Acute Respiratory Tract Infection

Question 1

When to prescribe abx for acute rhinosinusitis

Answer 1

sx >10 days, high fever (>39C) + puruluent nasal discharge, facial pain ongoing for >3 days consecutivelyl, double sickening

Question 2

Rarer throat infections

Answer 2

Peritonsilar abscess, epiglottitis, Lemierre syndrome

Question 3

Scoring tools for strep pharyngitis

Answer 3

Centor

McIsaac

Question 4

Treatment for strep pharyngtitis

Answer 4

Penicillin V or amoxicillin for 10 days

Penicillin G (once IM)

Question 5

Cough with URI

Answer 5

Post nasal drip

Question 6

Acute bronchitis

Answer 6

Cough without focal lung finding. Purulent sputum result of sloughing of TB inflammatory cells/ epithelium.

Question 7

When patients with chronic obstructive pulmonary disease present with bronchitic exacerbations (e.g., increasing volume and purulence of sputum), antibiotic therapy recommended is:

Answer 7

For uncomplicated cases, doxycycline, macrolides, cephalosporins, or trimethoprim–sulfamethoxazole are acceptable options.

Question 8

Acute rhinosinusitis bacterial treatment

Answer 8

Augmentin x5-7 days, high dose (2g bid) for those with risk factor for resistance or sever infection (elderly, recent abx, immunocomprosmised, high fever)