First-line Antibiotics

Question 1

What is the first line Abx treatment for acute sore throat?

Answer 1

Pen V 500mg QD
(Clarithromycin 500mg BD in pen allergy)

Question 2

What is the first line Abx treatment for Scarlet fever?

Answer 2

Pen V 500mg QDS
(Clarithromycin 500mg BD in pen allergy)

Question 3

What is the first line Abx treatment for otitis media?

Answer 3

Amoxicllin 500mg TDS
(Clarithromycin 500mg BD in pen allergy)

Question 4

What is the first line Abx treatment for otitis externa?

Answer 4

Acetic acid 2%
(Flucloxicillin if cellulitis present)

Question 5

What is the first line Abx treatment for Sinusitis?

Answer 5

Pen V 500mg QD
(Doxycycline/Clarithromycin/Erythromycin in pen allergy)

Question 6

What is the first line Abx treatment for IECOPD?

Answer 6

Amoxicillin/Doxycyline/Clarithromycin

Question 7

What is the first line Abx treatment for acute exacerbation of bronchiectasis?

Answer 7

Amoxicillin/Doxycyline/Clarithromycin

Question 8

What is the first line Abx treatment for acute cough?

Answer 8

Doxycycline 200mg day 1 then 100mg OD
(amoxicillin or erithromycin in pregnancy)

Question 9

What are the first line Abx treatments for moderate severity CAP?

Answer 9

Amoxicillin 500mg TDS
(AND Clarithromycin or Erithromycin if atypicals)

Question 10

What are the first line Abx treatments for high severity CAP?

Answer 10

Co-amoxiclav 200/125mg TDS
(AND Clarithromycin or Erithromycin if atypicals)

Question 11

What is the first line Abx treatment of lower UTI in non-pregnant women?

Answer 11

Nitrofurantoin (if eGFR >45) 50mg QD
OR
Trimethoprim 200mg BD

Question 12

What is the first line Abx treatment for lower UTI in pregnant women?

Answer 12

Nitrofurantoin (if eGFR >45) 50mg QD

Question 13

What is the first line Abx treatment for lower UTI in men?

Answer 13

Nitrofurantoin (if eGFR >45) 50mg QD
OR
Trimethoprim 200mg BD

Question 14

What is the first line Abx treatment for acute pyleonephritis in pregnant women and men?

Answer 14

Co-amoxiclav 500/125mg TD
OR
Ciprofloxacin 500mg BD

Question 15

What is the first line Abx treatment for recurrent UTI?

Answer 15

Trimethoprim 200mg BD (avoid in pregnancy)
OR
Nitrofurantoin (if eGFR >45) 50mg QD

Question 16

What is the first line Abx treatment for catheter-associated UTI in pregnancy or those with upper UTI symptoms?

Answer 16

Cefalexin 500mg TDS

Question 17

What is the first line Abx treatment for catheter-associated UTI with no upper UTI symptoms?

Answer 17

Nitrofurantoin (if eGFR >45) 50mg QD
OR
Trimethoprim 200mg BD

Question 18

What is the first line Abx treatment for suspected meningicoccal disease?

Answer 18

Pen G

Question 19

What is the first line treatment for oral candidiasis

Answer 19

Miconazole

Question 20

What is the first line treatment for threadworm?

Answer 20

Mebendazole (whole family) 100mg stat

Question 21

What is the first line Abx treatment for C.diff infection?

Answer 21

Vancomycin 125mg QDS

Question 22

What is the first line treatment for Helicobacter pylori infection?

Answer 22

PPI
+
Amoxicillin 1g BD
+
Clarithromycin 500mg BD
OR
Metronidazole 400mg BD

Question 23

What is the first line Abx for acute diverticulitis?

Answer 23

Co-amoxiclav 500/125mg TDS

Question 24

What is the first line Abx treatment for chlamydia?

Answer 24

Azithromycin 1g follwed by 500mg OD

Question 25

What is the first line treatment for vaginal candidiasis?

Answer 25

Clotrimazole 500mg pessary OR Fluconazole 150mg OD

Question 26

What is the first line Abx treatment for genital herpes?

Answer 26

Aciclovir 400mg TDS

Question 27

What is the first line treatment for bacterial vaginosis

Answer 27

Metronidazole 400mg BD

Question 28

What is the first line Abx treatment for bacterial infection in eczema

Answer 28

Fusidic acid 2% TDS OR Flucloxacillin 500mg QDS

Question 29

What are the first line treatment options for impetigo?

Answer 29

Hydrogen peroxide 1% OR Fusidic acid 2% TDS OR Flucloxacillin 500mg QDS

Question 30

What is the first line Abx treatment for infected leg ulcers?

Answer 30

Flucloxacillin 1g QDS (Doxycycline/Clarithromycin/Erithromycin in pen allergy)

Question 31

What is the first line Abx treatment for cellulitis?

Answer 31

Flucloxacillin 1g QDS (Clarithromycin/Erithromycin in pen allergy)

Question 32

What is the first line Abx treatment for diabetic foot infection?

Answer 32

Flucloxacillin 1g QDS (Clarithromycin/Erithromycin in pen allergy)

Question 33

What is the first line Abx treatment for Lyme disease?

Answer 33

Doxycycline 100mg BD

Question 34

What is the first line Abx treatment for acne vulgaris?

Answer 34

Isotretinoin and topical clindamycin

Question 35

What is the first line treatment for scabies?

Answer 35

Permethrin

Question 36

What is the first line Abx treatment for human and animal bites?

Answer 36

Co-amoxiclav 500/125mg TDS

Question 37

What is the first line treatment for varicellar zoster (chickenpox and shingles)

Answer 37

Aciclovir 800mg 5 times daily

Question 38

What is the first line Abx treatment for conjunctivitis?

Answer 38

Chloramphenicol eye drops or ointment

Question 39

What is the first line Abx treatment for blepharitis?

Answer 39

Chloramphenicol