IDU

Question 1

CAP Abx

Answer 1

first line = Amoxicillin
But Clarythromycin Doxycyclin Erythromycin can also be used

Severe disease = co-amoxiclav

Question 2

Infective endocarditis blind therapy

Answer 2

Native valve: amoxicillin

Prosthetic valve: vancomycin + rifampicin + gentamicin

Question 3

Infective endocarditis confirmed staphylococci

Answer 3

Native valve: flucloxacillin

Prosthetic valve: flucloxacillin + rifampicin + gentamicin

Question 4

? meningococcal disease

Answer 4

IV ceftriaxone (or meropenem if pen allergic)
consider dexamethasone (v ICP)

Question 5

C difficile

Answer 5

metronidazole

+ vancomycin if mod / sev

Question 6

Acute diverticulitis management

Answer 6

Co-amoxiclav

Question 7

biliary tract infection

Answer 7

ciprofloxacin

Question 8

LUTI antibiotics

Answer 8

men and women with acute uncomplicated LUTI: consider delayed Abx
nitrofurantoin OR trimethoprim

pregnant women (immediately):
nitrofurantoin / amoxicillin

Question 9

prostatitis

Answer 9

ciprofloxacin

Question 10

pyelonephritis

Answer 10

cefalexin for everyone

OR ciprofloxacin (non-pregnant women + men)

Question 11

recurrent UTI

Answer 11

trimethoprim

consider specialist referral

Question 12

catheter associated UTI

Answer 12

amoxicillin

Pregnant: cefalexin

Question 13

impetigo

Answer 13

fusidic acid

consider flucloxacillin

Question 14

cellulitis

Answer 14

flucloxacillin

Question 15

leg ulcer

Answer 15

flucloxacillin

Question 16

osteomyelitis

Answer 16

flucloxacillin

Question 17

septic arthritis

Answer 17

flucloxacillin