Bugs and Drugs

Question 1

Staph aureus - toxic shock syndrome DOC

Answer 1

Clindamycin + nafcillin, oxacillin

Question 2

Staph aureus - toxic shock syndrome - 2nd DOC

Answer 2

Clindamycin and vanco for MRSA

Question 3

Staph aureus - folliculitis and impetigo DOC

Answer 3

Topical muciprocin

Question 4

Staph aureus - skin and soft tissue infections DOC

Answer 4

Nafcillin, oxacillin, cefazolin

MRSA - clindamycin, TMP-SMX

Question 5

Staph aureus - endocarditis DOC

Answer 5

Nafcillin, oxacillin

Question 6

Staph aureus - pneumonia

Answer 6

Nafcillin, oxacillin

Question 7

Staph aureus - osteomyelitis and septic arthritis DOC

Answer 7

Nafcillin, oxacillin

Question 8

Staph aureus - meningitis DOC

Answer 8

Nafcillin, oxacillin

TMP-SMX for allergies

Question 9

Any severe MRSA infection - DOC

Answer 9

vancomycin

Question 10

Staph epi - UTI DOC

Answer 10

Vancomycin

Question 11

Staph epi - UTI 2nd DOC

Answer 11

Nafcillin, oxacillin for sensitive strains

Question 12

Staph epi - endocarditis DOC

Answer 12

Vancomycin

Question 13

Staph saprophyticus - UTI DOC

Answer 13

TMP-SMX

Question 14

Staph saprophyticus - UTI 2nd DOC

Answer 14

Fluoroquinolones

DOC based on cost

Question 15

Strep pyogenes - Invasive necrotizing fasciitis DOC

Answer 15

IV Penicillin G

Question 16

Strep pyogenes - Necrotizing fasciitis 2nd DOC

Answer 16

Clindamycin

Question 17

Strep pyogenes - strep throat DOC

Answer 17

Penicillin V

Question 18

Strep pyogenes - strep throat 2nd DOC

Answer 18

Amoxicillin

Macrolide for penicillin-allergic patient

Question 19

Strep pyogenes - rheumatic fever DOC

Answer 19

Oral Penicillin V

Question 20

Strep pyogenes - PS Glomerulonephritis DOC

Answer 20

Penicillin

Question 21

Strep pyogenes - PS Glomerulonephritis 2nd DOC

Answer 21

Erythromycin

Question 22

Strep pyogenes - Scarlet fever DOC

Answer 22

IM benzathine Pen G

Question 23

Strep pyogenes - Pyoderma (skin infections) DOC

Answer 23

Penicillin

Question 24

Strep pyogenes - pyoderma (skin infections) 2nd DOC

Answer 24

Erythromycin

If co-infection with Staph aureus, add 1st generation cephalosporin

Question 25

Strep bovis - Endocarditis DOC

Answer 25

Penicillin or ceftriaxone | Vanco if penicillin allergies

Question 26

Strep mutans - Endocarditis DOC

Answer 26

Penicillin G

Question 27

Strep pneumo - pneumonia DOC

Answer 27

beta lactam for Penicillin Sensitive strep | 3rd generation cephalosporin for pen resistant strep

Question 28

Strep pneumo - meningitis DOC

Answer 28

Ceftriaxone and vanco

Question 29

Strep pneumo - otitis media and sinusitis

Answer 29

Amoxicillin | Macrolide for penicillin allergy

Question 30

Strep agalactiae - Neonatal meningitis DOC

Answer 30

Penicillin G

Question 31

Enterococci - UTI DOC

Answer 31

Ampicillin

Question 32

Enterococci - Endocarditis DOC

Answer 32

Penicillin G or ampicillin + gentamicin

Question 33

Actinomyces DOC

Answer 33

Penicillin | Tetracycline(s) if allergy

Question 34

Cutaneous anthrax DOC

Answer 34

Ciprofloxacin or doxycycline

Question 35

Inhalation anthrax DOC

Answer 35

Ciprofloxacin + rifampin + vancomycin

Question 36

Adult/infant botulism DOC

Answer 36

Antibiotic contraindicated in infections

Question 37

C. diff antibiotic-associated diarrhea

Answer 37

Vancomycin or metronidazole

Question 38

Gas gangrene DOC

Answer 38

Penicillin + clindamycin or tetracycline

Question 39

Clostridium septicum - sepsis DOC

Answer 39

Penicillin + clindamycin or tetracycline

Question 40

Clostridium tetani - tetanus - DOC

Answer 40

Metronidazole

Question 41

C. diphtheriae DOC

Answer 41

Erythromycin or Penicillin G

Question 42

Gardnerella vaginalis - bacterial vaginosis DOC

Answer 42

Metronidazole

Question 43

Listeria monocytogenes - neonatal meningitis DOC

Answer 43

Ampicillin or Penicillin G | TMP-SMX for allergy

Question 44

Listeria - pregnancy DOC

Answer 44

Ampicillin | TMP-SMX for allergy

Question 45

Listeria - gastroenteritis with fever

Answer 45

ampicillin or TMP-SMX | For immunocompromised, elderly, or pregnant patients

Question 46

Tubercolosis DOC

Answer 46

RIPE | Rifampin, isoniazid, pyrazinamide, ethambutol

Question 47

Mycobacterium avium complex DOC

Answer 47

Clarithromycin or azithromycin

Question 48

MAC 2nd DOC

Answer 48

Ethambutol or rifampin

Question 49

Nocardia - pulmonary infection DOC

Answer 49

TMP-SMX

Question 50

Erysipelothrix rhusiopathiae - Erysipeloid DOC

Answer 50

Penicillin

Question 51

Acne vulgaris DOC

Answer 51

Macrolide, clindamycin

Question 52

Tropheryma whippelii - whipple disease DOC

Answer 52

TMP-SMX