First Year

Question 1

CAP

CURB-65 score of 0-2

Answer 1

Amoxicillin 1g TDS IV/PO - 5 days

Question 2

CAP
CURB-65 of 0-2
Penicillin allergic

Answer 2

Doxycycline PO 200 mg OD (or IV Clarithromcyin if NBM)

Question 3

CAP

CUBR-65 of 3-5

Answer 3

Co-amoxiclavIV 1.2 g TDS + Doxycycline PO 100 mg BD

Question 4

CAP
CUBR-65 of 3-5
Penicillin allergic

Answer 4

IV Levofloxacin 500 mg

Question 5

CAP

ICU/HDU or NBM

Answer 5

Co-amoxiclav IV 1.2g TDS + Clarithromycin IV 500 mg BD

Question 6

CAP
ICU/HDU or NBM
Penicllin allergic

Answer 6

IV Levofloxacin 500 mg

Question 7

How long should IV/PO antibiotics be given for CAP?

Answer 7

Total = 7 days

Question 8

For al patients with severe CAP you should step down to?

Answer 8

Doxycycline 100 mg BD

Question 9

HAP

Severe

Answer 9

IV Amoxicillin + Metronidazole + Gentamicin

Question 10

HAP
Severe
Penicillin allergic

How many days in total?

Answer 10

IV Co-trimoxazole + Metronidazole +/- Gentamicin

Step down to PO Co-trimoxazole + Metronidazole

Total IV/PO = 7 days

Question 11

HAP

Non-Severe

Answer 11

PO Amoxicillin + Metronidazole for 5 days

Question 12

HAP
Non-severe
Penicillin allergic

Answer 12

PO Co-trimoxazole + Metronidazole

Question 13

When should you seek advice about abx for HAP?

Answer 13

Previous ICU admission or history of MRSA

Question 14

When do you give antibiotics for an acute exacerbation of COPD?

Answer 14

If increased sputum purulence. If not - then no antibiotics unless consolidation on CXR or signs of pneumonia

Question 15

1st line

COPD exacerbation

Answer 15

Amoxicillin 500 mg TDS

Question 16

2nd line

COPD exacerbation

Answer 16

Doxycycline 200 mg on day 1 then 100 mg daily

5 days

Question 17

When are abx considered in acute cough/bronchitis?

Answer 17

Frail elderly

Question 18

1st line

Acute cough/bronchitis?

Answer 18

Amoxicillin 500 mg TDS

Question 19

2nd line

Acute cough/bronchitis

Answer 19

Doxycycline 200 mg on day 1 then 100 mg daily

5 days

Question 20

Native valve infective endocarditis

Answer 20

IV Amoxicillin + IV Gentamicin

Question 21

Acute severe sepsis
Native valve
Infective endocarditis

Answer 21

IV Flucloxacillin

Question 22

Prosthetic valve or suspected MRSA

Infective endocardiits

Answer 22

Vancomycin IV + Gentamicin IV

Add in Rifampicin PO 3-5 days later

Question 23

PWID

Infective endocarditis

Answer 23

Flucloxacilin IV

Then as guided by culture

Question 24

Staph aureus (non-MRSA)
Infective endocarditis

Answer 24

Flucloxacillin IV

Question 25

MRSA

Infective endocarditis

Answer 25

Vancomycin IV + Gentamicin IV + add Rifampicin PO 3-5 days later

Question 26

Strep viridans

Infective endocarditis

Answer 26

Benzylpenicillin IV + Gentamicin IV

Question 27

Staph Epidermidis

Infective endocarditis

Answer 27

Vancomycin IV + Gentamicin IV + Rifampicin PO 3-5 days later

Question 28

Enterococcus sp

Infective endocarditis

Answer 28

Amoxicillin or Vancomycin IV + Gentamicin IV

Question 29

How long are antibiotics given in infective antibiotics?

Answer 29

Typically 4-6 weeks

Question 30

What do you monitor during Infective endocarditis treatment?

Answer 30

Cardiac function
Temperature
CRp

Question 31

How do you treat non-severe C. diff infection?

Answer 31

Metronidazole PO - 10 days

Question 32

How do you treat severe C. diff?

Answer 32

Vancomycin PO/NG - 10 days

+/- Metronidazole

Question 33

How do you treat peritonitis/biliary tract/intra-abominal sepsis?

Answer 33

IV Amoxicillin + Gentamicin + Metronidazole

Then step down to CO-trimoxazole + Metronidazole

Question 34

How do you treat peritonitis/biliary tract/intra-abominal sepsis if penicillin allergic?

Answer 34

IV Vancomycin + Metronidazole + Gentamicin

Step down to PO Co-trimoxazole + Metronidazole

Question 35

How do you treat severe proven spontaneous bacterial peritonitis?

Answer 35

Piperacillin/Tazobactam then step down to Co-trimoxazole PO (5-7 days)

Question 36

How do you treat mild proven spontaneous bacterial peritonitis`

Answer 36

Co-trimoxazole PO (5-7 days)