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Antibiotics

Instructions:

Answer 46 questions in 15 minutes.
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Match each statement with the correct term.
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This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. Neutropenic fever
Imipenem IV + Vancomycin IV + Amphotericin
PCN PO x 10 days - Erythromycin
Oxacillin 4 wks + Gentamicin
Vancomycin alone

2. Hospital-Acquired PNA
AZITHromycin
CefTRIaxone
CeFOXitin (before surgery. and don't forget phenergan and morphine!)
Azithromycin IV + CefTRIaxone

3. Septic joint
CIPROFLOXACIN
CefTRIaxone + METROnidazole (same as cholecystitis)
Ceftriaxone + Vancomycin
CeFAZolin x 1

4. CAP (Community Acquired PNA) in Nursing Home patient
Dexamethasone + Vancomycin + CefTRIxone
PCN PO x 10 days - Erythromycin
AZITHromycin IV + CefTRIaxone IV+ Vancomycin IV
TMP-SMX x 14 days - Ciprofloxacin x 14 days

5. Whipple's disease (PAS + organisms)
Dexamethasone + Vancomycin + CefTRIaxone
Tetracycline - TMP-SMX - x 12 months
CefTRIaxone + Metronidazole (same as rectal involvement in Crohns)
CefTRIaxone + METROnidazole (same as cholecystitis)

6. Intussusception
AZITHromycin IV + CefTRIaxone IV+ Vancomycin IV
CeFAZolin
Vancomycin alone
Amikacin + CefTAZidime + Vancomycin - Ticarcillin-Clavulanate + Tobramycin - CeFEPime + Amikacin

7. CAP (Community Acquired PNA) in adult
CeFAZolin x 1
AZITHromycin
FQ IV + CefTRIaxone IV
PCN PO x 10 days - Erythromycin

8. Cystic Fibrosis PNA
FQ IV + CefTRIaxone IV
CefTRIaxone
Amikacin + CefTAZidime + Vancomycin - Ticarcillin-Clavulanate + Tobramycin - CeFEPime + Amikacin
PCN

9. Strep throat - Chronic
Imipenem IV + Vancomycin IV + Amphotericin
Metronidazole - Metronidazole - METRONIDAZOLE - ...and then PO vanc if not working multiple times
Clindamycin for CHRONIC carriers
Ofloxacin + steroids - Malignant: IV CIPROFLOXACIN

10. Prosthetic valve endocarditis
TMP-SMX x 14 days - Ciprofloxacin x 14 days
Vancomycin + RIFAMPIN + Gentamicin
Vancomycin alone
CIPROFLOXACIN

11. Rectal involvement in Crohns
Vancomycin alone
TMP-SMX
CefTRIaxone + METROnidazole (same as cholecystitis)
CefoTAXime

12. AA rupture prior to srx
Azithromycin IV + CefTRIaxone
Ofloxacin + steroids - Malignant: IV CIPROFLOXACIN
CeFAZolin x 1
Tetracycline - TMP-SMX - x 3-6 months

13. Native valve endocarditis-PCN sensitive strep
AMPicillin
Azithromycin IV + CefTRIaxone
PCN G 4 wks + Gentamicin
AMOXicillin

14. CAP (Community Acquired PNA) in child < 5 yo
Vancomycin alone
FQ IV
AMOXicillin
CefTRIaxone + Doxycycline

15. Rocky mountain spotted fever
AMOXicillin
Metronidazole - Metronidazole - METRONIDAZOLE - ...and then PO vanc if not working multiple times
Doxycycine - Chloramphenicol in pregnant
CefTRIaxone + Doxycycline

16. Febrile newborn
AMOXicillin
TMP-SMX x 14 days - Ciprofloxacin x 14 days
CefTRIaxone + Doxycycline
Amp-gent

17. Native valve endocarditis-EMPIRIC
Vancomycin 4-6 wks + Gentamicin 2 wks
AMOXicillin
Doxycycline
PCN PO x 10 days - Erythromycin

18. Pyelonephritis
CefoTAXime
FQ IV
Metronidazole
FQ IV + CefTRIaxone IV

19. Spontaneous bacterial peritonitis
CefoTAXime
CeFAZolin
Ofloxacin - Ciprofloxacin - x 7-10 days
Metronidazole and ceftriaxone x 1

20. Meningitis-EMPIRIC
CefTRIaxone
Metronidazole
Dexamethasone + Vancomycin + CefTRIxone
Amoxicillin - Erythromycin

21. Scarlet fever
PCN
CefTRIaxone
Vancomycin + RIFAMPIN + Gentamicin
Clindamycin for CHRONIC carriers

22. Meningitis-Neisseria AND Listeria AND Group A Strep
CeFOXitin (before surgery. and don't forget phenergan and morphine!)
Tetracycline - TMP-SMX - x 3-6 months
AMPicillin
FQ - Azithromycin

23. Native valve endocarditis-MRSA
Vancomycin alone
Amp-gent
CefTRIaxone + Metronidazole (same as rectal involvement in Crohns)
Dexamethasone + Vancomycin + CefTRIxone

