Respiratory

Question 1

Community acquired pneumonia - primary care?

Answer 1

0-2 = tx at home with amoxicillin / doxycycline

3-4 = hospital admission, amoxicillin or benzylpenicillin

Question 2

Community acquired pneumonia - secondary care?

Answer 2

0-2 = amoxicillin / doxycycline

3-4 = co-amoxiclav + either clarithromycin IV or doxycycline
=> levofloxacin if allergic

Question 3

Hospital acquired pneumonia?

Answer 3

Severe = IV amox + met + gent
=> step down to co-amoxiclav

Non severe = amoxicillin + metronidazole

Question 4

Exacerbation of COPD?

Answer 4

1st line = amoxicillin

2nd line = doxycycline

Question 5

Acute bronchitis - only in frail elderly?

Answer 5

1st line = amoxicillin

2nd line = doxycycline

Question 6

Epiglottis?

Answer 6

Broad spectrum = ceftrazamide, ceftriaxone

Question 7

TB?

Answer 7

2 months RIPE: rifampicin, isoniazid, pyradizamide, ethambutol

4 months RI