Antibiotic man

Question 1

management of meningitis in <60?

Answer 1

Ceftriaxone and Dexamethasone

Question 2

Management of meningitis in >60 or immunicompromise?

Answer 2

Ceftriaxone + Dex + amoxicillin

Question 3

Management of meningitis if penicillin allergic?

Answer 3

Vancomycin and choormapehnicol.

Question 4

Management of epiglottis?

Answer 4

Ceftriaxone IV

Question 5

Causes of epiglottis?

Answer 5

H influenza, Streptococcus

Question 6

CURB 65

Answer 6

Confusion 
Urea > 7
RR > 30 
BP <90 <60
Age 65 or more.

Question 7

Causes of CAP:

Answer 7

Strep pneumonia

Haemoophilus influenza

Question 8

Causes of COPD exacerbation after suffering from viral flu?

Answer 8

Staph aureus

Question 9

Management of CURB 0-2

Answer 9

IV/oral amoxicillin

Question 10

Management of CURB 0-2 if penicillin allergic?

Answer 10

Doxycycline or (IV clarithromycin if NBM)

Question 11

Management of CURB 3-5?

Answer 11

Co-amoxiclav + Doxycyline

Question 12

Management of CURB 3-5 if penicillin Ax?

Answer 12

IV Levofloxacin.

Question 13

Management of CAP in ICU?

Answer 13

Co-amoxiclav IV and Clarithromycin IV.

Question 14

Causes of Hospital Acquired Pneumonia?

Pat Hates College

Answer 14

Pneumococcal
H. influenza 
Coliforms 
Legionella 
Klebsiella

Question 15

Non Severe HAP?

Answer 15

Amox and metronidazole

Question 16

Severe HAP?

Answer 16

Amox met and gent.

Question 17

Severe HAP (Penicillin allergy)?

Answer 17

Co - trimoxazole met and gent.

Question 18

Acute exacerbation of COPD management?

Answer 18

Amoxicillin.

2nd = doxycycline.

Question 19

Causes of endocarditis in order?

Answer 19

1) Staph aureus
2) Strep viridian’s ( v for valve)
3) Enterococcus
4) Staph epidermidis

Question 20

Management of native valve indolent endocarditis?

Answer 20

Amoxicliin and gentamicin.

Question 21

Native valve endocarditis severe sepsis?

Answer 21

Flucloxacillin.

Question 22

Prosthetic valve or suspected MRSA?

Very good replacement

Answer 22

Vancomycin, gentamicin and oral rifampicin.

Question 23

Native valve severe sepsis + risk factors for resistant pathogens?

Answer 23

Vancomycin and Meropenem.

Question 24

What are the SIRS criteria?

Answer 24

HR > 90
RR > 20
temp <36 or >38
WCC <4 or > 12

Question 25

Causes of uncomplicated lower UTI?

Answer 25

Coliforms (E coli) Enterococcus (E Faecalis) Klebsiella Psuedomonas (catheters, give ciprodloxacin) Proteus (smelly) Staph saphrophyticus (women of child bearing age)

Question 26

Management of uncomplicated lower UTI in men or women?

Answer 26

Nitrofurantoin or trimethoprim. Women - 3 days Men - 7 days.

Question 27

Management of pregnant UTI?

Answer 27

1st and 2nd trimester - nitrofurantoin 3rd trimester - trimethoprim DO TEST OF CURE. MSSU.

Question 28

Criteria for prophylactic ABx for recurrent UTI?

Answer 28

Greater than 2 in 6 months OR Greater than 3 in 12 months. Daily trimethoprim or nitrofurantoin; can be used at night or post coital.

Question 29

Who do you send an MSSU for?

Answer 29

Elderly Men Pregnant Children

Question 30

Causes of complicated / upper / urosepsis?

Answer 30

Coliforms Psudomonas Enterococcus

Question 31

Management of complicated UTI / pyelonephritis / urosepsis? Away ye Go (think of person in a lot of pain)

Answer 31

IV amoxicillin and gentamicin. If penicillin allergic: IV co-trimoxazole and gentamicin.

Question 32

Causes of cellulitis?

Answer 32

Strep pyogenes | Staph aureus

Question 33

Management of cellulitis ? | 1st and 2nd line

Answer 33

Flucloxacillin = 1st Doxycycline = 2nd

Question 34

Management of acute septic arthritis?

Answer 34

IV flucloxacillin.

Question 35

Management of mild diabetic foot infection?

Answer 35

Flucloxacillin or doxycycline

Question 36

Management of moderate diabetic foot infection?

Answer 36

Fluclox and metronidazole or Dozycyline and metronidazole.

Question 37

Open fracture prophylaxis?

Answer 37

IV Co-amoxiclav. (think of fractured clavicle)

Question 38

Causes of intra-abdominal infection?

Answer 38

Coliforms, anaerobes and enterococcus. E coli, klebsiella, enterococcus, clostridium perfringens.

Question 39

Management of C diff

Answer 39

Non severe = metronidazole. Severe = Vancomycin +/- Metronidazole

Question 40

Management of peritonitis/biliary tract/intra-abdominal sepsis?

Answer 40

Amox + Met + Gent. Step down to co-trimoxazole and metronidazole.

Question 41

Penicillin allergic and abdominal sepsis?

Answer 41

Vancomycin, met and gent.