Infections

Question 1

UTI first line treatment

Answer 1

Nitrofurantoin or trimethoprim

Question 2

UTI course length

Answer 2

3 days
7 days (men, pregnancy, catheter)

Question 3

UTI treatment in pregnancy

Answer 3

1st line: Nitrofurantoin (avoid at term)

2nd line: Amoxicillin or Cefalexin

Question 4

UTI second line treatment

Answer 4

Fosfomycin
Pivmecillinam
Amoxicillin (only if culture susceptible)

Question 5

Meningitis

Answer 5

1st line: Benzylpenicillin

2nd line: Cefotaxime

3rd line: Chloramphenicol

Question 6

TB initial phase

Answer 6

Rifampicin
Isoniazid ( + pyridoxine)
Pyrazinamide
Ethambutol

2 MONTHS

Question 7

TB continuation phase

Answer 7

Rifampacin + Isoniazid ( + pyridoxine)

Question 8

MRSA

Answer 8

Vancomycin
Teicoplanin
Tetracyclines
Linezolid

Question 9

Cellulitis first line treatment

Answer 9

Flucloxacillin

Question 10

Cellulitis second line treatment

Answer 10

Clarithromycin
Erythromycin
Doxycycline

Question 11

CAP (mild)

Answer 11

1st line: Amoxicillin

2nd line: Doxycycline, Clarithromycin or Erythromycin

5 DAYS

Question 12

CAP (moderate)

Answer 12

1st line: Amoxicillin + Clarith/Erythromycin

2nd line: Doxycycline or Clarithromycin

5 DAYS

Question 13

CAP (high)

Answer 13

1st line: Co-amoxiclav + Clarith/Erythromycin

2nd line: Levofloxacin

Oral or IV

5 DAYS

Question 14

Impetigo

Answer 14

• Hydrogen peroxide 1% if localised non-bullous
• Wide spread non-bullous consider:

TOPICAL
1st line: Fusidic acid 2% (5-7 days)
2nd line: Mupirocin

ORAL
1st line: Flucloxacillin (5 days)
2nd line: Clarith/Erythromycin

Question 15

Animal bites

Cat attack / doggy monster

Answer 15

1st line: Co-amoxiclav

2nd line: Doxycycline + Metronidazole

Question 16

C. Diff treatment

Answer 16

1st line: Metronidazole (10-14 days)

2nd line: Vancomycin (oral) OR Fidaxomicin

Question 17

Bacterial Vaginosis

Answer 17

1st line: ORAL Metronidazole (5-7 days or single HIGH dose)

2nd line: TOPICAL Metronidazole (5 days) OR TOPICAL Clindamycin ( 7 days )

Question 18

Osteomyelitis

Answer 18

1st line: Flucloxacillin (6wks for acute infection)

2nd line: Clindamycin

MRSA suspected = Vancomycin or Teicoplanin

Question 19

Chlamydia

Answer 19

1st line: Azithromycin (single dose) OR Doxycycline (7 days)

2nd line: Erythromycin (14 days)

Question 20

Mastitis

Answer 20

1st line: Flucloxacillin

2nd line: Erythromycin

10-14 DAYS

Question 21

Sore Throat

Answer 21

Viral = self-limiting

Bacterial =

1st line: Phenoxymethylpenicillin (5-10 days)

2nd line: Clarith/Erythromycin (5 days)

Question 22

Sinusitis

Answer 22

1st line: Phenoxymethylpenicillin

2nd line: Co-amoxiclav

If systemically unwell: Co-amoxiclav (1st line)

Doxycycline, Clarith/Erythromycin

Question 23

Otitis Media

Answer 23

1st line: Amoxicillin

2nd line: Co-amoxiclav

Pen allergy: Clarith/Erythromycin

Question 24

Otitis Externa

Answer 24

1st line: Flucloxacillin

2nd line: Clarith/Eryth/Azithromycin

Pseudomonas suspected: Ciprofloxacin

Question 25

⚠️ Flucloxacillin

Answer 25

- Cholestatic jaundice | - Hepatitis

Question 26

⚠️ Co-amoxiclav

Answer 26

Cholestatic jaundice

Question 27

⚠️ Linezolid

Answer 27

- Blood disorders | - Optic neuropathy (visual disturbances)

Question 28

⚠️ Co-trimoxazole

Answer 28

- Blood disorders | - Stevens-johnson syndroms

Question 29

⚠️ Quinolones

Answer 29

- Tendon damage - Arthropathy (joint problems) in children - Convulsions (esp with NSAIDS)

Question 30

⚠️ Amphoteracin B

Answer 30

Anaphylaxis (IV)

Question 31

⚠️ Itraconazole

Answer 31

Heart failure

Question 32

⚠️ Ketoconazole

Answer 32

Fatal hepatoxicity

Question 33

What antibiotics cause blood disorders?

Answer 33

- Linezolid - Co-trimoxazole - Trimethoprim - Gentamycin - Vancomycin

Question 34

Which tetracycline is LEAST likely to cause photosensitivity?

Answer 34

Minocycline

Question 35

Antibiotics that colour bodily fluids?

Answer 35

Rifampacin = red/orange Nitrofurantoin = brown

Question 36

Antibiotics WITH food?

Answer 36

- Nitrofurantoin - Metronidazole - Pivmecillinam

Question 37

Antibiotics in pregnancy?

Answer 37

- Penicillins - Erythromycin - Clindamycin - Cephalosporins - Nitrofurantoin (but avoid at term)

Question 38

Antibiotics causing C.Diff?

Answer 38

- Clindamycin (mostly) - Cephalosporins (2nd & 3rd gen) - Co-amoxiclav - Ampicillin - Amoxicillin - Quinolones