Abx

Question 1

abx classes that inhibit protein synthesis

Answer 1

TAMCO

Tetracyclines (doxycycline) --> 30S
Aminoglycosides (gentamicin) --> 30S
Macrolides (Erythromycin) --> 50S
Chloramphenicol --> 50S
Oxazolidinones (linezolid)

Question 2

Acute sore throat

Answer 2

Phenoxymethylpenicillin (Pen V)

Pen allergy: clarithromycin

Question 3

Acute otitis media

Answer 3

amoxicillin

pen allergy: clarithromycin

Question 4

Scarlet fever

Answer 4

Pen V

pen allergy: clarithromycin

Question 5

Sinusitis

Answer 5

Pen V

pen allergy: clarithromycin

Question 6

Acute exacerbation of COPD

Answer 6

Amoxicillin / Doxycycline / clarithromycin

Question 7

Hospital Acquired pneumonia

Answer 7

co-amoxiclav

Question 8

Community aquired pneumonia

Answer 8

Amoxicillin +/- clarithromycin

Question 9

non pregnant UTI

Answer 9

Nitrofurantoin / trimethoprim

Men/children: trimethoprim

Pregnant: Nitrofurantoin / amoxicillin / cefalexin

Question 10

pregnant UTI

Answer 10

Nitrofurantoin (avoid at term !!!)

/ amoxicillin / cefalexin

Question 11

acute pyelonephritis

Answer 11

cefalexin / coamox

Question 12

Acute prostitis

Answer 12

ciprofloxacin / ofloxacin / trimethoprim

Question 13

suspected meningococcal disease

Answer 13

IV/IM Benxylpenicillin

Question 14

oral candidiasis

Answer 14

miconazole oral gel

Question 15

Threadworm

Answer 15

mebendazole 100mg stat

treat all household contacts

Question 16

C diff

Answer 16

vacomycin

Question 17

H Pylori

Answer 17

PPI + amoxicillin + clarithromycin / metronidazole

Question 18

acute diverticulitis

Answer 18

co-amoxiclav

pen allergy: cefalexin + metronidazole

Question 19

epididymitis

Answer 19

doxycycline / ofloxacin / ciprofloxacin

Question 20

Chlamydia

Answer 20

Doxycycline 100 mg BD 7 days

Question 21

vaginal candidiasis

Answer 21

Clotrimazole pessary /
Fenticonazole pessary /
Oral fluconazole

Question 22

BV

Answer 22

oral metronidazole 400mg BD 7 days OR 2000mg stat

Question 23

Genital herpes

Answer 23

oral aciclovir TDS 5 days

Question 24

Gonorrhoea

Answer 24

Ceftriaxone 1000mg IM stat

or

ciprofloxacin 500mg stat

Question 25

Trichomoniasis

Answer 25

metronidazole 400 mg BD 7 days

Question 26

PID

Answer 26

Ceftriaxone 1000mg IM + metronidazole 400 mg BD + doxycycline 100mg BD 2 weeks

Question 27

Mastitis

Answer 27

flucloxacillin pen allergy: erythromycin / clarithromycin

Question 28

tick bites

Answer 28

doxycycline 100 mg BD 21 days

Question 29

Scabies

Answer 29

Permethrin 5% cream 2 applications 1 week apart

Question 30

dermatophite skin infection

Answer 30

topical terbinafine / imidazole

Question 31

dermatophyte nail infection

Answer 31

terbinafine 250mg OD (finger 6weeks toes 12 weeks)

Question 32

human and animal bites

Answer 32

co-amoxiclav pen allergy: doxycyline + metronidazole

Question 33

severe conjunctivitis

Answer 33

chloramphenicol eye drops

Question 34

carbapenems

Answer 34

meropenem

Question 35

1st gen cephalosporin

Answer 35

cefalexin (MSSA, streptoccoci, e coli, p. mirabilis, klebsiella)

Question 36

3rd gen cephalosporin

Answer 36

ceftriaxone (MSSA, streptoccoci, e coli, p. mirabilis, klebsiella, n. gonorrhoeae, n. meningitis)

Question 37

beta lactams

Answer 37

penicillins cephalosporins carbapenems

Question 38

glycopeptides

Answer 38

vancomycin teicoplanin (MRSA, MSSA, streptococci)

Question 39

Flouroquinolones

Answer 39

ciprofloxasin (MSSA + gram -ve cocci and rods)

Question 40

Aminoglycosides

Answer 40

gentamicin amikacin (gram -ve baccili)

Question 41

tetracycline

Answer 41

doxycycline (streptococci, e coli, n. meningitism atypicals)

Question 42

Macrolides

Answer 42

Axithromycin | Erythromycin

Question 43

first line topical antibiotic for treatment of limited impetigo

Answer 43

fusidic acid