abx

Question 1

sinusitis

Answer 1

Amoxicillin/Clavulanate 875/125mg BID X 7 days.
Doxycycline 100mg BID X 7 days

Increase Augmentin to 14 days
Levofloxacin 750mg daily for 14 days

Question 2

Otitis Media

Answer 2

Amoxicillin 875 mg PO BID X 7-10 days for adults

Cefdinir 14mg/kg PO daily for 7-10 days
Augmentin 875/125mg PO BID for 7-10 days for adults

Question 3

Otitis Media and PCN allergy

Answer 3

Clindamycin 10mg/kg PO TID for 7-10 days for kids

Azithromycin 10mg/kg PO X 1 day then 5 mg/kg X 4 days daily

Question 4

Strep Throat Adult

Answer 4

Benzathine penicillin G 1.2 million units IM X 1
Penicillin VK 500mg PO BID X 10 days
Amoxicillin 500mg PO BID X 10 days or 1000mg daily

Question 5

Bacterial Conjunctivitis

Answer 5

PolytrimB/Trimethoprim 1 gtt every 3 hours while awake for 7-10 days
Erythromycin 0.5 % ointment – ½ inch 4-6 times a day for 5-7 days

Question 6

Otitis Externa

Answer 6

Polymyxin B/neomycin/hydrocortisone 4 drops 4 X a day

Question 7

Dental Abscess

Answer 7

Penicillin VK 500mg PO QID X 7 days

Augmentin 875/125 mg PO BID X 7 days

Question 8

Pertussis

Answer 8

Azithromycin 500mg 2 tabs X 1 day, then 1 tab daily for 4 days
Bactrim DS 1 po BID X 14 Days
Children same drugs dosing is age dependent

Question 9

Clostridium Difficile

Answer 9

Vancomycin 125mg PO QID X 10 days

Metronidazole 500mg PO TID X 10 days

Question 10

Diverticulitis

Answer 10

Mild – Outpatient
Requires 2 drug therapy
Augmentin 875/125mg PO BID X 7 days (choice if unable to tolerate Metronidazole.
Ciprofloxacin 500mg PO BID X 7 days
With Metronidazole 500 mg PO TID X 7 days
Levofloxacin 750mg PO daily X 7 days
With Metronidazole 500mg PO TID X 7 days

Question 11

Infectious Diarrhea

Answer 11

Azithromycin 500 mg PO daily
Levofloxacin 500mg PO daily
Ciprofloxacin 500mg PO BID

Question 12

Bacterial Vaginosis

Answer 12

Metronidazole 500 mg PO BID X 7 days
Metronidazole vaginal gel 2 % 1 applicator at HS X 5 days
Clindamycin vaginal cream 2 % 1 applicator at HS X 7 days
Clindamycin 300 mg PO BID X 7 days

Question 13

HSV 2 First Episode

Answer 13

Treatment 7-10 days
Acyclovir 400 mg PO TID
Valacyclovir 1 gm PO BID

Question 14

HSV 2 Recurrent

Answer 14

Acyclovir 400 mg TID X 5 days
Acyclovir 800 mg TID X 2 days
Valacyclovir 500mg. BID X 3 days
Valacyclovir 1 gm daily for 5 days

Question 15

HSV 2 Suppressive

Answer 15

Acyclovir 400mg BID
Famciclovir 250 mg BID
Valacyclovir 1 gram daily

Question 16

HSV 1

Answer 16

Valcyclovir 2000mg q 12 X 1 day

Supression – 500mg qd

Question 17

PID

Answer 17

Mild outpatient
Doxycycline 100 mg BID X 14 days AND Ceftriaxone 250mg IM X 1
Consider adding metronidazole 500 mg PO BID X 14 days

Question 18

Prostatitis

Answer 18

STD not suspected
	Ciprofloxacin 500 mg PO BID X 14-28 days
	Levofloxacin 500mg daily X 14-28 days
	Bactrim DS 1 tablet BID X 14-28 days
STD suspected
	Doxycycline 100mg BID X 14 days and Cefitriaxone 250mg IM X 1
	Ciprofloxacin 500mg BID X 14 days
Severe - Inpatient

