Antibiotics

Question 1

Ticarcillin & Clavulanate

Answer 1

Timentin

Anti-pseudomonal

Question 2

Pipercillin- tazobactam

Answer 2

Zosyn

Anti-pseudomonas

Question 3

Ceftazidime

Answer 3

Fortas, Tazicef

Anti-pseudomonal

Question 4

Cefepime

Answer 4

Maxipine

Anti-pseudomonas

Question 5

Ceftazidime -Avibactam

Answer 5

Avycaz
MDR
Anti-pseudomonas

Question 6

Ceftaroline-tazobactam

Answer 6

Zerbaxa

Anti-pseudomonas

Question 7

Carbopemens

Answer 7

Doripenem, Meropenem, Impenem

Anti-pseudomonas

Question 8

Fluroquinolones

Answer 8

Cipro& Levo

Anti-pseudomonas

Question 9

Aminoglycosides

Answer 9

Anti-pseudomonas

Question 10

Aztreonam

Answer 10

Monobactam

Anti-pseudomonal

Question 11

H. influenza

Answer 11

H. Influenza meningitis tx:
Ceftriaxone or cefotaxime

Meningitis close contact exposure prophy:
Rifampin 600 PO QID x 4d (preferred) or
Ceftriaxone 250 mg IM x 1 or
Cefotaxime 1 g IM
 HIB vaccine

Question 12

Legionella pneumophila

Answer 12

Adults: respiratory quinolones
Children: Azithromycin

Question 13

H. Pylori

Answer 13

Triple therapy:
CAP/ clarithromycin, amoxicillin, PPI
Patients allergic to amoxicillin. Use metronidazole

Bismuth >15%
Metronidazole & tetracycline & bismuth & ppi

Concomitant therapy:
Triple therapy & metronidazole

Question 14

Pertussis

Answer 14

Macrolides
Erythromycin
Clarithromycin
Azithromycin

Vaccine: DTap
booster: Tdap

Question 15

Clostridium perfringens

Answer 15

Civil war/winter
Gas gang gangrene

Tx: penicillin & clindamycin or
Tetracycline

Surgical: debridement, amputation

Question 16

C. diff

Answer 16

Oral vanco 125 mg QID
Fidoxamycin difficid 
Or bezlotoxumab (Zinplava) man used in conjunction with anti body

Question 17

B. Fragility

Answer 17

DOC: metronidazole

Question 18

Chlamydia

Answer 18

Azithromycin 1 gram PO x 1 or

Doxycycline 100 mg bid x 7 days

Question 19

Mycoplasma pneumonia’s

Answer 19

Tx: macrolides or doxycycline

Question 20

CAP

Answer 20

Macrolides, doxycycline, 3rd/4th gen quinolones

Question 21

Syphilis Tx

Answer 21

Pen G (Bicullin-LA)

Question 22

Borrelua burgdorferi

Answer 22

Lyme disease
Doxy 200 mg x 1 > 8 yo prophy
Tx early doxy amoxicillin or cefuroxime 10-20 days
Early disseminated
IV ceftriaxone cefotaxime or PCN G 14-28 d
Late
Neuron ceftriaxone x 28 days
Lyme arthritic doxy amoxicillin or ceftriaxone x 28 d

Question 23

Candida albicans yeast

Diaper rash

Answer 23

Oral thrush
Nystatin swish & swallow or Fluconazole

Vaginal thrush
Azole vaginal creams or
Diflucan 150 nh PO x 1

Systemic Fluconazole PO

Question 24

Aspergillosis

Answer 24

Mold

Vfend: Voriconazole

Question 25

Histoplasmosis

Answer 25

Tx mild itraconazole

Severe amphotericin B IV step done azole

Question 26

Tineas

Answer 26

Extremes Rx
Capitulation scalp Rx griseofulvin or terbinqfine
On Home ISIS PO Rx terbinqfine or itraconazole

Question 27

Flu

Answer 27

Neuroaminidase inhibitors
Oseltamivir (tamiflu)
Tx 75 mg PO bid x 5d
plx. 75 mg PO QID x 7 d cdc

Zanamivir (Relenza) diskhaletz >7 yo 2 inh (10 mg) bid x 5 d

Plx >5 yo 2 inh (10 mg) QID x 10 d

Peramivir (Rapivab) IV 600 mg IV as single dose

Question 28

Heroes virus

Answer 28

Tx AFV
Acyclovir
Valcyclovir
Famcyclovir

PHN Gabapentin pregabalin texas nortriptylibe lidocaine