Condition Abx

Question 1

Human or animal bite first line if symptomatic?

Answer 1

Co-amoxiclav for 5 days

Question 2

Human or animal bite first line if non symptomatic?

Answer 2

Co-amoxiclav for 3 days

Question 3

Human or animal bite second line if symptomatic?

Answer 3

Doxycycline and Metronidazole for 5 days
(Metronidazole for anaerobic remaining infection)

Question 4

Human or animal bite second line if Non symptomatic?

Answer 4

Doxycycline and Metronidazole 3 days

Question 5

For scratches which abx?

Answer 5

Flucloxacillin

Question 6

Why Co amoxiclav?

Answer 6

Broad spectrum so tackles a wide range and is good against resistance. Also harder to break down by beta lactamase

Question 7

Tick bites treatment first line?

Answer 7

Doxycycline 100mg BD for 21 days

Question 8

Tick bites second line?

Answer 8

Amoxicillin 1g TDS

Question 9

Tick bites treatment counselling

Answer 9

Must be done prophylatically as won’t know till Bad!

Question 10

Diabetic foot infection treatment mild less than 2cm

Answer 10

Flucloxacillin

Question 11

Diabetic foot infection moderate/severe (abscess or osteomyelitis) treatment

Answer 11

Flucloxacillin or Co-amoxiclav +/- Gentamicin

Question 12

Diabetic foot infection moderate/severe (abscess or osteomyelitis) treatment
Penicillin Allergy

Answer 12

Co-trimoxazole +/- Gentamicin

Question 13

Cellulitis first line treatment?

Answer 13

Flucloxacillin

Question 14

Cellulitis first line treatment if
Penicillin Allergic ?

Answer 14

Clarithromycin, doxycycline

Question 15

Cellulitis Near eyes or nose treatment?
+ pen allergy treatment

Answer 15

First Line: Co-amoxiclav

If pen allergic: Metronidazole + Clarithromycin

Question 16

Low - mod severity Community pneumonia treatment?

Answer 16

Amoxicillin first line

Question 17

Low - mod community pneumonia
If atypical pathogens are suspected??

Answer 17

Amoxicillin and Clarithromycin

Question 18

High severity community pneumonia
Treatment?

Answer 18

First line: Co-amoxiclav and clarithromycin

Amox has been upgraded to co-amox

Question 19

High severity community pneumonia
Second line treatment?

Answer 19

Levofloxacin

Question 20

C Diff infection treatment?

Answer 20

First line: Vancomycin

Second line: Fidaxomicin

10DAY TREATMENT

Question 21

C diff infection life threatening treatment?

Answer 21

Vancomycin and IV METRONIDAZOLE

Question 22

Standby travellers diarrhoea treatment?

Answer 22

Azithromycin

Question 23

Travellers diarrhoea - Prophylaxis or treatment?

Answer 23

Bismuth Subsalicylate

Or CIprofloxacin (not routinely recommended)

Question 24

Otitis media first line?

Answer 24

Amoxicillin

If worsens : upgrade to Co-amoxiclav

Question 25

Otitis External? 1st line? 2nd line? Systemic?

Answer 25

Topical Acetic acid 2% Second line: topical neomycin sulphate If systemic needed: Fluclox Think skin related therefore fluclox

Question 26

H. Pylori treatment?

Answer 26

2 Abx and 1 PPI ( omep/esomep) Amox preferred and either clarithro or metronidazole Amox 1000mg BD Clarithro 500mg BD Metronidazole 400mg BD If clopidrogrel is being used HAVE TO GIVE LANSOPRAZOLE AS OTHERS INTERACT

Question 27

Which Test should H Pylori diagnosed through?

Answer 27

Urea 13c Breath test Do not perform within 2wks of ppi Do not perform within 4wks of abx

Question 28

What is classed as hospital pneumonia?

Answer 28

Over 48 hours

Question 29

Hospital pneumonia non severe first line treatment?

Answer 29

Co-Amoxiclav

Question 30

Hospital pneumonia second line?

Answer 30

Doxycycline or Cefalexin or Co-trimoxazole or Levofloxacin ***IN CHILDREN: Clarithromycin Reason is tetracyclines avoid in 12 or below due to teeth discolouration

Question 31

Impetigo localised non bullous?

Answer 31

Hydrogen peroxide 1% Second line: Fusidic acid (mupirocin 2% if Fusidic acid resistance)

Question 32

Impetigo widespread non bullous

Answer 32

Fusidic acid (mupirocin 2% if Fusidic resistance)

Question 33

Impetigo Bullous

Answer 33

First line : Flucloxacillin Second line: clarithromycin

Question 34

Lower urinary tract infection treatment in men?

Answer 34

Nitrofurantoin or Trimethoprim 7 days

Question 35

Lower urinary tract infection treatment in non pregnant women?

Answer 35

Nitrofurantoin Second line: Pivmecillinam or Fosfomycin

Question 36

Lower urinary tract infection treatment in PREGNANT WOMEN? + 2nd line?

Answer 36

Nitrofurantoin Second line: Amox or cefalexin 7 DAYS **AVOID TRIMETHOPRIM TERATOGENIC

Question 37

Lower urinary tract infection duration for uncomplicated

Answer 37

3 DAYS EVERYTHING ELSE 7 days include cathet

Question 38

Scarlett fever treatment? 1st & 2nd line?

Answer 38

Phenoxymethylpenicillin Second line: clarithromycin

Question 39

Strep throat treatment?

Answer 39

Phenoxymethylpenicillin Second line: clarithromycin

Question 40

Scarlet fever symptoms?

Answer 40

Lymph node swollen Red rash with small raised bumps White coating on tongue

Question 41

Chlamydia treatment?

Answer 41

Doxycycline

Question 42

Bacterial vaginosis treatment

Answer 42

Metronidazole

Question 43

Dental abscess

Answer 43

Amox or Metronidazole (Anaerobic respiration Or Phenoxymethylpenicillin

Question 44

Dental abscess

Answer 44

Amox or Metronidazole (Anaerobic respiration Or Phenoxymethylpenicillin

Question 45

Gonorrhoea treatment?

Answer 45

Ceftriaxone or Ciprofloxacin

Question 46

Meningitis treatment?

Answer 46

Benzylpenicillin

Question 47

Scabies

Answer 47

Permethrin **counsel whole body neck down**

Question 48

Threadworm?

Answer 48

Mebendazole *No under 2 years or pregnant

Question 49

Sinusitis?

Answer 49

Phenoxymethylpenicillin Pen allergy: Doxycycline

Question 50

UTI pathogen?

Answer 50

Escherichia coli

Question 51

Thrush pathogen?

Answer 51

Candida Albicans

Question 52

Community acquired pneumonia pathogen?

Answer 52

Streptococcus pneumoniae

Question 53

Cellulitis pathogen?

Answer 53

Staphylococcus Aureus ***mostly fluclox***

Question 54

Meningitis pathogens?

Answer 54

Streptococcus Pneumoniae