Question 19

Pyelonephritis

Answer 19

Outpatient
Cephalexin 500 mg BID 10-14 days
Bactrim DS 1 tablet BID 14 days

Question 20

Trichomoniasis

Answer 20

Metronidazole 2 mg PO X 1 or 500mg PO BID X 7 days

Tindazole 2 gm PO one

Question 21

GC-Chlamydia

Answer 21

Ceftriaxone 250mg IM X 1 AND

Zithromax 1 gram X 1

Question 22

UTI

Answer 22

Uncomplicated (healthy non pregnant female)
Cephalexin 500mg PO BID X 5-7 days
Nitrofurantion 100 mg PO BID X 5 days (antiseptic)
Bactrim 1 BID X 3-5 days (consider alternative if local resistance to e coli)

Question 23

UTI – Pregnant Asymptomatic

Answer 23

Cephalexin 500mg PO BID X 5-7 days

Nitrofurantoin 100 mg PO BID X 5-7 days

Question 24

Acute Exacerbation of Chronic Bronchitis

Answer 24

Azithromycin 500mg daily for 5 days
Z pack
Doxycycline 100 mg PO BID 3-10 days
Levofloxacin 750 mg Po daily for 5 days

Question 25

Influenza

Answer 25

Tamiflu 75mg BID X 5 days | Prevention Tamiflu 75mg daily for 7 days

Question 26

Pneumonia

Answer 26

Community Acquired and healthy Z pack Doxycycline 100 mg BID X 5-7 days Community Acquired with comorbidities or antibiotics in 3 months Augmentin 2 gm PO BID plus Zithromax or Doxy Levofloxacin 750 mg daily for 5 days

Question 27

Animal Bites

Answer 27

``` Treatment is 5-7 days Augmentin 875-125mg BID Doxycycline 100 mg BID Clindamycin 450mg TID with Cipro 500mg BID or Bactrim 1 BID If PCN allergy and pregnancy Zpack ```

Question 28

Human Bites

Answer 28

Treatment 7-10 days Augmentin 875-125 mg BID Doxycycline 100 mg BID Ceftriaxone 1 gm IM X 1 and metronidazole 500mg IV BID

Question 29

Cellulitis

Answer 29

Mild Outpatient Cephalexin 500mg QID X 7-10 days Clindamycin 450 mg TID 7-10 days Augmentin 875/125mg BID 7-10 days

Question 30

Diabetic Ulcers

Answer 30

``` Mild Outpatient – 14 days Cephalexin 500 mg QID If MRSA suspected add Doxycycline 100 mg BID or Bactrim 1 tab BID PCN allergy Clindamycin 450mg TID ```

Question 31

Impetigo

Answer 31

``` Mupirocin 2 % ointment TID X 5 days Cephalexin 250 mg QID X 5 days If MRSA suspected Bactrim BID X 5 days Doxycycline 100mg BID X 5 days Clindamycin 450 mg QID X 5 days ```

Question 32

Mastitis

Answer 32

Cephalexin 500mg QID X 10-14 days Augmentin 875/125 mg BID X 10-14 days PCN Allergy Clindamycin 450 mg TID X 10-14 days. ? Safety in lactation

Question 33

Zoster (Shingles)

Answer 33

Acyclovir 800 mg 5 times a day for 7-10 days Valacyclovir 1. gm PO TID X 7 days Famciclovir 500 mg TID X 7 days

Question 34

Lyme Disease

Answer 34

Prophylaxis – all of the following criteria must be met: Correct Tick Correct Time > 36 hours attached and/or engorged Less 72 hours since removal Correct location Doxycycline – 200 mg PO. X 1

Question 35

Lyme. Erythema Migrans

Answer 35

Doxycycline 100 mg BID 10-21 days Amoxicillin 500mg TID 14-21 days Cefuroxime 500 mg BID 14-21 days

Question 36

Antibiotic Pearls

Answer 36

Quinolones – Black Box for tendon rupture. Never under 18 years of age. Tetracycline – Never under 8 – discolors teeth Doxycycline – Avoid sun or use sunscreen Take with food probiotic No PCN liquid – tastes terrible – use amoxicillin

Question 37

Antibiotic Pearls

Answer 37

Sulfa allergy – No Silvadene Children conjunctivitis and otitis media – only oral antibiotics Mastitis – major red flag if not lactating Eye drops for ears - $$ saving Metrodiazole – NO ETOH

Question 38

Antibiotic Pearls

Answer 38

Ear wicking for Otitis Externa Women may require difluican Always treat ANY cat bite Renal Dosing

Question 39

COPD

Answer 39

Augmentin | Macrobid

Question 40

COPD

Answer 40

Augmentin | Macrobid

Question 41

COPD

Answer 41

Augmentin | Macrobid