emperic abx

Question 1

diverticulitis

Answer 1

out pt: floroquinoone (ciprofloxacin) + metronidazole OR clindamycin
in pt: ampicillin/sulbactam OR pip/tazo OR ticaracillin/clav

Question 2

pyelo in preg

Answer 2

amp+gent
ceftriaxone
meropenem
pip-tazo

Question 3

meningitis + recent neurosurgery

Answer 3

vanc + cefepime or meropenem

Question 4

TSS

Answer 4

clindamycin and vanc

Question 5

diarrhea

Answer 5

floroquinolone 3-5 days

Question 6

brain abcess

Answer 6

vanc + ceftriaxone + metronidazole

Question 7

cystitis in preg

Answer 7

nitrofurantoin
amoxicillin
cefalexin
fosfomycin

Question 8

pyelonephritis and bugs

Answer 8

e coli, s. saphrophiticus, klebsiella, proteus

ceftriaxone OR cefepime OR levofloxacin OR ciprofloxacin

Question 9

perforated appedicitis

Answer 9

pip/tazo, OR ticaricillin/clavulonate ORceftriazone/metronidazole

Question 10

otitis externa and bugs

Answer 10

pseudomonas, staph epidemidis, staph a

ofloxacin OR ciprofloxacin OR polymixinB/neomycin

Question 11

SBP and bugs

Answer 11

e coli, klebsiella, enterococcus, staph, strep
ceftriaxone or other 3rd generation cefalosporin for at least 5 days
(and albumin to maintain plasma volume

Question 12

bacterial sinusitis and bugs

Answer 12

strep pneumo, h influ, moraxella catarrhalis

amox clav OR doxycycline, levofloxacin

Question 13

fight bite and bugs

Answer 13

Staph a, Eikenella corrodens, H influ

Amox/clav

Question 14

cystitis and bugs

Answer 14

e coli, staph saphrophiticus, enterobacter, enterococcus, proteus, klebsiella, pseudomonas (cath)
uncomplicated: nitrofurantoin 5d, TMP-SMX 3d, fosfomycin 1x
complicated or pyelo: ciprofloxacin or levofloxacin

Question 15

meningitis under 1 month

Answer 15

ampicillin + gentamycin +/- ceftriaxone

listeria, GBS, E coli

Question 16

non-perforated appendicitis

Answer 16

single does of cefoxitin OR ampicillin/sulbactam OR cefazolin/metro

Question 17

meningitis 3m-50y

Answer 17

3rd generation cephalosporin (ceftriaxone or cefotaxime) + vanc
(Strep pneumo, nisseria)

Question 18

meningitis 1-3 month

Answer 18

3rd generation cephalosporin (ceftriaxone or cefotaxime) + vanc
(GBS, E coli, Strep pneumo, nisseria)

Question 19

strep pharyngitis

Answer 19

peicilin, amoxicillin

Question 20

lymphogranuloma venereum and bug

Answer 20

chlamydian trachomatis serovaris L1-L3

doxycycline

Question 21

dog/cat bite and bugs

Answer 21

pasturella muticoda and staph a
amox/clav
doxycycline plus metronidazole or clinda

Question 22

breast abcess

Answer 22

dicloxacillin OR cefalexin OR amox/clav
TMP-SMX if suspectinf MRSA
metro if suspect anerobes

Question 23

chancroid and bug

Answer 23

haemophilus ducreyi

ceftriaxone, azithromycin

Question 24

OM and bugs

Answer 24

strep pneumo, H influ, Moraxella catarrhalis

amoxicillin; OR azithromycin OR cefdinir

Question 25

meningitis + clear nasal discharge

Answer 25

3rd generation cephalosporin (ceftriaxone or cefotaxime) + vanc

Question 26

PNA: 1. neonates 2. children typical 3. children atypical 4. adult typical general 5. adult atypical genreal 6. outpt healthy w no abx in past 3 mos 7. outpt abx in last 3 mos or a chronic cond 8. inpt 9. icu

Answer 26

1. neonates: amp+gent OR vanc + gent 2. children typical: amox OR amox clav 3. children atypical: axithromycin 4. adult typical general: b-lactams 5. adult atypical genreal: macrolide OR floroquinolone 6. outpt healthy w no abx in past 3 mos: asithromycin OR doxy 7. outpt abx in last 3 mos or a chronic cond: b lactam (amox OR cefuroximine) PLUS macrolide (axithromycin) ORRR resp floroquinolone (levofloxacin OR moxifloxacin) 8. inpt: b lactam (amox OR cefuroximine) PLUS macrolide (axithromycin) ORRR resp floroquinolone (levofloxacin OR moxifloxacin) 9. icu: b lactam (amox OR cefuroximine) PLUS EITEHR macrolide (axithromycin) or resp floroquinolone (levofloxacin OR moxifloxacin)

Question 27

granuloma inguinale and bug

Answer 27

klebsiella granulomatis | azithromycin

Question 28

brown reculse if infxn

Answer 28

oral erythromycin

Question 29

when do you add dexamethasone to tx of meningitis?

Answer 29

- kids w H influ type B meningitis - strep pneumo meningitis - +/- TB meningitis

Question 30

acute bacterial prostatis and bugs

Answer 30

e coli, proteus, klebsiella, enterobacter, serratia, pseudomonas, gonorrhea, chlamydia TMP-SMX OR floroquinolone

Question 31

cervicitis and bugs

Answer 31

chlamydia and gonorrhea | ceftriaxone and axithromycin

Question 32

human bite and bugs

Answer 32

staph a and grp A strep amox/clav doxycycline plus metronidazole or clinda

Question 33

meningitis +50yo

Answer 33

3rd generation cephalosporin (ceftriaxone or cefotaxime) + vanc + ampicillin (Strep pneumo, nisseria, listeria)

Question 34

acute cholangitis

Answer 34

pip/tazo or levofloxacin

Question 35

cellulitis/abcess nonpurululent and purulent oral and IV

Answer 35

non-purulent: - oral: dicloxavillin, cephalexin, clindamycin - iv: cefazolin, nafcillin, clindamycin purulent: - oral: clindamycin, TMP-SMX, doxycycline, linezolid - iv: vanc

Question 36

hidradnitis suppurtiva

Answer 36

mild: topical clindamycin severe: oral doxycycline or minocycline

Question 37

necrotizing fascitits

Answer 37

ALL: - carbapenem OR piptazo - clindamycin - vanc

Question 38

impetigo

Answer 38

mild: mupiricin mod/severe: dicloxacillin, cefalexin MRSA: clindamycin, TMPSMX, doxycycline