicated?

A

+36weeks pregnancy

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11
Q

What are alternatives to nitrofurantoin and trimethoprim?

A

Amoxicillin, cephalosporins; penicillins are generally safe during pregnancy

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12
Q

1st line cellulitis

A

Flucloxicilin 500mg QD

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13
Q

cellulitis + penicillin allergy

A

Clindamycin

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14
Q

Clostridium difficile

A

Metronidazole or vancomycin

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15
Q

What do you prescribe first line in H. Pylori?

A

PAC500:

  • PPI BD - lanzoprazole full dose 30mg
  • Amoxicllin 1g BD
  • Metronidazole 500mg BD

Take all 3 for 7 days

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16
Q

What do you prescribe in event of penicillin allergy in H.Pylori?

A

Metronidazole 400mg BD, 250mf Clarithromycin BD + PPI

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17
Q

What do you prescribe first line for shingles?

A

Acyclovir only at very start within 72hrs: if showing symptoms such as scabbed over cold sores, do not prescribe

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18
Q

What do you prescribe in animal/human bites?

A

Co-Amoxiclav for prophylaxis

Chek jabs are up-to-date

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19
Q

Why is amoxicillin contra-indicated in tonsillitis?

A

If the cause of tonsillitis is EBV, then can cause a maculopapular rash

20
Q

How would you treat Peri-Orbital Cellulitis?

A
  • Co-amoxiclav or Flucloxicillin
21
Q

What prophylactic antibiotics are given to a child with HIV?

A

Co-trimoxazole

22
Q

What is given when meningitis is suspected in the Community?

A

IM Benzyl penicillin

23
Q

What is given in hospital when meningitis is suspected?

A

IV cefotazime/ceftriaxone

24
Q

What prophylaxis is given to contacts to a patients with meningitis?

A

Rifampicin

25
Q

What antibiotic is given to older neonates with septicaemia?

A

Gentamicin

26
Q

What antibiotic is given to pre-term neonates with septicaemia?

A

IV Ben. Pen.

27
Q

What is first line for SROM <37 weeks?

A

Erythromycin

28
Q

Group B strep in pregnancy

A

Benzyl penicillin

29
Q

Toxoplasmosis in pregnancy

A

Spiramycin

30
Q

Herpes Zoster in pregnancy

A

Give IgG to neonate

31
Q

HSV in pregnancy

A

Acyclovir

C-section if primary infection <6 weeks of delivery

32
Q

Which antibiotics should be avoided in lactation?

A
  • Ciprofloxacin
  • Tetracycline
  • Chloramphenicol
  • Sulphonamides
33
Q

Which antibiotics should be prescribed during maternal septic shock?

A

Cefotaxime
Metroniadazole
+/- gentamicin

34
Q

What is the most likely cause of andeometritis?

A

Group A strep

35
Q

What do you treat Endometritis with?

A

Co-amoxiclav

Cefuroxime + metronidazole

36
Q

What do you treat Bacterial vaginosis with?

A

Metronidazole or

Clindamycin

37
Q

What do you treat candidiasis with?

A

Fluconazole

38
Q

What do you treat appendicitis with?

A

Metronidazole

Cefuroxime

39
Q

What do you treat pancreatitis with?

A

Cefuroxime

40
Q

What do you treat epiglottitis with?

A

IV Cefotaxime

Fluclox if strain comes back as staph

41
Q

What is tonsillitis treated with?

A

If Centor score >3 then Penicillin V

42
Q

What is Whooping treated with?

A

Oral macrolide if onset within 21 days

43
Q

What is the first line treatment for Septic Arthritis?

A

Fluxcluxacillin or Clindamycin if allergic

44
Q

What is the treatment for MRSA induced septic arthritis?

A

Vancomycin/Teicoplanin

45
Q

What is the treatment for septic arthritic caused by gonococcal/Gram -ve infection?

A

Cefotaxime/ceftrioxone