Antibiotics

Question 1

Abx: Parapharyngeal Abscess (PTA or RPA)

Answer 1

Clinda (Outpatient and Inpatient)

Question 2

Abx: COPD Exacerbation

Answer 2

Azithro (Out and In)

Question 3

Abx: Anthrax

Answer 3

Cipro (Ppx and Tx)

Question 4

Abx: Appendicitis

Answer 4

Zosyn (Pip/Tazo)

Question 5

Abx: Cholangitis/Cholecystitis

Answer 5

Mild - Rocephin

Severe - Zosyn (Pip/Tazo)

Question 6

Abx: C Dif

Answer 6

Mild - Flagyl
Severe - PO Vanc
Severe and Complicated - PO Vanc + IV Flagyl

Question 7

Abx: Cryptococcus

Answer 7

Pulmonary: Fluconazole

Meningitis/Severe Pulmonary: Amphotericin B + Flucytosine

Question 8

Abx: CMV

Answer 8

Gancyclovir

Question 9

Abx: Encephalitis

Answer 9

HSV or Undiff: Acyclovir
CMV: Gancyclovir and Foscarnet
If chance of ricketssial: Add Doxy

Question 10

Abx: Endocarditis

Answer 10

IVDU/Acute Native/Prosthetic >1 yo: Vanc + Cefepime
Prosthetic < 1 yo: Vanc + Cefepime + Rifampin + Gent
Native (SubAcute): Vanc + Rocephin

Question 11

Abx: Endometritis

Answer 11

Clinda

Question 12

Abx: Epiglottitis

Answer 12

Rocephin or Unasyn

Question 13

Abx: Diverticulitis

Answer 13

Cipro/Flagyl

Question 14

Abx: Neutropenic Fever

Answer 14

Cefepime +/- Vanc

Question 15

Abx: Malaria

Answer 15

Ovale, Vivax, Malarie - Chloroquine if sensitive
Falcip, Chloriquine Resistance - Artesunate
Pregnant - Quinine + Clinda

Question 16

Abx: Meningitis

Answer 16

< 1 mo: Amp + Gent
1mo - Adult: Vanc + Rocephin +/- Acyclovir
Pen Head Inj/Shunt/Post Sx: Vanc + Cefepime

Question 17

Abx: Ludwig’s

Answer 17

Unasyn (Amp/Sulbactam) or Clinda

Question 18

Abx: Intracranial Abscess

Answer 18

Vanc + Rocephin + Flagyl

Question 19

Abx: Mastoiditis

Answer 19

Mild: AOM Tx (Augmentin)
Severe: Vanc + Rocephin

Question 20

Abx: Nec Fasc

Answer 20

Zosyn (Pip/Tazo) + Vanc + Clinda

Question 21

Abx: Neurocystercosis

Answer 21

Albendazole

Question 22

Abx: Orbital Cellulitis

Answer 22

Vanc + Rocephin

Question 23

Abx: Ostemyelitis

Answer 23

Vanc + Rocephin

Question 24

Abx: PID

Answer 24

Out: Doxy + Rocephin
In: Doxy + Cefoxitin

Question 25

Abx: Peritoneal Dialysis Peritonitis

Answer 25

Intraperitoneal Vanc + Cefepime

Question 26

Abx: Peritonitis/Perf/Intraab Abscess

Answer 26

Zosyn

Question 27

Abx: Pertussis

Answer 27

Azithro

Question 28

Abx: Pneumocystis PNA (PCP)

Answer 28

Mild: TMP/SMX PO

Mod/Severe: TMP/SMX IV

Question 29

Abx: CA PNA

Answer 29

Out: Azithro
In: Rocephin + Azithro

Question 30

Abx: PNA with Pseudomonas Risk

Answer 30

Levaquin + Zosyn

Question 31

Abx: HCAP or VAP

Answer 31

Levaquin + Zosyn + Vanc

Question 32

Abx: Ped PNA

Answer 32

Rocephin

Azithro if atypical

Question 33

Abx: Pyelo

Answer 33

Out: Septra
In: Rocephin

Question 34

Abx: Rabies

Answer 34

Prior Vax: Vax on Days 0 and 3

No Prior Vax: RIG on Day 0, Vax Days 0, 3, 7, 14

Question 35

Abx: Septic Arthritis

Answer 35

Rocephin +/- Vanc

SCD: Cipro + Vanc

Question 36

Abx: Septic Bursitis

Answer 36

Clinda

Question 37

Abx: Spinal Epidural Abscess

Answer 37

Vanc + Rocephin + Flagyl

Question 38

General rule for Pseudomonal Suspicion

Answer 38

Replace rocephin with cefepime

Question 39

Abx: SBP

Answer 39

Rocephin

Question 40

Abx: Toxoplasmosis

Answer 40

Septra

Question 41

Abx: Trichomoniasis

Answer 41

Flagyl

Question 42

Abx: Varicella

Answer 42

At risk (> 12 yo, heart dz, immunocomp): Acyclovir

Question 43

Abx: Acute Chest Syndrome

Answer 43

Rocephin + Azithro