Antibiotics

Question 1

Exacerbation of chronic bronchitis

Answer 1

Amoxicillin or tetracycline or clarithromycin

Question 2

Uncomplicated CAP

Answer 2

• Amoxicillin or clarithromycin in penicillin allergic
• Add Flucloxacillin if staph suspected e.g. in influenza

Question 3

Pneumonia possibly caused by atypical pathogens

Answer 3

Clarithromycin

Question 4

HAP

Answer 4

• Within 5 days of admission: Co-amoxiclav or Cefuroxime
• More than 5 days after admission: piperacillin with tazobactam OR a broad-spectrum cephalosporin (e.g. ceftazidime) OR a quinolone (e.g. ciprofloxacin)

Question 5

Lower UTI

Answer 5

Trimethoprim or nitrofurantoin
Alternative:amoxicillin or cephalosporin

Question 6

Acute pyelonephritis

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Answer 6

Broad-spectrum cephalosporin or quinolone

Question 7

Acute prostatitis

Answer 7

Quinolone or trimethoprim

Question 8

Impetigo

Answer 8

Topical hydrogen peroxide, oral flucloxacillin or erythromycin if widespread

Question 9

Cellulitis

Answer 9

Flucloxacillin (clarithromycin, erythromycin or doxycycline if penicilin allergy)

Question 10

Cellulitis near the eyes or nose

Answer 10

Co-amoxiclav (clarithromycin + metronidazole if penicillin allergy)

Question 11

Erysipelas

Answer 11

Flucloxacillin (clarithromycin, erythromycin or doxycyline if penicin allergy)

Question 12

Animal or human bite

Answer 12

Co-amoxiclav (doxycycline + metronidazole if penicillin allergy)

Question 13

Mastitis during breast-feeding

Answer 13

Flucloxacillin

Question 14

Throat Infections

Answer 14

Phenoxymethylpenicillin (erythromycin alone if penicillin allergy)

Question 15

Otitis media

Answer 15

Amoxicillin (erythromycin if penicillin allergy)

Question 16

Otitis externa

Answer 16

Flucloxacillin (erythromycin if penicillin allergy)

combined topical antibiotic and corticosteroid is generally used for mild/moderate cases of otitis externa

Question 17

Periapical or periodontal abscess

Answer 17

Amoxicillin

Question 18

Gingivitis (acute necrotising ulcerative)

Answer 18

Metronidazole

Question 19

Gonorhhoea

Answer 19

IM Ceftriaxone

Question 20

Chlamydia

Answer 20

Doxycline or azithromycin

Question 21

PID

Answer 21

• Oral ofloxacin + oral metronidazole or
• intramuscular ceftriaxone + oral doxycycline + oral metronidazole

Question 22

Syphilis

Answer 22

Benzathine benzylpenicillin or doxycycline or erythromycin

Question 23

Bacterial vaginosis

Answer 23

Oral or topical metronidazole or topical clindamycin

Question 24

Clostridium difficile

Answer 24

First episode: oral vancomycin
Second or subsequent episode of infection: oral fidaxomicin

Question 25

Campylobacter

Answer 25

Clarithromycin

Question 26

Salmonella

Answer 26

Ciprofloxacin

Question 27

Shigellosis

Answer 27

Ciprofloxacin