Drug Use

Question 1

Acute Rheumatic Fever (lancefield Group A Strep)

Answer 1

Benzylpenicillin (OR Erythromycin)

Question 2

Infective Endocarditis

Answer 2

Acute: Fluclox (MRSA), Rifampicin+Vancomycin+gentamicin (MSSA)

Subacute: Benzilpenicillin + Genta, OR vancomycin (4/52)

Question 3

H. Pylori

Answer 3

PPI + clarithromycin + amox or metronidazole

Question 4

C. difficile

Answer 4

metronidazole OR vancomycin

Question 5

PBC

Answer 5

ursodeoxycholic acid

Question 6

Mid/Mod CAP

Answer 6

amoxicillin OR macrolides (azithro, clarithro, erythro)

Question 7

Mod/Sev CAP

Answer 7

chlarythromycin + co-amoxiclav/cefuroxime

Question 8

Legionella pneumonia

Answer 8

Macrolide + Rifampicin

Question 9

S. aureus

Answer 9

Fluclox

Question 10

1 line HAP

Answer 10

Ciprofloxacin ± vancomycin

Question 11

2 line HAP

Answer 11

Tazocin (piperacillin + tazobactam) + vancomycin

Question 12

Aspiration

Answer 12

Cefuroxime + Metronidazole

Question 13

Pseudomonas spp pneumonia

Answer 13

tazocin OR cipro ± gentamicin

Question 14

MRSA

Answer 14

vancomycin

Question 15

N. Gonorrhea

Answer 15

IM Ceftiaxone 500 mg + oral azithro 1g

Question 16

Chlamydia

Answer 16

100 mg doxycyclin (14/7) OR 1g azithromycin

Question 17

Treponema pallidum (syphilis)

Answer 17

IM Benzylpenicillin

Question 18

T. vaginalis

Answer 18

Metronidazole

Question 19

Candidiasis

Answer 19

Clotrimazole (OR fluconazole)

Question 20

Cryptococcal meningitis

Answer 20

Amphotericin B

Question 21

HSV1/HSV2

Answer 21

Acyclovir

Question 22

VZV

Answer 22

Acyclovir 800 mg PO TDS 7/7

Question 23

Shingles

Answer 23

Acyclovir 800 mg PO TDS 7/7`

Question 24

CMV

Answer 24

ganciclovir

Question 25

Malaria

Answer 25

Mild: quinine + doxycycline/clindamycin Sev: Artemisin comb Tx OR quinine + doxycycline/clindamycin

Question 26

Salmonella Typhi/paratyphi:

Answer 26

Ceftiaxone OR Cipro

Question 27

Salmonella enteritides

Answer 27

Ceftiaxone OR Cipro (if req'd)

Question 28

Enterobacter jejuni

Answer 28

Erythromycin OR Cipro

Question 29

Entamoeba Histolytica

Answer 29

Metronidazole + Paromomycin

Question 30

Brucellosis

Answer 30

Tetracycline/Doxycycline w/ Streptomycin

Question 31

Lyme disease

Answer 31

doxycycline 2-3/52

Question 32

Influenza A

Answer 32

Amantidine

Question 33

Influenza

Answer 33

Oseltamivi (Tamiflu)

Question 34

HBV

Answer 34

Pegylated Interferon alpha 2a, entecavir, tenofovir

Question 35

HCV

Answer 35

PegINF a 2b/2a, Ribavirin

Question 36

UTI

Answer 36

Trimethoprin OR Nitrofurantoin

Question 37

Pyelonephritis

Answer 37

BSIV ABx (e.g. co-amoxiclav + genta; cefuroxime ± genta)

Question 38

Nosocomial UTI

Answer 38

co-amoxiclav OR cephalexin

Question 39

Bacterial Meningitis

Answer 39

Ceftriaxone (OR amoxicillin if listeria)

Question 40

Sepsis

Answer 40

Tacozin/Ceftriaxone, Metronidazole ± genta

Question 41

Early onset sepsis

Answer 41

BenPen + Gentamicin

Question 42

Late onset sepsis

Answer 42

BenPen + Genta (if v. ill Tazcin + Vancomycin)

Question 43

Meningoencephalitis

Answer 43

Acyclovir + Ceftriaxone