ABx

Question 1

3 strains of bacteria causing menigitis

Answer 1

Pneumococcus
H flu
meningococcus

Question 2

Intra-abdominal cluster bacteria

Answer 2

Gram negative aerobic bacilli
Anaerobes
Enterococus

Question 3

what are the bacteriostatic drugs?

Answer 3

Macrolides
tetracyclines
Nitrofurantoin can be both static and cidal
Clindamycin 
Linezolid

Question 4

Amoxicillin with Clavulanate covers

Answer 4

Broad spectrum
gram positive aerobic cocci
gram negative aerobic cocci and bacilli
Most anaerobes

Question 5

Piperacillin - covers especially which bacteria

Answer 5

Broad spectrum - broad gram negative coverage

AND PSEUDOMONAS

Question 6

Cloxacillin covers importantly

Answer 6

Staph Aureus - mostly gram positive!

Question 7

Cephalosporins dont cover which bug?

Answer 7

Enterococcus

Question 8

First generation Ceph

Answer 8

CeFAzolin

CeFAlexin

Question 9

Second generation Cephs

Answer 9

CefurOXime

CefOXitin

Question 10

Third gen Cephs

Answer 10

CefTRIAxone
CefTAZidime
CefIXime

Question 11

Fourth gen Ceph

Answer 11

Cefepime

Question 12

Ciprofloxacin for which bacteria?

Answer 12

Gram negative aerobic bacilli - particularly Pseudomonas

some gram positive

Question 13

Resp fluoroquinolones - what do they cover?

• Levofloxacin
• Moxifloxacin
• Ofloxacin

Answer 13

Gram neg aerobic bacilli (less Pseudomonas coverage)
Pneumonia causing bacteria
Aerobic gram positive cocci 
NOT Enterococcus
Mox - covers most anaerobes

Question 14

What are the pneumonia causing bacteria

Answer 14

S. pneumo
H flu
Mycoplasma
C. Pneumoniae
Legionella

Question 15

Macrolides normally covers

E, A, C!

Answer 15

EAC - Gram positive cocci - NOT enterococus
AC - Bacteria which cause pneumonia
C- some gram negatives - travelers diarrhea, and gonorrhea

Question 16

Tetracyclines - dox

Answer 16

Bacteria which cause pneumonia
Chlamydia
Atypical stuff!!
broad spectrum - YES MRSA -esp. Tigecycline

Question 17

MRSA will need what Abx ?

Answer 17

• Tigecycline - tetracycline
• Septra?
• Clindamycin
• Vancomycin, Linezolid

Question 18

Bacteria causing pneumonia - which Abx should be used?

Answer 18

1. Macrolide
2. Resp FQs
3. Tetracycline

Question 19

Aminoglycosides used when?

Answer 19

Aerobic gram negative bacilli

Question 20

Carbapenems -

Answer 20

Fairly broad!!

not good for MRSA and enterococus

Question 21

Trimethoprim - Sulfamethoxazole/Septra/Bactrim

Answer 21

Broad -
esp imp for UTIs
Pneumocystis Jirovecci as well
MRSA!

Question 22

Nitrofurantoin covers

Answer 22

Gram negative aerobic bacilli - only used for cystisis

Enterococcus - only in urine

Question 23

Metronidazole/Flagyl

Answer 23

C diff

Anaerobes!

Question 24

Clindamycin

Answer 24

Aerobic Gram positive cocci , some Anerobes
MRSA!
NOT Enterococcus
Anaerobes above the diaphragm

Question 25

Vancomycin, Linezolid

Answer 25

Always available for gram positives!! Aerobic Gram positive cocci Include Enterococcus and MRSA vancomycin PO covers C. diff

Question 26

Which 2 families of Abx used for out patients? for sick patients?

Answer 26

1. Macrolides/ Tetracyclines | 2. Aminoglycosides/carbapenems

Question 27

Group A strep infection - Abx

Answer 27

1st choice: Penicillin/ Amox 2nd choice: 1st gen Ceph - Macrolide - Resp FQ Vanco Clind

Question 28

Strep Pneumo or pneumococcus - Abx to use

Answer 28

1st choice: Pen/Amox 2nd choice: 2nd or 3rd gen ceph - Macrolide - Resp FQ!!!! Dox Vanco

Question 29

Enterococcus Abx to use

Answer 29

1. Amox/Amp | 2. Vancomycin/Linezolid

Question 30

Staph. Aureus

Answer 30

1. If methicilin sensitive --> Cloxacillin | 2. 1st gen ceph or vanco

Question 31

MRSA Abx

Answer 31

Bloodstream 1. Vanco 2. Linezolid | Skin/soft tisse 1. Clindamycin 2. Septra/Dox

Question 32

If you had a gram negative bacteria - what are the first choice Abx ? If outpatient

Answer 32

1. think of FQs --> CIPROFLOXACIN 2. Cephalosporins 3. Broad spectrum Penicilin - Amox-Clav

Question 33

If you had a gram negative bacteria - what are the first choice Abx ? If inpatient

Answer 33

1. Aminoglycoside 2. Piptazo 3. Carbapenems

Question 34

If you had a respiratory tract Gram negative? H. Flu, Moraxella Catarrhalis

Answer 34

1. Amox - Clav 2. Ceph - 2nd or 3rd gen 3. Resp FQs 4. Macrolide - C A!

Question 35

If you had legionella (Gram neg)

Answer 35

Macrolide | Resp FQs

Question 36

N. Meningitidis | N. Gonorrhea

Answer 36

3rd gen ceph (esp. Ceftriaxone) | Azithromycin or Doxycycline fo gonorrhea

Question 37

chlamydia trachomatis Chlamydia pneumoniae Mycoplasma pneumoniae

Answer 37

1. Azithromycin 2. Dox FQ - Ofloxacin for C. trachomatic - RFQ for pneumoniae

Question 38

Anaerobes!

Answer 38

Metronidazole! AND Cefoxitin! (2nd gen)

Question 39

Second generation cephalosporins good for?

Answer 39

Respiratory tract infections H. Flu Pneumococcus

Question 40

First generation Ceph?

Answer 40

Good for | Staph aureus or Group A strep

Question 41

What covers Pseudomonas?

Answer 41

2. Ceftazidime and cefipime 3. Ciprofloxacin 4. aminoglycosides 5. pep-tazo 6. Meropenem

Question 42

Gonorrhea normally covered by

Answer 42

Ceftriaxone

Question 43

H flu covered by...

Answer 43

Cefuroxime and 3rd gen ceph

Question 44

Traveler's diarrhea think... 2 abx

Answer 44

1. Azithro | 2. Cipro

Question 45

Macrolides and Cephalosporins do NOT cover

Answer 45

Enterococci

Question 46

Azithromycin reserved for

Answer 46

Atypical bacteria

Question 47

C. trachomatis

Answer 47

Ofloxacin