IMPORTANT

Question 1

Features of a moderate asthma attack

Answer 1

Question 2

Features of severe asthma attack

Answer 2

Question 3

Features of life-threatening asthma attack

Answer 3

Question 4

What are CENTOR criteria used for?

Answer 4

CENTOR criteria - used to determine the likelihood of an acute sore throat being of the bacterial cause -> if to prescribe antibiotics

Question 5

List CENTOR criteria

Answer 5

• current fever >38 C
• tender, cervical lymphadenopathy
• tonsilar exudate
• absence of cough

*if 3 or more present -> prescribe antibiotics

Question 6

What is prescribed for acute bacterial sore throat?

Answer 6

Penicillin V 500 mg qds for 10 days

OR

Clarithromycin 500 mg bd for 5 days

Question 7

What do we prescribe in acute sinusitis

Answer 7

1st line -> symptomatic relief

2nd -> antimicrobials:

• Amoxicillin 500mg tds for 7 days

OR

• Deoxycycline 200 mg stat -> then 100mg OD for 7 days in total

*children under 12 - use clarithromycin instead of deoxycycline

Question 8

What Abx to use in children below 12 y old, instead of doxycycline?

Answer 8

Use clarithromycin instead

Question 9

What’s the prescribe for Acute Otitis Media?

Answer 9

80% will resolve in 72 hours with analgesia

• Amoxicillin 500mg tds for 5 days

OR

• Clarithromycin 500mg bd for 5 days

Question 10

What to prescribe for CAP if CRB-65 is 0?

Answer 10

CRB-65 0 = low risk

• Amoxicillin 500mg tds for 5 days

OR

• Clarithromycin 500mg bd for 5 days

OR

• Doxycycline 200 mg stat -> then 100mg od for 5 days in total

Question 11

What to prescribe for CAP if CRB-65 is 1 and treated at home?

Answer 11

CRB-65 = 1 (and at home) -> intermediate risk

• Amoxicillin 500mg tds for 7 days AND Clarithromycin 500mg bd for 7 days

OR

*if Penicillin allergy = Doxycycline for 7 days

Question 12

What to prescribe for Acute Infective Exacerbation of COPD?

Answer 12

• Amoxicillin

OR

• Doxycycline

OR

• Clarithromycin

Antibiotics given for 5 days

Question 13

What (apart from antibiotics) is recommended in UTIs?

Answer 13

Increased fluid intake

Question 14

What to prescribe in women for uncomplicated cystitis?

Answer 14

Nitrofurantoin

OR

Trimethoprim

*These antibiotics are prescribed for 3 days

* do urine dipstick prior initiating prescription

Question 15

What to prescribe for UTI in pregnancy?

Answer 15

• Fluids and Nitrofurantoin for 7 days (not if at term)

OR

• Cefalexin for 7 days

Question 16

What to prescribe for UTI in men?

Answer 16

• Nitrofurantoin capsules

OR

• Trimethoprim

*both for 7 days

Question 17

What to prescribed for widespread Impetigo infection?

Answer 17

Flucloxacillin

OR

Clarithromycin

*both for 7 days

Question 18

What to prescribe for Cellulitis?

Answer 18

Flucloxacillin

OR

Clarithromycin

*both for 7 days

Question 19

What antibiotics to prescribe for acne?

Answer 19

Oxytetracycline

OR

Lymecycline

*bot for 4-6 months

Question 20

What to prescribe for conjunctivitis?

Answer 20

Chloramphenicol eye drops (during the day) + chloramphenicol ointment (at night)

OR

Fusidic acid gel

*Rx to be continued until 48 hours after the resolution

Question 21

Rifampicin side effects

Answer 21

Question 22

Side effects of Isoniazid

Answer 22

Question 23

Side effects of Pyrazinamide

Answer 23

Question 24

Side effects of Ethambutol

Answer 24