Prescriptions

Question 1

Management of an abscess

Answer 1

Incise/drain via XLa, tooth or ST’s

Question 2

First line abx for bacterial infections

Answer 2

Phenoxymethylpenicillin tablets
250mg 2 tablets 4x daily for 5 days
Send: 40 tablets

Question 3

Second line abx for bacterial infections

Answer 3

500mg Amoxicillin 1 tablet 3x daily for 5 days
Send: 15 tablets

Question 4

Bacterial infection (abscess) abx for allergy to penicillin

Answer 4

400mg Metronidazole 1 tablet 3x daily for 5 days
Send: 15 tablets

Question 5

Contraindications for azole’s

Answer 5

Warfarin, statins, (alcohol - Metro)

Question 6

First line abx for ANUG

Answer 6

400mg Metronidazole 1 tablet 3x daily for 3 days
Send: 9 tablets

Question 7

Second line abx for ANUG

Answer 7

Amoxicillin 500mg 1 capsule 3x daily for 3 days

Question 8

Local measures for candidosis/denture stomatitis

Answer 8

Rinse after corticosteroid inhaler
Denture hygiene - remove at night

Question 9

What effect does Fluconazole have on Warfarin?

Answer 9

Increases anti-coagulant effect of warfarin
Inc risk of bleeding

Question 10

What effect does Fluconazole have on Statins?

Answer 10

Rhabdomyolysis (breakdown of skeletal muscle tissue)
Hepato-toxicity

Question 11

Prescription for Candidosis

Answer 11

Fluconazole
Miconazole
Nystatin Oral Suspension

Question 12

Causes of angular cheilitis

Answer 12

1. In denture pts = fungal infection
2. Non denture pt = more likely bacterial

Question 13

Prescription for angular cheiliits

Answer 13

Miconazole cream 2%
Sodium Fusidate ointment 2%

Question 14

Sodium Fusidate ointment indications

Answer 14

Only if bacterial cause

Question 15

HSV/Primary herpetic gingivostomatitis prescription

Answer 15

0.2% CHX MW - send 300ml 10ml rinse for 1 min 2x daily
If pt in severe pain
Aciclovir 200mg 1 tablets 5x daily for 5 days

Question 16

Herpes labialis prescription

Answer 16

5% Aciclovir cream send 2g apply to lesion every 4hrs 5x daily for 5 days

Question 17

Varicella zoster (shingles) prescription

Answer 17

Aciclovir 800mg 1 tablet 5x daily for 7 days

Question 18

F toothpaste prescription

Answer 18

Sodium F toothpaste (2800ppmF)
2x daily

Sodium F toothpaste(5000ppmF)
3x daily

Question 19

Ulceration 1st line prescription

Answer 19

CHX 0.2% 300ml 2x daily for 1 min
Benzydamine H spray 0.15% antiitflammatory + analgesic 30ml 4 sprays onto area every 1.5hrs

Question 20

Ulceration 2nd line prescription

Answer 20

Betamethasone MW (500microg dissolved in water 10ml 4x daily
Beclomethasone inhaler (200 dose inhaler, 1-2 puffs onto ulcer)

Question 21

Lichen planus topical OTC prescription

Answer 21

CHX MW
Benzydamine MW 0.15%
Avoid SLS

Question 22

Lichen planus persisting symptoms primary care

Answer 22

Betamethasone MW 500microg dissolve din water 10ml 4x daily

Beclomethasone inhaler 200 dose inhaler 1-2puffs

Question 23

Hospital setting for Lichen planus

Answer 23

Skin steroid cream - CLOBETASOL (gingival veneer)
Topical tacrolimus
Hydroxylchloroquine
Systemic immunovmodulators Azathioprine

Question 24

Pemphigus/pemphigoid prescription

Answer 24

Predniosolone
Azathioprine

Question 25

Infective endocarditis prescription

Answer 25

3g oral powder Amoxicillin sachet 60m before procedure IF ALLERGIC Clindamycin 300mg 2 capsules 60m before procedure