Infections, antibiotics, drugs etc

Question 1

First line treatment for C. Dif?

Answer 1

Metronidazole for first presentation

Vancomycin for 2nd presentation or not responding to metronidazole

Question 2

Antibiotics for chlamydia?

Answer 2

Azithromycin or doxycycline

Question 3

Cancer tumour markers?

Answer 3

CA 125 - Ovarian cancer
CA 19-9 - pancreatic cancer
AFP - liver cancer or germ cell tumour (testicular)
CEA - bowel cancer
HER2 - breast cancer receptor

Question 4

Treatment for ExCOPD?

Answer 4

Amoxicillin or tetracycline or clarithromycin

Question 5

Treatment for CAP

Answer 5

Amoxicillin
Doxycycline or clarithromycin if allergic
Add flucloxacillin if staph suspected

Question 6

Treatment for HAP?

Answer 6

<5 days after admission
Co-amoxiclav or cefuroxime
>5 days after admission
Tazocin or broadspec ceph or ciprofloxacin

Question 7

Treatment for acute pyelonephritis?

Answer 7

Broad spec cephalosporin
or
Quinolone

Question 8

Treatment for acute prostatitis?

Answer 8

Quinolone or trimethoprim

Question 9

Treatment for erysipelas

Answer 9

phenoxymethylpenicillin

Question 10

Treatment for campylobacter GI infection?

Answer 10

Clarithromycin

Question 11

Treatment for shigella GI infection?

Answer 11

Ciprofloxacin

Question 12

Treatment for salmonella GI infection?

Answer 12

Ciprofloxacin

Question 13

Treatment for bacterial vaginosis?

Answer 13

Metronidazole oral (5-7 days or one off dose)

Question 14

Treatment for gonorrhoea?

Answer 14

Azithromycin PO and ceftriaxone IM

Single dose of both

Question 15

Treatment for pelvic inflammatory disease?

Answer 15

Doxycycline AND metronidazole AND single dose IM ceftriaxone

Question 16

Treatment for syphillis?

Answer 16

One off dose of Benzathine benzylpenicillin if < 2 years infection

Question 17

Contacts of patients with syphilis?

Answer 17

Doxycycline if asymptomatic 14 days

Question 18

Epiglottitis bacterial cause and treatment?

Answer 18

Haemophilus influenzae
Rx - cefotaxime or ceftriaxone
chloramphenicol if allergic (to penicillins)

Question 19

Treatment for atypical pneumonia?

Answer 19

clarithromycin

Question 20

What are the live attenuated vaccines?

Answer 20

Oral polio, typhoid, rotovirus
Nasal influenza
BCG
MMR
Yellow fever

Question 21

Treatment for lyme disease?

Answer 21

Doxycycline

Question 22

Childhood vaccines at 8 weeks?

Answer 22

6 in 1 (Diptheria, tetanus, whooping cough, Hib, polio, Hep B) [8,12,16 weeks]
Pneumococcal (PCV) [8, 16 weeks]
Rotavirus [8, 12 weeks]
Men B [8, 16,52 weeks]

Question 23

Childhood vaccines at 12 weeks?

Answer 23

6 in 1 (Diptheria, tetanus, whooping cough, Hib, polio, Hep B) [8,12,16 weeks]
Rotavirus [8, 12 weeks]

Question 24

Childhood vaccines at 16 weeks?

Answer 24

6 in 1 (Diptheria, tetanus, whooping cough, Hib, polio, Hep B) [8,12,16 weeks]
Men B [8,16,52 weeks]

Question 25

Childhood vaccines at 1 year?

Answer 25

Hib/Men C
MMR [1yr, 3y4m]
Men B [8,16,52 weeks]

Question 26

Childhood vaccines at 3 years and 4 months?

Answer 26

MMR 2nd dose

4-in-1 pre school booster (Diptheria, tetanus, whooping cough, polio)

Question 27

Other childhood vaccines?

Answer 27

Annual influenza nasal - 2-8 yrs on 31 Aug
HPV girl only (12-13yrs) 2 injections 6 months apart
3-in-1 teenage booster (Dip, tet, polio) 14yrs old
MenACWY - 14 yrs and new uni students 19-25