Antibiotics

Question 1

C. Perfingens

Answer 1

Pen G + Clinda Doxy

Question 2

Pertussus

Answer 2

Azrithro or Clarithro Doxy

Question 3

Legionella

Answer 3

Levo or Moxi Azrithro

Question 4

Neisseria Gonnorrheae

Answer 4

Ceftriaxone Azrithro

Question 5

Nocardia

Answer 5

Bactram + IMP Linzeolid

Question 6

Chylamida

Answer 6

Doxy Azrithro

Question 7

Strep Epidermis

Answer 7

RIF + Vanc RIF + (Bactram or FQ)

Question 8

S. Pneumoniae

Answer 8

Pen G or Amoxicillin

Question 9

V. Cholerae

Answer 9

Doxy, FQ Alternative: Azrithro or Erythro

Question 10

Strep Toxic Shock

Answer 10

Associated with Invasive Disease –> SurgeryClinda turns off toxin production. Pen GOr Clinda + Ceftriaxone. **IVIG decreases organ failure in STSS

Question 11

Staph Toxic Shock

Answer 11

Nafacillin or Oxacillin (VANC if MRSA suspected) + Clindamycin + IVIG Cefazolin, Vanc, and Dapto also can be used.

Question 12

Botulism

Answer 12

Adults: Equine Anti-toxin Infants: Baby BIG

Question 13

C. Tetani

Answer 13

1. Intubate (Laryngospasm) 2. Diazepam for spasms 3. Tetanus Anti-Toxin / Immunization4. Surgical Debriedment + Pen G / Doxy/ Metro5. Avoid Light6. Beta Blockers

Question 14

Acute Otitis Media

Answer 14

S. Pneumoniae, H. Influenza, M. Catarrhalis Treat with Amoxicillin for 10 days, if it returns within a month give a course of Amox-Clav (Augmentin)

Question 15

Osteomyelitis MSSA

Answer 15

Cloaxicillin

Question 16

Osteomeylitis Gram Negative

Answer 16

Fluroquinalone

Question 17

Osteomyelitis MRSA

Answer 17

Vancomycin

Question 18

Osteomyelitis emperic

Answer 18

Vanc + Gram Negative Coverage

Question 19

Osteomyelitis, Coagulase Negative Staph

Answer 19

Vanc.