Antibiotics

Question 1

What antibiotic to prescribe for:

atypical pneumonia

Answer 1

Clarithromycin

Question 2

What antibiotic to prescribe for lower urinary tract infection? (4)

Answer 2

trimethoprim or nitrofurantoin or amoxycillin or cephalosporin

Question 3

What antibiotic should be added in the treatment of pneumonia if secondary to influenza?

Answer 3

Flucloxacillin

Question 4

What antibiotic to prescribe in exacerbation of chronic bronchitis?

Answer 4

Amoxicillin or tetracycline or clarithromycin

Question 5

What antibiotic to prescribe in uncomplicated CAP?

Answer 5

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

Question 6

What antibiotic to prescribe in hospital-acquired pneumonia?

Answer 6

• 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 7

What antibiotic to prescribe in acute pyelonephritis?

Answer 7

Broad-spectrum cephalosporin or quinolone

Question 8

What antibiotic to prescribe in acute prostatitis?

Answer 8

Quinolone or trimethoprim

Question 9

What antibiotic to prescribe in impetigo?

Answer 9

Topical fusidic acid, oral flucloxacillin or erythromycin if widespread

Question 10

What antibiotic to prescribe in cellulitis?

Answer 10

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

Question 11

What antibiotic to prescribe in cellulitis near the eyes or nose?

Answer 11

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

Question 12

What antibiotic to prescribe in Erysipelas?

Answer 12

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

Question 13

What antibiotic to prescribe in animal or human bite?

Answer 13

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

Question 14

What antibiotic to prescribe in mastitis (during breastfeeding)?

Answer 14

Flucloxacillin

Question 15

What antibiotics to prescribe in throat infections?

Answer 15

Phenoxymethylpenicillin (erythromycin alone if penicillin-allergic)

Question 16

What antibiotic to prescribe in sinusitis?

Answer 16

Amoxicillin or doxycycline or erythromycin

Question 17

What antibiotic to prescribe in otitis media?

Answer 17

Amoxicillin (erythromycin if penicillin-allergic)

Question 18

What antibiotic to prescribe in otitis externa?

Answer 18

Flucloxacillin (erythromycin if penicillin-allergic)

Question 19

What antibiotic to prescribe in periodontal abscess?

Answer 19

Amoxicillin

Question 20

What antibiotic to prescribe in Gingivitis?

Answer 20

Metronidazole

Question 21

Antibiotic for gonorrhoea

Answer 21

IM ceftriaxone + oral azithromycin

Question 22

Antibiotic for chlamydia

Answer 22

Doxycycline OR Azithromycin

Question 23

Antibiotic for Pelvic Inflammatory Disease

Answer 23

oral ofloxacin + oral metronidazole

OR

IM ceftriaxone + oral doxycyclin + oral metronidazole

Question 24

Antibiotic for Syphillis

Answer 24

Benzathine Benzylpenicillin

OR

Doxycycline

OR

Erythromycin

Question 25

Antibiotic for Bacterial Vaginosis

Answer 25

oral or topical metronidazole

OR

topical clindamycin

Question 26

Antibiotic for C. Diff

Answer 26

First episode: Metronidazole

Second and so on the episode: Vancomycin

Question 27

Antibiotic for campylobacter enteritis

Answer 27

Clarithromycin

Question 28

Antibiotic for salmonella

Answer 28

Ciprofloxacin

Question 29

Antibiotic for Shigellosis

Answer 29

Ciprofloxacin

Question 30

Antibiotics (3) commonly used in MRSA management

Answer 30

• vancomycin
• teicoplanin
• linezolid