Primary Care (Adult)

Question 1

meningitis (community)

Answer 1

transfer to hospital

benzylpenicillin IV/IM only if time permits

Question 2

conjunctivitis

Answer 2

chloramphenicol drops 2 hourly

Question 3

opthalmic shingles

Answer 3

needs referred to opthalmology

aciclovir

Question 4

tonsillitis/pharyngitis/sore throat

Answer 4

1. pencillin V

2, clarithromycin

Question 5

sinusitis

Answer 5

only give if >7-10 days duration and severe

1. pencillin V
2. doxycycline

Question 6

otitis media

Answer 6

if otorrhoea is present:

1. amoxicillin
2. clarithromycin

Question 7

otitis externa

Answer 7

acetic acid 2%

Question 8

oral thrush

Answer 8

1. miconazole gel

2. fluconazole (both 7 days)

Question 9

the patient should be treated at home if their CURB65 score is under _

Answer 9

2

Question 10

mild CAP

Answer 10

amoxicillin (5 days)

Question 11

mild CAP (pen allergic)

Answer 11

doxycycline (5 days)

Question 12

HAP (mild)

Answer 12

amoxicillin + metronidazole (5 days)

Question 13

acute exacerbation of COPD

Answer 13

only if inc sputum purulence:

1. amoxicillin
2. doxycycline (all 5 days)

Question 14

non-severe c diff

Answer 14

metronidazole (10 days)

Question 15

diverticulitis

Answer 15

metronidazole + co-trimoxazole (5 days)

Question 16

UTI (catheterised patients)

Answer 16

co-trimoxazole or co-amoxiclav (7 days)

Question 17

uncomplicated female UTI

Answer 17

trimethoprim or nitrofurantoin (3 days)

Question 18

pyelonephritis

Answer 18

co-trimoxazole or co-amoxiclav (7 days)

Question 19

male UTI (uncatheterised)

Answer 19

trimethoprim or nitrofurantoin (7 days)

Question 20

UTI in pregnancy

Answer 20

1st or 2nd trimester - nitrofurantoin

3rd trimester - trimethoprim (all 7 days)

Question 21

prostatitis

Answer 21

ofloxacin or ciprofloxacin (28 days)

Question 22

epididymo-orchitis

Answer 22

if STI suspected, doxycycline (14 days)

if UTI suspected, ofloxacin or ciprofloxacin (14 days)

Question 23

chlamydia

Answer 23

azithromycin or doxycycline (7 days)

Question 24

cellulitis

Answer 24

flucloxacillin or doxycycline (7 days)

Question 25

athlete’s foot

Answer 25

topical terbinafine 1% for 7 days

Question 26

diabetic foot (mild)

Answer 26

flucloxacillin or doxycycline (7 days)

Question 27

diabetic foot (moderate)

Answer 27

flucloxacillin/doxycycline + metronidazole (7 days)

Question 28

localised diabetic foot ulcer

Answer 28

topical fusidic acid

Question 29

shingles

Answer 29

within 72hr onset:

aciclovir (7 days)

Question 30

impetigo

Answer 30

if localised, topical fusidic acid

1. flucloxacillin
2. clarithromycin (all 7 days)