DOC

Question 1

Surgery prophylaxis

Answer 1

cefazolin

Question 2

M. catarrhalis

Answer 2

1. TMP-SMZ
2. Cephalosporin (2nd or 3rd gen)
3. erythromycin, quinolone, clarithromycin, azithromycin

Question 3

N. gonorrhea

Answer 3

1. ceftraixone (IM) or cefpodoxime (PO)

Question 4

N. meningitidis

Answer 4

1. Pen G

2. Choramphenicol, cephalosporin (3rd gen)

Question 5

E. coli, klebsiella, proteus

Answer 5

1. cephalosporin (1st or 2nd gen), TMP-SMZ

2. quinolone, aminoglycoside

Question 6

enterobacter, citrobacter, serratia

Answer 6

1. TMP-SMZ, quinolone, carbapenem

2. antipseudomonal, penicillin, aminoglycoside, cefepime

Question 7

Shigella

Answer 7

quinolone

Question 8

Salmonella

Answer 8

TMP-SMZ, quinolone, cephalosporin

Question 9

H. pylori

Answer 9

Bismuth + metronidazole + tetracycline or amoxicillin

Question 10

Virbio spp.

Answer 10

tetracyclin

Question 11

pseudomonas aeruginosa

Answer 11

1. antipseudomonal PCN + aminoglycoside

2. cefepime, ceftazidime, imipenem, meropenem, or aztreonam + aminoglycoside

Question 12

legionella spp.

Answer 12

azithromycin/quinolone + rifampin

Question 13

Strep pneumonia

Answer 13

PCN

Question 14

Strep pyogenes

Answer 14

PCN, clindamycin

Question 15

Staph aureus

Answer 15

beta-lactamase negative: PCN

beta-lactamase positive: Penicillinase-resistant PCN

Question 16

Methicillin-resistant

Answer 16

Vancomycin

TMP-SMZ, minocycline, linezolid, daptomycin, tigecycline

Question 17

Enterococcus spp

Answer 17

PCN + aminoglycoside

Question 18

Listeria

Answer 18

ampicillin +/- aminoglycoside

Question 19

C. diff

Answer 19

oral vancomycin (metronidzole, bacitracin)

Question 20

mycobacterium

Answer 20

isoniazid + rifampin + ethambutal + [pyrazinamide

Question 21

Chlamydia trachomatis

Answer 21

tetracycline, azithromycin

Question 22

chlamydia pneumoniae

Answer 22

tetracycline, erythromycin

Question 23

Borellia burgdorferi

Answer 23

Early: doxycycline, amoxicillin
Late: Ceftriaxone

Question 24

Candida spp

Answer 24

Amphotericin B, caspofungin

Question 25

Best CNS penetration (100%)

Answer 25

Chloramphenicol

Question 26

Toxoplasma encephalitis

Answer 26

clindamycin

Question 27

Osteomyelitis

Answer 27

Clindamycin

Question 28

VRE

Answer 28

synercid, linezolid

Question 29

mycoplasma pneumonia

Answer 29

erythromycin (or tetracycline)

Question 30

Syphilis

Answer 30

Pen G

erythromycin if PCN allergy

Question 31

Legionella

Answer 31

Azithromycin ( + rifampin or quinolone)

Question 32

CAP

Answer 32

macrolide (erythromycin)

2nd line: telithromycin (hepatotoxic)

Question 33

MRSA

Answer 33

1. Bactrim
2. Clindamycin
3. Tetracycline
4. Linezolid

Question 34

Pseudomonas aeurginosa

Answer 34

aminoglycoside + antipseud pen

Question 35

enterococcus spp

Answer 35

aminoglycoside + PCN

Question 36

cholera

Answer 36

tetracycline

Question 37

mycoplasma

Answer 37

tetracycline, erythro

Question 38

Rickettsia (rocky mountain fever)

Answer 38

tetracycline

Question 39

Vibrio spp

Answer 39

Tetracycline