ENT Med Sheet

Question 1

Pharyngitis

Answer 1

Pen VK

500 mg bid x 10 days

Question 2

Pen VK (AE)

Answer 2

diarrhea, neutron/thrombocytopenia

Question 3

AOM (peds)

Answer 3

Amoxicillin (Amoxil)
80-90 mg/kg/day x 5-7 days

sx should stabilize in 24 hours and improve within 48; change abx if not improved by 72 hours

Question 4

Sinusitis (1st line empirical)

Answer 4

Amox/Clav (Augmentin)

875/125 mg bid

Question 5

Sinusitis (if resistance risk, failed initial therapy, or beta lactam allergy)

Answer 5

Moxifloxacin (Avelox)

400 mg qday x 5-7 days

Question 6

Allergic Rhinitis (Claritin)

Answer 6

Loratadine (Claritin)
10 mg qday

antihistamine 2nd generation

Question 7

Claritin (AE)

Answer 7

sedation, anticholinergic effects

Question 8

Allergic Rhinitis (nasal spray)

Answer 8

Fluticasone (Flonase)
2 sprays/nostril initially

nasal corticosteroid

Question 9

Flonase (AE)

Answer 9

stinging, HA, epistaxis, sneezing

Question 10

Allergic Rhinitis (Sudafed)

Answer 10

Pseudoephedrine (Sudafed)
60 mg PO q 4-6 h

ONSET WITHIN 30 mIN

Question 11

CI with pseudoephedrine

Answer 11

HTN

caution with cardiac disease, DM, glaucoma