Antibiotics

Question 1

Which AB causes a rash with infectious mononucleosis

Answer 1

Amoxacillin

Question 2

Which two AB cause cholestasis?

Answer 2

Co-amoxiclav and Flucoxacillin

Question 3

Two common SE of erythromycin

Answer 3

GI upset

Prolonged QT

Question 4

Four common SE of ciprofloxacin

Answer 4

Lowers seiuzre threshold
Tedonitits
long QT interval
cartilage breakdown

Question 5

Which AB causes a reaction following alcohol ingestion

Answer 5

Metronidazole

Question 6

Which AB causes photosensitivity

Answer 6

Doxycycline

Question 7

Antibiotics which contain penicillin without cillin in their name

Answer 7

Co-amox
Tazocin
Meropenim

Question 8

Exacerbations of chronic bronchitis

Answer 8

Amoxicillin or tetracycline or clarithromycin

Question 9

Uncomplicated community-acquired pneumonia

Answer 9

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

Question 10

Pneumonia possibly caused by atypical pathogens

Answer 10

Clarithromycin

Question 11

Hospital-acquired pneumonia

Answer 11

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 12

Lower urinary tract infection

Answer 12

Trimethoprim or nitrofurantoin. Alternative: amoxicillin or cephalosporin

Question 13

Impetigo

Answer 13

Topical fusidic acid, oral flucloxacillin or erythromycin if widespread

Question 14

Cellulitis

Answer 14

Flucloxacillin (clarithromycin or clindomycin if penicillin-allergic)

Question 15

Throat infections

Answer 15

Phenoxymethylpenicillin (erythromycin alone if penicillin-allergic)

Question 16

Otitis media

Answer 16

Amoxicillin (erythromycin if penicillin-allergic)

Question 17

Gonorrhoea

Answer 17

Intramuscular ceftriaxone + oral azithromycin

Question 18

Chlamydia

Answer 18

Doxycycline or azithromycin

Question 19

Bacterial vaginosis

Answer 19

Oral or topical metronidazole or topical clindamycin

Question 20

Clostridium difficile

Answer 20

First episode: metronidazole

Second or subsequent episode of infection: vancomycin