ME 735 CS 24-25

Front

68-year-old woman with COPD, cough, dyspnea, fever. Temp 38.2°C, RR 24/min, O2 sat 94%. Diagnosed with acute COPD exacerbation. Appropriate antibiotic?

Back

Doxycycline 200mg day 1, then 100mg OD for 5 days.

Front

45-year-old man with productive cough, fever, chest pain, and right lower lobe consolidation. CRB65 score: 1.

Back

Amoxicillin 500mg TDS for 5 days

Front

22-year-old woman with 7-day nasal congestion, facial pain, and purulent discharge. No fever. Initial management?

Back

Advise paracetamol for pain; review if symptoms persist beyond 10 days.

Front

35-year-old pregnant woman (20 weeks) with 14 days of acute sinusitis symptoms. No systemic illness.

Back

Erythromycin 250-500mg QDS for 5 days

Front

58-year-old man with COPD, increased sputum, shortness of breath, 3 exacerbations needing antibiotics. Best antibiotic?

Back

Co-amoxiclav 500/125mg TDS for 5 days

Front

72-year-old woman with bronchiectasis and penicillin allergy has an acute exacerbation. Empirical antibiotic treatment?

Back

Levofloxacin 500mg OD for 7-14 days

Front

40-year-old woman with 12-day nasal congestion, facial pain, and purulent discharge. OTC decongestants ineffective. Management?

Back

High-dose nasal corticosteroid and back-up antibiotic prescription.

Front

65-year-old man with fever, cough, confusion, CRB65 score 3, atypical pathogen suspected.

Back

Co-amoxiclav 1.2g TDS IV + clarithromycin 500mg BD IV

Front

28-year-old woman with sore throat, fever, difficulty swallowing, enlarged tonsils with exudates, FeverPAIN score 4.

Back

Phenoxymethylpenicillin 500mg QDS for 5 days.

Front

70-year-old man with COPD, diabetes, increased sputum, shortness of breath, fever, and Pseudomonas aeruginosa culture.

Back

Piperacillin-tazobactam plus gentamicin