Common Diagnoses Treatment

Question 1

AOM Peds

Answer 1

Amoxicillin

80-90 g/kg BID for 7-10 days

Question 2

AOM Adults

Answer 2

Augmentin 875/125 mg BID for 7-10 days
OR
500 mg TID for 5-7 days or 875 mg BID

Question 3

AOM Peds with PCN allergy

Answer 3

Cefdinir (Omnicef) 14 mg/kg/day for 7-10 days
OR
Ceftriaxone 50 my/kg/dose IM for 1-3 days

Question 4

CAP Peds

Answer 4

Amoxicillin 90 mg/kg/day TID for 7-10 days

Question 5

CAP Peds with PCN allergy

Answer 5

Cephalosporins or Clindamycin

Question 6

CAP Adults

Answer 6

(Macrolides) Azithromycin 500 mg day 1, then 250 mg for days 2-5 days
OR
Doxycycline 100 mg BID for 7-10 days

Question 7

Bacterial Vaginosis

Answer 7

Metronidazole 500 mg BID for 7 days
OR
Metronidazole gel 0.75%, one full applicator (5g) intravaginally at bedtime for 7 days
OR
Clindamycin cream 2%, one full applicator (5g) intravaginally at bedtime for 7 days

Question 8

UTI in women

Answer 8

Nitrofurantoin 100 mg BID for 5 days
OR
Trimethoprim/Sulfamethoxazole (Bactrim) 160/800 mg DS BID for 3 days

Question 9

UTI in men

Answer 9

Ciprofloxacin 1000 mg daily
OR
Ciprofloxacin 500 mg BID for 14 days

Question 10

UTI in peds

Answer 10

TMP/SMX 8-12 mg/kg trimethoprim component BID for 7-10 says (<5 years) for 3-5 days
OR
Augmentin 25 mg/kg/day BID for 7-14 days
OR
Cephalexin 50 mg/kg/day BID for 7-14 days

Question 11

Depression

Answer 11

SSRIs:
Sertraline (Zoloft) 50 mg daily
OR
Escitalopram (Lexapro) 10 mg daily

SNRIs:
Venlafaxine (Effexor) 37.5 mg daily

Dopamine Norepinephrine Reuptake Inhibitors:
Bupropion (Wellbutrin) 150 mg daily

Question 12

Hypertension

Answer 12

Thiazides:
HCTZ 12.5-25 mg once daily
Chlorthalidone 12.5-25 mg once daily

ACE:
Lisinopril 10-20 mg once daily
Benazapril 10-20 mg once daily

ARB:
Valsartan 40-80 mg once daily
Losartan 50 mg once daily

CCB:
Amlodipine 2.5-5 mg
Diltiazem ER 180-240 mg once daily

Black:
Thiazide:
HCTZ 12.5-25 mg once daily
Chlorthalidone 12.5-25 mg once daily

CCB:
Amlodipine 2.5-5 mg once daily
Diltiazem ER 180-240 mg once daily

Question 13

Acute Sinusitis in adults

Answer 13

Amoxicillin/Clavulanate (Augmentin) 875 mg BID for 7 days

Question 14

Acute Sinusitis in peds

Answer 14

Amoxicillin/Clavulanate (Augmentin) 20-45 mg/kg/day BID for 7 days

Question 15

Acute Sinusitis in adults with PCN allergy

Answer 15

Doxycycline 100 mg BID for 7 days
OR
Levofloxacin 750 mg daily for 5 days

Question 16

Acute Sinusitis in peds with PCN allergy

Answer 16

Cefdinir (Omnicef)
6-12 years: 14 mg/kg/day once daily for 7 days
13+: 609 mg once daily for 7 days

Question 17

Strep throat in adults

Answer 17

Penicillin V 500 mg BID or TID for 10 days 
OR
Amoxicillin 1g daily 
OR 
Amoxicillin 500 mg BID for 10 days

Question 18

Strep throat in peds

Answer 18

Penicillin V for 10 days 
<27 kg: 500 mg BID or TID 
>27 kg: 509 mg BID or TID 
OR 
Amoxicillin 50 mg/kg daily for 10 days

Question 19

Strep throat in adults with amoxicillin allergy

Answer 19

Cephalexin 500 mg BID for 7-14 days 
OR 
Clindamycin 20 mg/kg/day TID
OR 
Azithromycin 500 mg on day 1, then 250 mg days 2-5

Question 20

Strep throat in peds with amoxicillin allergy

Answer 20

Cephalexin 50 mg/kg/day BID for 10 days
OR
Azithromycin 12 mg/kg/day, once daily for 5 days (500 mg dose)

Question 21

Acute Bacterial Conjunctivitis

Answer 21

Non-contact lens wearer:
Trimethoprim-Polymyxin B (Polytrim) one drop to affected eye(s) four times daily for 7-10 days

Contact lens wearer:
Ciprofloxacin ophthalmic solution 0.3% 1-2 drops every 2 hours whine awake for 2 days, then 1-2 drops every 4 hours while awake for next 5 days