Antibiotics

Question 1

What are the gram-positive bacteria bugs

Answer 1

Staph *
Streptococcus *
Enterococcus *

(Also listeria, propionbacterium, corynebacterium (diphtheria), clostridium (tetanus, botulis), bacillus anthracis

Question 2

What type of bacteria usually affects below the belt

Answer 2

Anything that is not streptococcus, staph, or enterococcus

Question 3

What type of bacteria is usually a skin bug

Answer 3

Staphylococcus

Question 4

What infection is a plain staphylococcus infection

Answer 4

MSSA

Question 5

What skin infection is a methicillin resistant infection

Answer 5

MRSA

Question 6

What is a staff infection that affects the vagina and causes a UTI

Answer 6

Staph saptophyticus

Question 7

What infection is a streptococcus infection of the throat

Answer 7

Streptococcus pyogenes

Question 8

What is the name of a streptococcus infection of the teeth that causes endocarditis i.e. dental abscess

Answer 8

Streptococcus viridans

Question 9

What is the name of the streptococcus infection that is group B and affects pregnant women

Answer 9

Streptococcus agalactiae

Question 10

How do you treat a pregnant woman with group B streptococcus

Answer 10

Ampicillin

Question 11

What bacterial pathogen affects the urinary tract

Answer 11

Enterococcus

Question 12

What are atypical pathogen’s

Answer 12

Mycoplasma
H. Flu
M. Cat

Question 13

What are two types of beta-lactam

Answer 13

Penicillin or cephalosporin

Question 14

If a patient is allergic to penicillin can they take a cephalosporin

Answer 14

Yes

Question 15

If a patient is allergic to the beta-lactam ring of a penicillin can they take a cephalosporin

Answer 15

No

Question 16

If a patient took penicillin and had an anaphylactic response can they take a cephalosporin

Answer 16

No

Question 17

If a patient took penicillin and had hives can they take a cephalosporin

Answer 17

No

Question 18

If a patient took penicillin and had a mobilliform rash can they take a cephalosporin

Answer 18

Yes

Question 19

What causes Mobilliform rash

Answer 19

It is common with viral infections and sulfa drugs with patients with HIV and mono

Question 20

What’s an example of a famous viral infection that occurs with exposure to an antibiotic

Answer 20

Mono or Epstein bar virus

Question 21

Which rash is macular or maculopapular, lesions are fixed, area expands over several days. May itch and more prevalent in children. More common with aminopenicillins i.e. amoxicillin and ampicillin. Usually T cell mediated with concurrence viral infections predisposing the patience to this rash. Unknown mechanism by which this occurs

Answer 21

Morbilliform rash

Question 22

What does beta-lactamase do

Answer 22

It destroys the beta-lactam ring of the antibiotic

Question 23

What is an example of an antibiotic with beta-lactamase

Answer 23

Augmentin

Question 24

Is MRSA, MSSA, and DRSP gram positive or negative

Answer 24

Gram-positive

Question 25

What pathogen where bug does penicillin not treat

Answer 25

Staphylococcus

Question 26

Can amoxicillin kill DRSP

Answer 26

Yes Augmentin XR

Question 27

What is the dose for adults of Augmentin XR for DRSP

Answer 27

2 g b.i.d. or 2000 mg b.i.d.

Question 28

What is the dose of Augmentin XR for pediatrics with the DRSP

Answer 28

80 to 90 mg per kilogram QD

Question 29

What is an example of an extended spectrum penicillin

Answer 29

Augmentin

Question 30

What does Augmentin treat

Answer 30

Gram-positive's, Graham negative, beta-lactamase

Question 31

What does Augmentin not treat

Answer 31

MRSA

Question 32

How would you know if a bug produced beta-lactamase

Answer 32

Always suspect a bug can make beta-lactamase if the patient had an antibiotic in the last 90 days. If so then give Augmentin

