Hospital

Question 1

CURB65 3-5 PA

Answer 1

IV Levofloxacin 500mg bd monotherapy

Question 2

Non-severe HAP

Answer 2

PO Amoxicillin 5 days

Question 3

Non-severe CDI

Answer 3

Metronidazole PO 400mg tds (10 days)

Question 4

CURB65 3-5

Answer 4

Co-amoxiclav IV 1.2g tds + Doxycycline PO 100mg bd

Question 5

CURB65 0-2

Answer 5

Amoxicillin 1g tds IV/PO (5 days)

Question 6

CURB65 0-2 PA

Answer 6

Doxycycline PO 200mg on day 1 then 100mg od or IV Clarithromycin* if NBM)

Question 7

Acute exacerbation of COPD

Answer 7

1 ST LINE Amoxicillin 500mg tds 2 ND LINE Doxycycline 200mg on day 1 then 100mg od (5days)

Question 8

ICU/HDU CAP or NBM CAP

Answer 8

Co-amoxiclav IV 1.2g tds + Clarithromycin* IV 500mg bd

Question 9

Endocarditis native valve severe sepsis

Answer 9

Flucloxacillin IV 2g 6 hourly (4 hourly if >85kg)

Question 10

Spontaneous bacterial peritonitis severe

Answer 10

Piperacillin/Tazobactam IV 4.5g tds

Step down to co-trimoxazole PO

Question 11

Endocarditis: prosthetic valve or Suspected MRSA

Answer 11

Vancomycin IV + Gentamicin + when therapeutic vancomycin levels reached add Rifampicin PO 600mg bd

Question 12

Peritonitis/biliary tract/intra abdominal

Answer 12

IV Amoxicillin + Metronidazole + Gentamicin

Question 13

CURB65

Answer 13

Confusion? Urea >7mmol? RR >30? BP <90/60?

Question 14

Severe CDI

Answer 14

Vancomycin 125mg qds PO/NG +/- IV Metronidazole (10 days)

Question 15

Endocarditis native valve subacute

Answer 15

Amoxicillin IV 2g 4 hourly + Gentamicin

Question 16

CDI severity

Answer 16

One or more of: Temp >38.5, Ileus, Colonic dilatation >4cm, Toxic Megacolon, Pseudomembraneous Colitis, WBCC >15, Rising creatinine >1.5x baseline, persisting symptoms and +test despite 2 courses appropriate therapy

Question 17

Severe HAP

Answer 17

Amoxicillin IV (Co-trimoxazole), Gentamicin

Question 18

Spontaneous bacterial peritonitis non-severe

Answer 18

Co-trimoxazole PO

Question 19

Complicated UTI/Pyelonephritis/Urosepsis

Answer 19

IV Amoxicillin + Gentamicin (If penicillin allergic: IV Co-trimoxazole + Gentamicin)

Question 20

Uncomplicated female LUTI

Answer 20

2nd Line Nitrofurantoin 100mg MR bd (3 days)50mg qds

2nd Line Trimethoprim 200mg bd (3 days)

Question 21

Uncatheterised male LUTI

Answer 21

1st lineNitrofurantoin 100mg MR bd (7 days) 50mg qds

2nd line Trimethoprim 200mg bd (7 days)

Question 22

Severe systemic infection unknown origin

Answer 22

IV Amoxicillin + Metronidazole + Gentamicin

Question 23

Open fracture prohpylaxis

Answer 23

Cefuroxime 1.5g IV every 8 hours

Question 24

Cellulitis

Answer 24

Flucloxacillin 1g qds (If penicillin allergic: Doxycycline 100mg bd PO)

Question 25

Mild diabetic foot infection

Answer 25

Flucloxacillin 1g qds or Doxycycline 100mg bd

Question 26

Moderate diabetic foot infection

Answer 26

Flucloxacillin 1g qds + Metronidazole 400mg tds

OR Doxycycline 100mg bd + Metronidazole 400mg tds

Question 27

Acute septic arthritis/osteomyelitis

Answer 27

IV Flucloxacillin 2g qds

Question 28

Epiglottitis/supraglottitis

Answer 28

Ceftriaxone IV 2g od

Question 29

Meningitis

Answer 29

Ceftriaxone IV 2g bd + Dexamethasone IV 10mg qds