abx part 2

Question 1

Sinusitis criteria

Answer 1

> 10 days of upper respiratory signs and symptoms that do not resolve may lead to bacterial sinusitis

Question 2

Acute sinusitis

Answer 2

fever >39 degrees, facial pain, or purulent nasal discharge lasting for 3-4 consecutive days

Question 3

Chronic sinusitis

Answer 3

signs and symptoms that last 8 to 12 weeks and confirmed by radiography. 3 to 4 episodes per year may be suggestive of chronic sinusitis

Question 4

good drug for Sinusitis

Answer 4

Amoxicillin +/- clavulanate

Question 5

Sinusitis: Give higher doses for patients at higher risk of resistance:

Answer 5

S. pneumoniae resistance > 10%
Recent antimicrobial use (within 30 days)
Recent hospitalization
Daycare setting

Question 6

Sinusitis: if they have a pen allergy give ___ or ___

Answer 6

Doxycycline or FQ

Question 7

Sinusitis: for kids use

Answer 7

3rd gen cephalosporin

Question 8

skin infection involving the dermis and subcutaneous tissues; non-defined borders

Answer 8

Cellulitis

Question 9

superficial infection, usually caused by Streptococci, that involves the upper dermis and extends into the subcutaneous lymphatic vessels; defined borders

Answer 9

Erysipelas

Question 10

Contagious superficial skin infection caused most commonly by S. aureus or S. pyogenes. If lesions are small and few, can use topicals

Answer 10

Impetigo

Question 11

Topical treatment for MSSA

Answer 11

Retapamulin

Question 12

Topical treatment for MRSA

Answer 12

Mupirocin

Question 13

Skin and Soft Tissue Infections: Oral treatment for staph/strep

Answer 13

Cephalexin

Dicloxacillin

Question 14

Skin and Soft Tissue Infections: Oral treatment for MRSA

Answer 14

Clindamycin
TMP/SMX
Doxycycline

Question 15

Skin and Soft Tissue Infections: Oral treatment for someone with pen allergy

Answer 15

Macrolide (no suspicion of MRSA)

Clindamycin (no suspicion of MRSA)

Question 16

drug of choice for Animal Bite Wound Infections

Answer 16

Amoxicillin/clavulanate

Question 17

Animal Bite Wound: __ days of post exposure prophylaxis (PEP) if they have a high risk of complications without obvious signs of active infection

Answer 17

3-5

Question 18

Animal Bite Wound: __ days if there is active infection, but not severe

Answer 18

5-10

Question 19

Animal Bite Wound: __ days for severe infection requiring IV antibiotics

Answer 19

7-14

Question 20

Animal Bite Wound: if they have a pen allergy give d____ or m_____

Answer 20

Doxycycline

Moxifloxacin

Question 21

Animal Bite Wound: the best IV drugs to give are

Answer 21

1. Ampicillin
2. Cef + clindamycin or metronidazole
3. Carbapenems

Question 22

Animal Bite Wound: Avoid m____ due to high levels of resistance

Answer 22

macrolides

Question 23

Animal Bite Wound: Avoid macrolides due to

Answer 23

high levels of resistance

Question 24

Animal Bite Wound: Avoid f______ if possible due to collateral damage and adverse effects

Answer 24

fluoroquinolones

Question 25

Animal Bite Wound: Avoid fluoroquinolones if possible due to

Answer 25

collateral damage and adverse effects

Question 26

Animal Bite Wound: if it involves MRSA give

Answer 26

doxycycline

Question 27

For Community -Acquired Pneumonia, if they have no comorbidities give a___, d___, or m___

Answer 27

amoxicillin, doxycycline, or macrolide

Question 28

For Community -Acquired Pneumonia, if they have comorbidities and you want to use combination therapy give a___ or c___ plus m___ or d____

Answer 28

amoxicillin or cephalosporin plus macrolide or doxycycline

Question 29

For Community -Acquired Pneumonia, if they have comorbidities and you want to use mono-therapy give ____

Answer 29

flouroquinolone