Bugs and Drugs

Question 1

campylobacter

Answer 1

gram-, curve/S shaped

erythromycin

Question 2

C diff

Answer 2

gram+, blood agar, recent PCN, quinolone, clindamycin use

flagyl, vanc

Question 3

E histolytica

Answer 3

flagyl

Question 4

E colic O157:H7

Answer 4

gram- rod

NO abx!! increase risk HUS (hemolytic anemia + acute kidney failure + thrombocytopenia)

Question 5

Salmonella

Answer 5

gram- bacillus

Cipro, bactrim

Question 6

Cryptococcus

Answer 6

india ink stain = cysts
Amp B
Fluconazole

Question 7

Histoplasmosis

Answer 7

Itraconazole

Question 8

P Jirovecci

Answer 8

Bactrim

Question 9

Rheumatic fever (GAS)

Answer 9

PCN

erythromycin

Question 10

Botulism

Answer 10

progressive weakness + diplopia + dry mouth

PCN

Question 11

Diptheria

Answer 11

PCN

erythromycin

Question 12

TB

Answer 12

add B6 w/ isonazide to avoid peripheral neuropathy

rifampin, ethabutol, pyrazinamide

Question 13

Toxoplasmosis

Answer 13

clindamycin + pyrimethamine

sulfadiazine + pyrimethamine

Question 14

RMSF rickettsia rickettsii

Answer 14

doxycycline

chloramphenicol for prego

Question 15

Syphilis

Answer 15

dark field microsocpy
RPR/FTA-ABS
PCN or doxy

Question 16

condyloma acuminatum (HPV)

Answer 16

imiquimod

Question 17

Shigella bloody diarrhea

Answer 17

Azithromycin kid

Cipro adult

Question 18

Lyme Disease Borrelia burgorferi

Answer 18

Doxy
Rocephin
Amoxicillin - kids, prego

Question 19

CMV

Answer 19

owl eye inclusion bodies, pizza pie retinopathy

gancyclovir

Question 20

Community acquired pneumonia

Answer 20

Macrolide

Doxycycline

Question 21

Chlamydia

Answer 21

doxycycline x 7D

azithromycin or amoxicillin for prego

Question 22

MRSA

Answer 22

IV vanc
PO linezolid
PO bactrim

Question 23

H pylori

Answer 23

PPI + clarithromycin + amoxicillin
PPI + clarithromycin + flagyl
PPI + pepto + flagyl + tetracycline

Question 24

Prophylactic abx for dental work

Answer 24

amoxicillin 2g PO 1hr before

allergy: clindamycin, cephalexin, azithromycin or clarithromycin

Question 25

Neisseria

Answer 25

Rocephin

Question 26

Neonatal meningitis

Answer 26

GBS, e coli, listeria | Ampicillin + cefotazime or gentamicin

Question 27

Infant meningitis

Answer 27

Pneumococcus, meningococcus, H flu | Vanc + cefotazime or ceftriaxone

Question 28

Klebsiella

Answer 28

3rd gen ceph (cefdinir, cefotaxime)

Question 29

H ducreyi

Answer 29

Azithromycin | Rocephin

Question 30

Mycobacterium Avium Complex

Answer 30

bx = foamy macrophages + acid fast bacilli | Clarithromycin

Question 31

Acute sinusitis

Answer 31

``` S pneumo, H flu, M cat Augmentin Macrolide Bactrim tx 10D ```

Question 32

Chronic sinusitis

Answer 32

Augmentin Macrolide Bactrim tx 3-6 wk

Question 33

UTI ecoli

Answer 33

uncomplicated: bactrim or fluoroquinolone x 3D complicated: 7-14D prego: macrobid or amoxicillin x 3-7D

Question 34

Malaria

Answer 34

protazoa Chloroquine Primaquine Quinidine

Question 35

Orbital cellulitis

Answer 35

S aureus, S pneumo IV vanc Amp B in diabetic w/ Mucor or Rhizopus

Question 36

Otitis externa

Answer 36

pseudomonas | neomycin, cipro, ofloxacin

Question 37

Acute bacterial endocarditis

Answer 37

vancomycin + rocephin

Question 38

Pseudomonas

Answer 38

#1) pipercillin/tazobactam (zosyn) ceftazidime, cefipime imipenem, meropenem gentamicin, tobramycin

Question 39

"empiric coverage"

Answer 39

ampicillin (gram +) gentamicin (gram -) tetracycline or macrolide (atypical)

Question 40

Prophylactic abx for posterior nasal packing

Answer 40

augmentin

Question 41

Mastoiditis

Answer 41

``` Strep, staph, H flue, M cat IV cefepime (for pseudomonas) + vanc (for MRSA) ```

Question 42

Acute otitis media

Answer 42

#1) Amox PCN allergy mild - cefidinir PCN allergy severe - clindamycin + bactrim

Question 43

Recurrent otitis media

Answer 43

#1) Augementin PCN allergy mild - clindamycin + cef PCN allergy severe - clindamycin + bactrim

Question 44

Eikenella

Answer 44

PCN Tetracycline Chloramphenicol

Question 45

Cystitis

Answer 45

Bactrim

Question 46

Epiglottitis

Answer 46

3rd gen ceph - Ceftriaxone

Question 47

Epididymitis 14-35y

Answer 47

Rocephin + doxy

Question 48

Prostatitis

Answer 48

bactrim x 4-6 weks

Question 49

Urethritis

Answer 49

Rocephin + doxy

Question 50

Pertussis

Answer 50

Bordetella pertussis | Erythromycin x 7-14D

Question 51

3mon-adulthood meningitis

Answer 51

Pneumococci, meningococci | Vanc + ceftriaxone or cefotaxime

Question 52

Prophylaxis meningitis

Answer 52

Rifampin | cipro, rocephin, axithromycine

Question 53

Mastitis

Answer 53

S aureus dicloxacillin cephalexin or erythromycin NO breast feeding if abscess

Question 54

lysteria monocytogenes meningitis | meningitis 50+ alcoholic

Answer 54

ampicillin

Question 55

epididymitis (36+)

Answer 55

ecoli Bactrim levo cipro

Question 56

Cat scratch

Answer 56

Azithromycin 5D