24. C. difficile
Metronidazole - Metronidazole - METRONIDAZOLE - ...and then PO vanc if not working multiple times
CeFAZolin
TMP-SMX
Amikacin + CefTAZidime + Vancomycin - Ticarcillin-Clavulanate + Tobramycin - CeFEPime + Amikacin

25. Otitis externa
Amp-gent
Tetracycline - TMP-SMX - x 12 months
Ofloxacin - Ciprofloxacin - x 7-10 days
Ofloxacin + steroids - Malignant: IV CIPROFLOXACIN

26. Bloody diarrhea
Ceftriaxone + Vancomycin
Metronidazole and ceftriaxone x 1
Imipenem IV + Vancomycin IV + Amphotericin
CIPROFLOXACIN

27. Trichomonas and BV
PCN PO x 10 days - Erythromycin
TMP-SMX x 14 days - Ciprofloxacin x 14 days
Metronidazole
Oxacillin 4 wks + Gentamicin

28. Meningitis-HITB
CefTRIaxone + Metronidazole (same as rectal involvement in Crohns)
CefoTAXime
CefTRIaxone
Ofloxacin - Ciprofloxacin - x 7-10 days

29. Hemicolectomy ppx
PCN PO x 10 days - Erythromycin
FQ IV
Metronidazole - Metronidazole - METRONIDAZOLE - ...and then PO vanc if not working multiple times
Metronidazole and ceftriaxone x 1

30. Strep throat - acute
TMP-SMX
Tetracycline - TMP-SMX - x 3-6 months
Vancomycin 4-6 wks + Gentamicin 2 wks
Amoxicillin - Erythromycin

31. Meningitis-Strep pneumo
Ofloxacin - Ciprofloxacin - x 7-10 days
Doxycycline
Dexamethasone + Vancomycin + CefTRIaxone
Amikacin + CefTAZidime + Vancomycin - Ticarcillin-Clavulanate + Tobramycin - CeFEPime + Amikacin

32. BAD traveler's diarrhea
FQ - Azithromycin
CefTRIaxone + Metronidazole (same as rectal involvement in Crohns)
FQ IV
Imipenem IV + Vancomycin IV + Amphotericin

33. Cystitis in community
Dexamethasone + Vancomycin + CefTRIaxone
Dexamethasone + Vancomycin + CefTRIxone
TMP-SMX x 3 d - FQ x 3d
CefoTAXime

34. PCP PNA
Amp-gent
TMP-SMX
Amikacin + CefTAZidime + Vancomycin - Ticarcillin-Clavulanate + Tobramycin - CeFEPime + Amikacin
AZITHromycin IV + CefTRIaxone IV+ Vancomycin IV

35. Native valve endocarditis-MSSA
Dexamethasone + Vancomycin + CefTRIaxone
Oxacillin 4 wks + Gentamicin
PCN
Clindamycin for CHRONIC carriers

36. CAP (Community Acquired PNA) in alcoholic - diabetic - or age > 60
FQ IV
AZITHromycin - LevoFLOXACIN
CefoTAXime
PCN PO x 10 days - Erythromycin

37. Cholecystitis
FQ IV + CefTRIaxone IV
Tetracycline - TMP-SMX - x 12 months
CefTRIaxone + Metronidazole (same as rectal involvement in Crohns)
Doxycycline

38. Prostatitis
Vancomycin 4-6 wks + Gentamicin 2 wks
Amoxicillin - Erythromycin
Dexamethasone + Vancomycin + CefTRIxone
TMP-SMX x 14 days - Ciprofloxacin x 14 days

39. Tropical sprue
FQ - Azithromycin
Tetracycline - TMP-SMX - x 3-6 months
CefTRIaxone
FQ IV

40. Appendicitis

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41. Variceal bleed in hospitalized patient
Ofloxacin - Ciprofloxacin - x 7-10 days
Amp-gent
CIPROFLOXACIN
AZITHromycin

42. Syndenham chorea
Vancomycin + RIFAMPIN + Gentamicin
Azithromycin IV + CefTRIaxone
FQ - Azithromycin
PCN PO x 10 days - Erythromycin

43. Lyme disease w/ neuro/cardiac sxs or in children
PCN
Amikacin + CefTAZidime + Vancomycin - Ticarcillin-Clavulanate + Tobramycin - CeFEPime + Amikacin
AZITHromycin - LevoFLOXACIN
CefTRIaxone

44. Cystitis in hospital
FQ IV + CefTRIaxone IV
CefoTAXime
Amp-gent
Amikacin + CefTAZidime + Vancomycin - Ticarcillin-Clavulanate + Tobramycin - CeFEPime + Amikacin

45. PID
FQ IV
Oxacillin 4 wks + Gentamicin
CefTRIaxone + Doxycycline
CeFAZolin x 1

46. Lyme disease w/o neuro/cardiac sxs
Doxycycline
Dexamethasone + Vancomycin + CefTRIxone
Oxacillin 4 wks + Gentamicin
Dexamethasone + Vancomycin + CefTRIaxone

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Antibiotics

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