Antibiotics

Question 1

What is most appropriate treatment for an animal bite?

Answer 1

Co-amoxiclav

Question 2

What is appropriate treatment for patient with an animal bite who is penicillin-allergic?

Answer 2

doxycycline + metronidazole

Question 3

What two drugs cause an increased risk of rhabdomyolysis?

Answer 3

Statins + Macrolide antibiotics

Question 4

What is first line treatment for Lyme Disease without focal symptoms?

Answer 4

Doxycycline

Question 5

What is first line treatment for Lyme Disease with disseminated disease?

Answer 5

ceftriaxone

Question 6

What organisms can linezolid be used against?

Answer 6

MRSA (Methicillin-resistant Staphylococcus aureus), VRE (Vancomycin-resistant enterococcus) and GISA (Glycopeptide Intermediate Staphylococcus aureus)

Question 7

What is treatment for an infective exacerbation of COPD?

Answer 7

Amoxicillin or tetracycline or clarithromycin

Question 8

What is the treatment for acute pyelonephritis?

Answer 8

Broad-spectrum cephalosporin or quinolone

Question 9

What is the treatment for Cellulitis (mild to moderate)?

Answer 9

Flucloxacillin

Question 10

When should patients over 65 be given antibiotics?

Answer 10

2 or more of the of the following co-existing conditions: diabetes type 1 or 2, history of heart failure, hospitalisation in the previous year or are being treated with oral corticosteroids

If >80, 1 or more of conditions above

Question 11

Which groups of patients should be given antibiotics?

Answer 11

the immunosuppressed and those with heart, lung, renal, liver or neuromuscular disease

Question 12

What is first line treatment for C. Difficile infection?

Answer 12

Metronidazole