Community Antibiotic Man

Question 1

Meningitis

Answer 1

Transfer all patients to hospital immediately
Give benzylpenicillin
If pen allergic - cefotaxime

Question 2

Orbital Cellulitis

Answer 2

Medical emergency - transfer to hospital immediately

Question 3

Conjunctivitis

Answer 3

Usually self-limiting if necessary use chloramphenicol drops

Question 4

Ophthalmic shingles

Answer 4

Refer ophthalmology

Aciclovir or valaciclovir

Question 5

Tonsillitis/pharyngitis/sore throat

Answer 5

Usually viral, if > 4 on FEVERpain score consider antibiotics
First line penicillin
Second line clarithromycin

Question 6

Sinusitis

Answer 6

Consider antibiotics if severe or > 7 - 10 days
first line penicillin
Second line doxycycline

Question 7

Epiglottitis/supraglottitis

Answer 7

Medical emergency

Question 8

Otitis media

Answer 8

Most resolve spontaneously, consider antibiotics if otorrhoea present
First line amoxicillin
Second line clarithromycin

Question 9

Mild Otitis externa

Answer 9

Acetic acid

Question 10

Moderate otitis externa

Answer 10

Sofrodex or otomize