Antibiotics 1st year

Question 1

CURB 65

Answer 1

new onset confusion;
urea >7 mmol/L;
respiratory rate ≥30/minute
systolic blood pressure <90 mmHg and/or Diastolic <60
age ≥65 years.

Question 2

CAP

Answer 2

0-2 Mild/Mod : Amoxicillin (Doxy if pen allergic)

3+ Severe : Co-amoxiclav + Doxy (Levofloxacin if pen allergic)

Question 3

HAP (Gram -ve)

Answer 3

Non severe: Amoxicillin (Doxy if Pen allergic)

Severe: Amoxicillin + Gentamicin (g -ve)

Question 4

Aspiration Pneumonia

Answer 4

Non severe : PO Amoxicillin + Metronidazole

Severe : IV Amoxicillin + Metronidazole + Gentamicin

Question 5

COPD

Answer 5

Give antibiotics if sputum purulence / change in colour/ consolidation on CXR or signs of pneumonia.

If no sputum purulence then no antibiotics

1st LINE Amoxicillin

Question 6

C.Diff

Answer 6

First line: Oral Vanc
Severe: Oral Vanc + IV Metronidazole

Question 7

Anything Abdo i.e. cholecystitis, diverticulitis

Answer 7

Triple therapy – Amox, Met and Gent

No antibiotics for gastroenteritis or pancreatitis

Question 8

H.Pylori

Answer 8

PPI (omeprazole)
+ Amoxicillin (or metranidazole)
+ Clarithromycin

Question 9

which antibiotic,Staph aureus (e.g in IVDU)

Answer 9

fluclox IV

Question 10

Strep viridans (dental)

Answer 10

gentamicin IV + benzylpenicillin IV

Question 11

Prosthetic valve (staph epidermidis)

Answer 11

vancomycin + gentamicin IV (+ delayed rifampicin PO)

Question 12

Community Treatment- GP Pneumonia

Answer 12

0- - Amoxicillin at Home (doxy if pen. allergic)
1-2 - Amoxicillin, consider hospital
3-4- Amoxicillin // Benzylpenicillin,

Question 13

Active TB

Answer 13

2 RIPE 4 RI! (6 months total!)

Rifampicin, Isoniazid, Pyrazinamide and Ethambutol for 2 months

Rifampicin and Isoniazid for a further 4 months