Specific diseases with corresponding antimicrobal tx

Question 1

Folliculitis

Answer 1

Cephalexin/Keflex - Gram -
Dicloxacillin - Anti-Staph

If MRSA is suspected: Clinda/bactrim

Question 2

Non-Prulent Cellulitis - Out Patient

Answer 2

Non-purulent cellulitis - Out Patient
Amoxicillin - gram +,-,enterococcus
Dicloxicillin - Anti-Staph , Gram +, for soft tissue
Cephalexin/Keflex - gram +,- for skin infections

Question 3

Non-Prulent Cellulitis - In Patient

Answer 3

Cefazolin/Ancef (IV ONLY)- indicated for gram +,- soft tissue infections = DOC

Oxacillin - IV ONLY - anti staph
Nafacillin- IV ONLY - anti staph

Question 4

Purulent Cellulitis - Out Patient

Answer 4

Bactrim - Gram - & Staph. 2nd best against PO MRSA

Doxycycline - Gram + & -

Question 5

Purulent Cellulitis - In Patient

Answer 5

Vancomycin

Question 6

Aquatic environment cellulitis

Answer 6

3rd/4th gen Cephalosporin

or Fluroquinolone

Question 7

What do you discharge a patient home on who has cellulitis if they cannot continue the medication the are on in the hospital?

Answer 7

Augemntin
or
Cephalexin/Keflex

Question 8

DM ulcers inpatient

Answer 8

Amp-Sulb /Unasyn & Pip-tazo/Zosyn

Question 9

DM Ulcers outpatient

Answer 9

Strep: Cephalexin/Keflex
Staph: Dicloxicillin or Bactrim or Doxycyclin
GN/Anaerobes: Augmentin or Clinda

Question 10

Necrotizing Fasciitis

Answer 10

PEN G + CLINDA + AMINOGLYCOSIDE

Question 11

Animal Bites

Answer 11

Augmentin

Question 12

Human Bites

Answer 12

Augmentin

Question 13

Histoplasmosis - Severe

Answer 13

Amphotericin B

Question 14

Histoplasmosis - not severe

Answer 14

Itraconazole

Question 15

Coccidiomycosis - severe and mild

Answer 15

Severe- Amph. B

Mild- Long term itraconazole or diflucan

Question 16

Candidiasis - Skin

Answer 16

Topical Nystatin

Itraconazole if extensive infection

Question 17

Candidiasis - Oropharyngeal

Answer 17

Nystatin Orally

Clotrimazole

Question 18

Candidiasis - Vulvovaginal

Answer 18

Topical azalea 3 days

Or oral diflucan

Question 19

Candidal UTI

Answer 19

Diflucan if symptomatic or persistant

Question 20

Disseminated candidiasis

Answer 20

Echinocandins - Suffix:Fungin

Question 21

Cryptococcus

Answer 21

Diflucan aka Fluconazole

Question 22

Sepsis without pseudomonas

Answer 22

Vancomycin PLUS ONE OF THE FOLLOWING:
+ 3rd/4th gen cephalosporin
or
+Zosyn or Unacyn

Question 23

Sepsis with pseudomonas

Answer 23

Vancomycin PLUS TWO ANTI PSEUDOMONALS

Anti-pseudomonals that are not empiric: Aminoglycosides and monobactam

Question 24

Distributive shock pressors

Answer 24

Levophed

second line: Vasopressin

Steroids with hypoxemia

Question 25

Cardiogenic shock

Answer 25

Dobutimine

Question 26

When should neupogen/neulasta be added in?

Answer 26

Febrile neutropenia

Question 27

Mycoplasma

Answer 27

E-mycin, tetracyclins, fluroquinolones

Question 28

PCP PNA

Answer 28

High dose IV bactrim for 3 weeks

Question 29

Influenza for at risk populations

Answer 29

Tamiflu

Question 30

HSV1/2

Answer 30

Valcyclovir/Valtrex

Question 31

Herpes Zoster

Answer 31

Valcyclovir/Valtrex

Question 32

Post-herpetic neuralgia

Answer 32

neuron tin | gabapentin

Question 33

Strep throat

Answer 33

Azythromycin/Zithromax

Question 34

CMV

Answer 34

Gancyclovir

Question 35

Prophylaxis for PNA?

Answer 35

3rd Gen + Macrolide

Question 36

MAC

Answer 36

Clarithromycin/Biaxin

Question 37

C-diff tx?

Answer 37

Metronidiazole

Question 38

Uncomplicated UTI?

Answer 38

Bactrim/nitrofurantion

Question 39

Complicated UTI?

Answer 39

Levofloxacin/Ciprofloxacin

Question 40

DOC for candida and cryptococcus?

Answer 40

Fluconazole

Question 41

DOC for aspergillus?

Answer 41

Voriconazole

Question 42

DOC for severe disseminated fungal infections

Answer 42

Amphotericin B

Question 43

DOC for cutaneous sporotrichosis?

Answer 43

Itraconazole

Question 44

YAWS tx?

Answer 44

One dose of azythromycin or IV Benzathine PCN

Question 45

Tularemia?

Answer 45

Streptomycin

Question 46

PB/TT Leprosy?

Answer 46

Dapsone & Rifampin

Question 47

MB/LL Leprosy?

Answer 47

Dapsone, Rifampin & Colfazimine

Question 48

T.b. Rhodesiense

Answer 48

Suramin | Melarsopril

Question 49

T.b. gambiense

Answer 49

Pentamidine | elflornithine

Question 50

Cysticercosis

Answer 50

Albendazole / Dexamethasone / Anti Convulsant

Question 51

Onchocerciasis

Answer 51

Ivermectin and Doxycyclin