antibiotics

Question 1

gram neg sepsis c/o

Answer 1

e.coli
neisseria
pseudomonas aeruginosa

Question 2

gram neg Tx

Answer 2

cephalosporins eg ceftazidime, cefriaxone
co-amox

Question 3

gram positive coagulase +

Answer 3

s.aureus

Question 4

gram positive coag neg

Answer 4

s.epidermis

Question 5

what is s.epidermis common in

Answer 5

post surgery - hip replacement

Question 6

s.aureus Tx in sepsis

Answer 6

IV fluoxacillin

Question 7

MRSA or flucloxacillin allergy tx in sepsis

Answer 7

IV vancomycin

Question 8

soft tissue and skin infection

Answer 8

strep pyogenes

Question 9

UTI c/o

Answer 9

enterococci (gram positive)

Question 10

alpha haemolytic strep in suspected endocarditis

Answer 10

s. viridans

Question 11

endocarditis criteria

Answer 11

DUKES

Question 12

invasive aspergillus causes?

Answer 12

neutropenic sepsis

Question 13

side effect of chloramphenicol

Answer 13

aplastic anaemia and grey baby

Question 14

what happens when broad spec antimicrobias + oral contraceptives

Answer 14

enterohepatic cycling can lead to contraceptive failure

Question 15

broad spec + warfarin causes?

Answer 15

inc INR (risk of bleed)

Question 16

what has a disulfiram like interaction with alcohol

Answer 16

metronidazole

Question 17

listeria Tx

Answer 17

amoxicillin

Question 18

herpes simplex Tx

Answer 18

acyclovir

Question 19

h. influenzae tx in mild CAP ?

Answer 19

amoxicillin (allergy: doxy)

Question 20

severe CAP tx and c/o

Answer 20

coliforms/atypicals (legionella etc)
co-amoxiclav and doxy
allergy- levofloxacin

Question 21

copd exacerbation

Answer 21

amox

Question 22

severe HAP

Answer 22

IV amox and gent
allergy: IV co-trimoxazole + gent

Question 23

prosthetic valve

Answer 23

MRSA/ coag negative staph
prosthetic valves have Very Good Rhythm:
vancomycin
genta
rifampicin

Question 24

c.diff

Answer 24

oral vancomycin

Question 25

peritonitis!! bad widespread infection!!

Answer 25

most cover
IV amox metronidazole gentamicin

Question 26

proven spontanous bacterial peritonitis - mild

Answer 26

co-trimoxazole oral

Question 27

proven spontanous bacteria peritonitis - severe

Answer 27

piperacillin/tazobactam IV then step down to co-trimoxazole

Question 28

UTI/urosepsis tx

Answer 28

IV amox and gent

allergy co-trimoxazole and gent

Question 29

female lower UTI uncomplicated

Answer 29

nitrofurantoin or trimethoprim

Question 30

UNKNOWN SOURCE TX

Answer 30

amox gent met

Question 31

open fracture TX

Answer 31

cefuroxime

Question 32

celluilitis c/o

Answer 32

s.aureus

Question 33

-

Answer 33

-

Question 34

alpha haemolysis

Answer 34

GREEN - strep pneumoniae or viridans

Question 35

beta haemolysis

Answer 35

CLEAR - strep pyogenes or agalactiae

Question 36

no haemolysis

Answer 36

enterococcus