Question 33

What is an example of a sulfanilamide

Answer 33

Bactrim and Septra | TMP-SMX

Question 34

Are sulfonamides gram-positive or negative

Answer 34

Gram-negative

Question 35

What does Bactrim treat what type of bacteria

Answer 35

MRSA

Question 36

What does Bactrim not treat

Answer 36

Streptococcus and E. coli

Question 37

If a patient is allergic to sulfa drugs and has MRSA how do you treat them

Answer 37

Doxycycline

Question 38

What are tetracyclines

Answer 38

Doxycycline and minocycline and vibrant in

Question 39

What does tetracyclines treat

Answer 39

Graham negative's, atypicals, MRSA

Question 40

What is a good antibiotic for MSSA and CA-MRSA

Answer 40

Minocycline

Question 41

What is a good choice for atypical pathogens and lower respiratory tract pathogen's

Answer 41

Doxycycline or minocycline

Question 42

How do you treat it atypical pneumonia

Answer 42

Doxy or a macrolide

Question 43

What type of cephalosporin is used for skin structure infection

Answer 43

First generation cephalosporins such as cephalexin and cefadroxil

Question 44

Does Keflex or cefadroxil treat MRSA

Answer 44

No Bactrim or doxy does

Question 45

What type of cephalosporin treats gram-positive and Graham negative's

Answer 45

Second generation such as Cefuroxime, cefaclor, cefprozil

Question 46

Can you treat H. flu with a 2nd generation cephalosporin

Answer 46

Yes Ceftin Ceclor Cefzil

Question 47

What type of Cephalosporin treats beta-lactamase

Answer 47

Third generation Ceftibuten Cefixime

Question 48

What type of cephalosporin has weak gram-positive and gram-negative coverage

Answer 48

Third generation such as Cesar and suprax. Covers step but not staph. Covers atypicals

Question 49

What type of cephalosporin covers gram-positive's, Gram negative, and beta-lactamase producers

Answer 49

Extended spectrum third generation cephalosporins such as Rocephin, Omnicef, Vantin, and Spectracef

Question 50

If a patient is allergic to penicillin or cephalosporins what should you give them

Answer 50

Macrolide

Question 51

What type of antibiotic treats atypical pathogens

Answer 51

Macrolides such as azithromycin and clarithromycin

Question 52

If a patient has strep throat and reports that they have a hive and anaphylaxis reaction to penicillin what should you give them

Answer 52

A Zpack Macrolides

Question 53

Do you give ciprofloxacin for DRSP

Answer 53

No

Question 54

What are side effects of quinolones

Answer 54

Tendon rupture and QT prolongation

Question 55

What type of respiratory quinolone treats above and below the belt i.e. gram-positive's, Gram negative's, atypical pathogen's, DRSP, aerobes and anaerobes

Answer 55

Third-generation respiratory quinolones such as Levaquin (levofloxacin) Idiots antibiotic kills everything. Saved for people that cannot afford getting better treatment I.e. elderly and oncology patients

Question 56

Which respiratory quinolones treat above the belt such as gram positive, gram-negative's, atypical pathogen's, DRSP

Answer 56

Fourth generation respiratory quinolones such as moxifloxacin, Gemifloxacin Not for UTI

Question 57

What antibiotic treats urinary pathogens

Answer 57

Nitrofurantoin (macrobid) | Concentrates in the bladder

Question 58

What is a gram-negative antibiotic that treats c. Diff and diverticulitis

Answer 58

Metronidazole (flagyl)

Question 59

What antibiotic is gram-positive and treats skin structure infections

Answer 59

Clindamycin

Question 60

What is a side effect of clindamycin

Answer 60

Diarrhea

Question 61

What is an antibiotic that is gram-positive and treats skin structure infections such as MRSA

Answer 61

Linezolid (zyvox)

Question 62

When treating c.diff do you treat with IV or give orally

Answer 62

Give oral

Question 63

What glycopeptide antibiotic is gram-positive and treats MRSA and staph and C. Diff orally

Answer 63

Vancomycin

Question 64

An immune mediated reaction precipitated by the destruction of a large number of Spirochetes due to an antibiotic injection

Answer 64

Jarisch-Herxheimer reaction

Question 65

What is a milder form of Stevens Johnson syndrome with no mucosal involvement

Answer 65

Erythema multiform. This is caused by sulfa drugs

Question 66

A patient who has been prescribed Keflex for pneumonia should be advised to seek immediate attention if she experiences which of the following

Answer 66

Easy bruising