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**Bank > Antimicrobial prescribing > Flashcards

Antimicrobial prescribing Flashcards

1
Q

Acute epididymitis >35 + low risk STI

A

Doxycyline 100mg BD 10-14 days
or
Ofloxacin 200mg BD 14 days

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2
Q

1st line antibiotic for pyelonephritis in a child

A

Oral cefalexin

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3
Q

Antibiotic for pyelonephritis in chid if sensitivity confirmed

A

Oral co-amoxiclav

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4
Q

1st line Lyme disease

A

Doxycycline 200mg OD 21 days

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5
Q

1st choice for persistent/severe sinusitis

A

Phenoxypenicillin QDS 5 days

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6
Q

1st choice for peristent/severe sinusitis if pen-allergic

A

Doxycycline/clarithromycin/erythromycin 5 days

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7
Q

Antibiotic treatment of sinusitis if systemically very unwell/high risk

A

Co-amoxiclav 5 days

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8
Q

Travel vaccinations available free on NHS

A

Cholera
Diphtheria, polio, tetanus booster
Hep A
Typhoid

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9
Q

Antimalarial to avoid in history of depression

A

Mefloquine

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10
Q

Antimalarial taken weekly

A

Mefloquine

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11
Q

Antimalarials CI in epilepsy

A

Mefloquine
Chloroquine

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12
Q

1st line for UTI in pregnancy

A

Nitrofurantoin 100mg BD 7 days (avoid at term)

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13
Q

2nd line for UTI in pregnancy

A

Amoxicillin if known sensitive 7 days /
Cefalexin 7 days

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14
Q

1st line for cellulitis

A

Flucloxacillin 500mg QDS 5-7 days

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15
Q

Alternative for cellulitis

A

Clarithromycin / Erythromycin / Doxycyline 5-7 days

/co-amox in child

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16
Q

1st line for cellulitis on face

A

Co-amoxiclav 7 days

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17
Q

Cellulitis on face - pen-allergic adult

A

Clarithromycin + metronidazole 7 days

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18
Q

1st line gonorrhoea

A

Refer GUM
IM Ceftriaxone 1g stat

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19
Q

Gonorrhoea - only if known to be sensitive

A

Refer GUM
Ciprofloxacin 500mg stat

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20
Q

Mycoplasma pneumonia features

A

Worsening flu-like + dry cough
Bilateral changes CXR
Erythema multiforme
Haemolytic anaemia

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21
Q

Which young people are eligible for annual flu vaccine (August 2021)

A

All children aged 2-15

6m-2y in clinical risk group

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22
Q

Potential Lyme disease + history of erythema migrans

A

Treat with Doxycyline/amoxicillin

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23
Q

1st line management of Lyme disease

A

Doxycyline 100mg BD 21 days

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24
Q

Alternative antibiotic for Lyme disease

A

Amoxicillin 1g TDS 21 days

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25
Potential Lyme disease - No history of erythema migrans
Borrelia ELISA
26
Potential Lyme disease - No history of erythema migrans, ELISA negative
Repeat ELISA 4-6 weeks
27
Potential Lyme disease - no EM, ELISA negative x2 at 12 weeks (or equivocal)
Immunoblot
28
Acute otitis externa - 1st line
Analgesia, localised heat
29
Acute otitis externa - 2nd line
Acetic acid 2% spray TDS 7 days Neomycin + steroid drops TDS 7-14 days
30
Acute otitis externa - cellulitis/extends beyond ear canal/systemic upset
Flucloxacillin 250-500mg QDS Refer exclude malignant otitis externa
31
1st line for PID
Ceftriaxone 1g IM stat + metronidazole 400mg BD 14 days + doxycycline 100mg BD 14 days
32
2nd line for PID
Metronidazole 400mg BD 14 days + ofloxacin 400mg BD 14 days or Moxifloxacin 400mg OD 14 days
33
1st line for TV
Metronidazole 400mg BD 5-7 days / 2g stat
34
Live attenuated vaccines
BCG MMR Intranasal flu Oral rotavirus Oral polio Oral typhoid Yellow fever
35
1st episode genital herpes (within 5 days of onset + new lesions/systemic symptoms)
Aciclovir 400mg TDS Valaciclovir 500mg BD Famciclovir 250mg TDS 5 days
36
Herpes suppressive therapy (>6 per year)
Aciclovir 400mg BD Aciclovir 200mg QDS Famciclovir Valaciclovir
37
Tropical disease - ulcerating skin lesion -> mucosal involvement
Leishmaniasis brasiliensis
38
Dengue presentation
Fever Retro-orbital headache Flushing Maculopapular rash Low PLT
39
1st line chlamydia
Doxycyline 100mg BD 7 days
40
2nd line chlamydia
Azithromycin 1g stat + 500mg OD 2 days
41
Farmer: small papule on hand ->2cm, flat-topped + haemorrhagic
Orf
42
Side effect of Atovaquone+proguanil (malarone)
GI upset
43
Side effect of Chloroquine anti-malarial
Headache
44
Side effects of Mefloquine (Lariam)
Dizziness Neurospyschiatric Lower seizure threshold
45
1st line antibiotic for acute prostatitis
Ciprofloxacin 500mg BD Ofloxacin 200mg BD Review after 14 days
46
Alternate 1st line antibiotic for acute prostatitis - if other CI
Trimethoprim 200mg BD Review after 14 days
47
2nd line antibiotics for acute prostatitis
Levofloxacin Co-trimoxazole Review after 14 days
48
Farmer: Headache, fever, myalgia, subconjunctival haemorrhage, AKI
Leptospirosis
49
Chancroid
Painful genital ulcer Unilateral painful LN Recent travel
50
Flu -treatment for at-risk patients (prophylaxis in care home/symptom onset)
Oseltamivir 75mg BD 5 days
51
1st choice antibiotic for AOM
Amoxicillin 5-7 days
52
1st choice antibiotic for AOM - if pen-allergic
Clairthomycin / erythromycin 5-7 days
53
2nd choice antibiotic for AOM
Co-amoxiclav 5-7 days
54
Acute infective exacerbation COPD - 1st choice
Amoxicillin Doxycyline Clarithromycin 5 days
55
Acute infective exacerbation COPD - high risk of treatment failure
Co-amoxiclav Co-trimoxazole Levofloxacin 5 days
56
1st line for CAP (low severity: 0/1)
Amoxicillin 500mg TDS 5 days
57
Alternatives for CAP (low severity: 0/1)
Doxyxcyline, clarithromycin, Erythromycin
58
1st line for CAP (moderate severity in adult: 1/2)
Amoxicillin (+ clarithromycin/erythromcyin if atypical) 5 days
59
1st line for high-severity CAP adults/children (3/4/5)
Co-amoxiclav (+ clarithyromycin/erythromycin if atypical) 5 days
60
1st line for HAP
Co-amoxiclav 5 days + review

**Bank (74 decks)

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