antibiotics clinical cases

Question 1

general pneumonia: quinolone

Answer 1

levofloxacini 500 mg
dtd no 20 in tab
s: 750 mg every 2 hrs

Question 2

general pneumonia alternative

Answer 2

moxiflofloxaxini 400 mg/24hr

beta lactam and macrolide: augmentin and azithromycin

Question 3

antibiotic for pneumococcus

Answer 3

vancomycin

Question 4

acute otitis and sore throat: gram positive narrow spec

Answer 4

phenoxymethylpenicillin/ ospen 500mg
dtd no 20 in tab
s: t tab every 6 hrs

Question 5

acute otitis and sore throat: gram positive narrow spec alternate: penicillin, 1st gen ceph, macrolides, lincosamide

Answer 5

amoxicillin 100mg /12h
cefalexin 500mg/6h
cefuroxime 500mg/12h
azithromycin 500mg/24h clarithromycin 500mg/12h
clindamycin 300mg/ 8h lincomycin 250mg/ 6h

Question 6

urethritis caused by gonococcus and trichomonas which requires chlamydia prophylaxis

Answer 6

for gonococcus
cefiximi 400mg
dtd no 10 in tab
one tablet once only

for trichomonas
tinidazoli 500mg
dtd no 10 in tab
4 tablets at one go

chlamydia proph
azithromycin 500mg
dtd no 10 in tab
s: 2 tablets at once

Question 7

alternative treatment for urethritis with gonococcus and trichonomas

Answer 7

for gonococcus
ceftriaxone 250mg once
ciprofloxacin 500mg 12h/ for 7 days
doxycycline 100mg/12hrs 7 days

Question 8

cystitis with sulfonamide allergy.
quinolone
b- lactam excreted in urine unchanged
amino glycosides excreted in urine unchaged
quinolone
special drug for cystitis also used in pregnancy

Answer 8

ciprofloxacin500mg
dtd no 1 in tab
s: 1 tab every 12 h

alt
amoxicillin 100mg /12h
gentamycin

Question 9

trichomonas vaginalis

Answer 9

tinidazoli 500mg
dtd no 10 in tab
4 tablets at one go

Question 10

alt for trichomonas vag

Answer 10

metronidazole

Question 11

quinolone to treat enterocollitis caused by salmonella

Answer 11

norfloxacini 400 mg
dtd no 1 in tab
s: 1 tab every 12 h

Question 12

alternatives to treat enterocollitis caused by salmonella
other quinolone
amphenicol

Answer 12

ciprofloxacine/ levofloxacine
chloramphenicol 250mg/6h
biseptol 480mg/ 2 tab/12h

Question 13

gr -ve broad spec drug to treat excacerbated chronic cholecystitis caused by klebsiella

Answer 13

mezlocillini 1g
dtd no 10 in tab
s: apply 1 bottle I.V every 12 hrs

aqua redistillae 5mg
dtd no 10 in amp
s: to dissolve mezlocillini

Question 14

alt gr -ve broad spec drug to treat excacerbated chronic cholecystitis caused by klebsiella

Answer 14

2nd generation ceph: cefmandol

3rd gen ceph: cefooperazone

Question 15

wide spec drug to rx exacerbated chronic prostatitis w/ combined bacterial infection

Answer 15

quinolone(good prostatic diistrubution
levofloxacini 500mg
dtd no 1 in tab
s: 1 tab every 2f hr for ONE MONTH

Question 16

alternative wide spec drug to rx exacerbated chronic prostatitis w/ combined bacterial infection

Answer 16

cotrimoxazole 860 mg 2 tab/12h ,
macroloides: azithromycin 500 mg/24 hr
doxycycline 100 mg / 24hr

Question 17

which drug group is innefective against long term treatment of prostatitis

Answer 17

b lactams due to their acidic nature being neutralized by the alkaline envirionment of the prostate gland

Question 18

drug to treat excacerbated cholecystitis in pregnant women and one drug for prohphylaxis of future exacerbation

Answer 18

beta lactam: 
amoxicillin 1000mg
dtd no 1 in tab 
1 tab every 12 hr 
urouaxam vaccine

Question 19

alternative drug to treat excacerbated cholecystitis in pregnant women and one drug for prohphylaxis of future exacerbation

Answer 19

1st gen cephalosporin
cefalexin 500 mg/6h
fosformycin 3g at once

Question 20

wide spec drug w/ kidney excretion to treat exacerbated chronic pyelonephritis caused by pseudomonas aeruginosa

Answer 20

urediopenicillins

piperocillin w/ aqua distillation

Question 21

alt wide spec drug w/ kidney excretion to treat exacerbated chronic pyelonephritis caused by pseudomonas aeruginosa

Answer 21

3rd gen ceph EXCEPT CEFTRIAXONE as its not effective
carbapenems
all requrie aqua distillae