URTI

Question 1

influenza treatment

Answer 1

• Oseltamivir
• dose adjust if CrCl < 30
• generally well tolerated, headache, mild GI discomfort (N/V)

Question 2

pharyngitis Abx

Answer 2

1ST LINE
- PO penicillin or amoxicillin

PENICILLIN ALLERGY
- non severe: cephalexin
- PO azithro, clarithro, clinda

duration 1- days (5 days azithromycin)

Question 3

pharyngitis Viral vs Bacterial

Answer 3

bacterial got exudate, fever, cervical lymphadenopathy wo rhinorrhoea, cough

Question 4

sinusitis Abx indication

Answer 4

1) symptoms more than 10 days wo clinical improvement
2) symptoms severe > 3 consecutive days
3) symptoms worsen after initial period of improvement > 3 days

Question 5

sinusitis Abx

Answer 5

FIRST LINE
- PO amoxicillin, augmentin

PENICILLIN ALLERGY
- non severe: PO cefuroxime
- PO levo, moxi

DURATION 5-7 DAYS