Antimicrobial Prescriptions & Their Uses

Question 1

ANTIBIOTICS

Your patient has ANUG - what do you prescribe ?

Answer 1

Metronidazole 400mg 3x daily for 3 days.

Question 2

ANTIBIOTICS

Your patient has pericoronitis - what do you prescribe ?

Answer 2

Metronidazole 400mg 3x daily for 3 days.

Question 3

ANTIBIOTICS

Your patient has a periodontal abscess - what do you prescribe ?

Answer 3

Metronidazole 400mg 3x daily for 5 days.

Question 4

ANTIBIOTICS

What is your second line antibiotic for ANUG and pericoronitis ?

Answer 4

Amoxicillin 500mg 3x daily 3 days.

Question 5

ANTIBIOTICS

Your patient has an odontogenic (dental) abscess - what do you prescribe ?

Answer 5

PenV 500mg 4x daily 5 days - limited spectrum.

Question 6

ANTIBIOTICS

Your patient has odontogenic abscess - what is your second line antibiotic ?

Answer 6

Amoxicillin 500mg 3x daily 5 days - wider spectrum.

Review within 24-48 hours.

Question 7

ANTIBIOTICS

Your patient is at risk of infective endocarditis - what prophylactic antibiotic do you prescribe ?

Answer 7

Amoxicillin 3g orally (sachet dissolved in water) 1 hour before procedure.

Question 8

ANTI-FUNGALS

Your patient has candidosis (dental stomatitis) - what can you prescribe ?

Answer 8

Topical - miconazole gel 20mg/g pea-sized amount 4x daily for 7 days.
Systemic - fluconazole 50mg 1x daily 7 days.

Question 9

ANTI-FUNGALS

Your patient has candidosis (denture stomatitis) - what is your second line anti-fungal ?

Answer 9

Nystatin oral suspension 1ml 4x daily after food for 7 days.

Question 10

ANTI-FUNGALS

Your patient has angular chelitis - what do you prescribe ?

Answer 10

Miconazole 2% 30g tube 2x daily.

Question 11

ANTI-VIRALS

Your patient has herpes simplex related ulceration - what can you prescribe ?

Answer 11

Aciclovir 200mg 5x daily for 5 days.