Questions and Answers
What is the first line of treatment for a patient with Cellulitis?
Flucloxacillin
What is the antibiotic of choice for a pregnant lady with Sepsis?
Co amoxiclav, Gentamicin, Tazocin
What is the first line of treatment for a patient with Epiglotitis or Supraglottitis?
Ceftriaxone
What is the antibiotic of choice for a patient with Community Acquired Pneumonia in the hospital?
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What is the antibiotic of choice for a patient with C difficile infection in the hospital?
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What is the antibiotic of choice for a patient with Meningitis in the hospital?
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What is the appropriate treatment for a patient with a CURB score of 3-4?
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What is the antibiotic of choice for a patient with Oral Candidiasis?
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What is the first line of treatment for a patient with a UTI in the community?
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What is the antibiotic of choice for a patient with Prostatitis in the community?
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What is the antibiotic of choice for a patient with Tonsillitis / Pharyngitis in the community?
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What is the antibiotic of choice for a patient with COPD in the community?
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What is the next step in the management of a patient with Meningitis and a transfer time of more than 1 hour?
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What is the threshold for considering hospital referral in a patient with Pneumonia?
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What is the antibiotic of choice for a patient with Hospital Acquired Pneumonia who is allergic to Amoxicillin?
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What is the treatment of choice for a patient with Endocarditis who has a prosthetic valve?
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What is the next step in the management of a patient with a UTI in the community who is pregnant?
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What is the antibiotic of choice for a patient with Cellulitis in the hospital?
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What is the treatment of choice for a patient with PID?
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What is the antibiotic of choice for a patient with Oral Candidiasis in the hospital?
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What is the treatment of choice for a patient with Epiglotitis or Supraglottitis in the hospital?
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What is the threshold for urgent hospital admission in a patient with Pneumonia?
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In a patient with a CURB score of 0, what is the appropriate treatment?
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What is the antibiotic of choice for a patient with Chlamydia in the community?
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In a patient with a non-blanching rash and signs of meningism, what is the next step in management?
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What is the antibiotic of choice for a patient with Orbital Cellulitis in the hospital?
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In a patient with a UTI in the community, what is the antibiotic of choice for pregnant women?
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What is the antibiotic of choice for a patient with Acute Exacerbation of COPD in the hospital?
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In a patient with Pneumonia, what is the threshold for considering hospital referral?
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What is the antibiotic of choice for a patient with Sinusitis in the community?
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In a patient with Conjunctivitis, what is the likely cause?
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What is the antibiotic of choice for a patient with Prostatitis in the hospital?
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What is the antibiotic of choice for a patient with a dental abscess in the community?
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What is the treatment of choice for a patient with Otitis Media in the community?
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What is the antibiotic of choice for a patient with Sinusitis in the community who is allergic to Penicillin?
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What is the treatment of choice for a patient with a CURB score of 0?
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What is the antibiotic of choice for a patient with a UTI in the community who is not pregnant?
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What is the treatment of choice for a patient with a dental abscess in the hospital?
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What is the antibiotic of choice for a patient with PID in the hospital?
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What is the treatment of choice for a patient with Cellulitis in the hospital?
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What is the antibiotic of choice for a patient with C difficile infection in the community?
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What is the antibiotic of choice for a patient with Meningitis in the community who is allergic to Benzylpenicillin?
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Which antibiotic is recommended for a patient with a CURB score of 0-2?
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What is the antibiotic of choice for a patient with community-acquired pneumonia who is over 60 years old?
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Which antibiotic is recommended for a patient with acute exacerbation of COPD in the hospital?
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What is the antibiotic of choice for a patient with orbital cellulitis in the hospital?
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Which antibiotic is recommended for a patient with hospital-acquired pneumonia who is not allergic to Amoxicillin?
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What is the antibiotic of choice for a patient with endocarditis who does not have a prosthetic valve?
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Which antibiotic is recommended for a patient with a UTI in the hospital who is male?
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What is the antibiotic of choice for a patient with sepsis in pregnancy?
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Which antibiotic is recommended for a patient with PID in the hospital?
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What is the antibiotic of choice for a patient with candidiasis in the hospital?
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Study Notes
Primary Care Antibiotics
- Meningitis: Urgent hospital transfer, antibiotics given if Benzylpenicillin (Cefotaxime if allergic), transfer time >1hr, non-blanching rash + signs of meningism
- Orbital Cellulitis: Medical emergency, immediate transfer to hospital
- Conjunctivitis: Usually viral and self-limiting
- Dental issues (abscess): #1 Penicillin / Metronidazole
- Tonsillitis / Pharyngitis: Usually viral and self-limiting, Penicillin (Clarithromycin if allergic)
- Sinusitis: Usually self-limiting, Penicillin (Doxycycline) 2nd line but not given in kids
- Oral Candidiasis: Miconazole gel / Nystatin
- Otitis Media: Usually viral and self-limiting, Amoxicillin, Clarithromycin 2nd line
- COPD: #1 Amoxicillin #2 Doxycycline
- Pneumonia: Assess CURB score (Confusion, RR, BP, 65 yrs), Curb score: 0: Treat at home Amoxicillin / Doxycycline, 1-2: Consider hospital referral, 3-4: Urgent hospital admission with Amoxicillin / Benzylpenicillin before transfer
- C difficile: #1 Oral Vancomycin #2 Metronidazole
- UTI: #1 Nitrofurantoin #2 Trimethoprim (not in 1st and 2nd trimester of pregnancy)
- Prostatitis: Ciprofloxacin / Doxycycline
- Chlamydia: Doxycycline / Azithromycin 2nd line
- PID / Bac Vag: Metronidazole
- Candidiasis: Fluconazole / Clotrimazole
- Cellulitis: #1 Flucloxacillin #2 Doxycycline
Hospital Antibiotics
- Meningitis: Ceftriaxone Dexamethasone Aciclovir (encephalitis) Amoxicillin (if >60 years / if immunocompromised)
- Epiglotitis / Supraglottitis: Ceftriaxone
- Community Acquired Pneumonia: Amoxicillin
- Severe: Co amoxiclav + Doxycycline
- ICU: Co amoxiclav + Clarithromycin (later step down to Doxycycline)
- Hospital Acquired Pneumonia: Amoxicillin (Doxycycline if allergic) Amoxicillin + Gentamicin (step down to Co trimoxazole)
- Acute exacerbation of COPD: Amoxicillin Doxycycline
- Endocarditis: Amoxicillin + Gentamicin (subacute) Flucloxacillin (acute) Vancomycin + Gentamicin (if prosthetic valve)
- C difficile: Vancomycin
- Complicated UTI: Males: Amoxicillin + Gentamicin (Step down Cotrimoxazole) Females: Nitrofurantoin / Trimethoprim
- Cellulitis: Flucloxacillin Doxycycline
- PID: Co amoxiclav, doxycycline, metronidazole
- Sepsis in pregnant lady: Co amoxiclav, clindamycin, gentamycin, Tazocin
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