I&D

Question 1

COPD Exacerbations

Answer 1

Amoxicillin/Tetracycline/Clarithromycin

Question 2

CAP

Answer 2

Amoxicillin (Doxycycline or Clarithromycin if pen allergic)

Question 3

CAP (if Staph suspected)

Answer 3

Add Flucloxacillin

Question 4

Atypical CAP

Answer 4

Clarithromycin

Question 5

HAP (within 5 days of admission)

Answer 5

Co-Amoxiclav and Cefuroxime

Question 6

HAP (not within 5 days of admission)

Answer 6

Piperacillin/Tazobactam, Ceftazidime or Ciprofloxacin

Question 7

LUTI

Answer 7

Trimethoprim/Nitrofurantoin/Amoxicillin/Cephalosporin

Question 8

Acute Pyelonephritis

Answer 8

Broad Spectrum Cephalosporin/Quinolone

Question 9

Acute Prostatitis

Answer 9

Quinolone/Trimethoprim

Question 10

Impetigo

Answer 10

Topical Fusidic Acid, PO Flucloxacillin or Erythromycin if widespread

Question 11

Cellulitis

Answer 11

Flucloxacillin (Clarithromycin or Clindamycin if pen allergic)

Question 12

Erysipelas

Answer 12

Phenoxymethylpenicillin (Erythromycin if pen allergic)

Question 13

Animal/Human Bite

Answer 13

Co-Amoxiclav (Doxycycline + Metronidazole if pen allergic)

Question 14

Mastitis

Answer 14

Flucloxacillin

Question 15

Throat Infections

Answer 15

Phenoxymethylpenicillin (Erythromycin if pen allergic)

Question 16

Sinusitis

Answer 16

Amoxicillin/Doxycycline/Erythromycin

Question 17

Otitis Media

Answer 17

Amoxicillin (Erythromycin if pen allergic)

Question 18

Otitis Externa

Answer 18

Flucloxacillin (Erythromycin if pen allergic)

Question 19

Periapical/Periodontal Abscess

Answer 19

Amoxicillin

Question 20

Gingivitis

Answer 20

Metronidazole

Question 21

Gonorrhoea

Answer 21

IM Ceftriaxone + PO Azithromycin

Question 22

Chlamydia

Answer 22

Doxycycline or Azithromycin

Question 23

Pelvic Inflammatory Disease

Answer 23

PO Ofloxacin + PO Metronidazole or IM Ceftriaxone + PO Doxycycline + PO Metronidazole

Question 24

Syphilis

Answer 24

Benzathine Benzylpenicillin or Doxycycline or Erythromycin

Question 25

Bacterial Vaginosis

Answer 25

PO/Topical Metronidazole | Topical Clindamycin

Question 26

Trichomonas Vaginalis

Answer 26

PO Metronidazole 5-7 days

Question 27

Clostridium difficile

Answer 27

1st - Metronidazole | 2nd - Vancomycin

Question 28

Campylobacter

Answer 28

Clarithromycin

Question 29

Salmonella/Shigella

Answer 29

Ciprofloxacin

Question 30

Bacterial Conjunctivitis

Answer 30

Topical Chloramphenicol

Question 31

Meningitis (community acquired)

Answer 31

Benzylpenicillin IM + Hospital Admission

Question 32

Meningitis (hospital acquired)

Answer 32

Ceftriaxone IV

Question 33

Meningitis (if encephalitis possible)

Answer 33

Add Aciclovir

Question 34

Meningitis (if pneumococcus likely)

Answer 34

Add Dexamethasone

Question 35

Meningitis (if listeria possible)

Answer 35

Add Ampicillin/Amoxicillin

Question 36

Meningitis (if pen allergic)

Answer 36

IV Chloramphenicol

Question 37

Neutropaenic Sepsis (1st line)

Answer 37

Piperacillin/Tazobactam + Gentamicin

Question 38

Neutropaenic Sepsis (If no response in 48 hours)

Answer 38

- Escalate to Meropenem - Add Teicoplanin (for Staph cover) - Add anti-fungal (if immunocompromise)

Question 39

Endocarditis (1st line)

Answer 39

Amoxicillin + Gentamicin

Question 40

Endocarditis (viridians group strep)

Answer 40

Benzylpenicillin + Gentamicin

Question 41

Endocarditis (IVDUs)

Answer 41

Flucloxacillin

Question 42

Endocarditis (prosthetic valve)

Answer 42

Teicoplanin + Gentamicin + Rifampicin

Question 43

Endocarditis (pen allergic)

Answer 43

Teicoplanin + Gentamicin

Question 44

Traveller's Diarrhoea (Africa/Middle East)

Answer 44

Ciprofloxacin

Question 45

Traveller's Diarrhoea (Asia)

Answer 45

Azithromycin

Question 46

Traveller's Diarrhoea (Giardia)

Answer 46

Metronidazole

Question 47

Peritonitis

Answer 47

1st Line - Cefuroxime + Metronidazole | Pen allergic - Ciprofloxacin + Metronidazole

Question 48

Cholecystitis

Answer 48

1st Line - Co-Amoxiclav Pen allergic - Ciprofloxacin + Metronidazole If severe - Cefuroxime + Metronidazole

Question 49

Diverticulitis

Answer 49

1st Line - Co-Amoxiclav Pen allergic - Ciprofloxacin + Metronidazole If severe - Cefuroxime + Metronidazole

Question 50

Necrotising Fasciitis

Answer 50

Benzylpenicillin + Ciprofloxacin + Clindamycin

Question 51

Septic Arthritis

Answer 51

1st Line - Flucloxacillin + Sodium Fusidate | Pen allergic - Clindamycin

Question 52

Osteomyelitis

Answer 52

1st Line - Flucloxacillin + Sodium Fusidate | Pen allergic - Clindamycin