First and Second line Abx

Question 1

Bullous Impetigo (3)

Answer 1

Keflex, Dicloxacillin, Doxy
Augmentin

Question 2

Nonbullous Impetigo (1)

Answer 2

Bactroban

Question 3

Anthrax
1st and 2nd

Answer 3

1. Cipro
2. Doxy

Question 4

Folliculitis
Mild vs. severe (2)

Answer 4

1. Bactroban
2. Keflex or PCN

Question 5

Rosacea 1

Answer 5

Flagyl gel

Question 6

Cellulitis (non-purulent) (2)

Answer 6

Keflex or PCN

Question 7

Purulent Cellulitis (3)

Answer 7

CBD Clinda, Bactrim, Doxy

Question 8

Animal bite (1)

Answer 8

Augmentin

Question 9

Erysipelas (2)

Answer 9

Keflex or PCN

Question 10

Lyme Disease
1st and 2nd/pregnancy

Answer 10

1. Doxy
2. Amoxicillin

Question 11

Rocky Mountain Spotted Fever (1)

Answer 11

Doxy

Question 12

Mastitis
1st line and second line (3)

Answer 12

1. Dicloxacillin
2. Clinda, Keflex
   3 macrolide

Question 13

Sinusitis
1st line and 2nd line

Answer 13

1. Augmentin
2. PCN
3. Cephalosporin

*AUGust Colds

PCN allergy: CLINDA or DOXY

Question 14

Strep Throat
1st and second line (2)

Answer 14

1. PCN
2. Macrolide, cephalosporin
3. Doxy

Question 15

Strep + Mono
1st line (2) and second line (1)

Answer 15

1. Macrolide, cephalosporin
2. PCN VK

Question 16

Pertussis (1)

Answer 16

Azithromycin

Question 17

Acute Otitis Media
1st and 2nd line/recurrent or recent abx

Answer 17

1. Amoxicillin
2. Augmentin, cephalosporin

Question 18

Otitis Externa
1st line and 2nd line (2)

Answer 18

1. Ofloxacin drops
2. Cipro or Polytrim

Question 19

TM Rupture (1)

Answer 19

Ofloxacin

Question 20

Endocarditis Prophylaxis
1st line and 2nd line (3)

Answer 20

1. Amoxicillin
2. Keflex, Clinda, Clarithromycin

Question 21

Rheumatic Fever (2)

Answer 21

PCN G or Erythromycin

Question 22

Pneumonia (comorbid, abx within 90 days)
1st line and 2nd line (combo)

Answer 22

1. Levaquin
2. Augmentin plus macrolide

Question 23

Pneumonia (healthy adult) (3)

Answer 23

MAD Lung
Macrolide, Amoxicillin, Doxy

Question 24

H. Pylori: Triple therapy
First line (3), allergy replacement?

Answer 24

Clarithromycin, Amoxicillin, PPI
PCN allergy: Replace Amoxicillin with Flagyl

**triple CAP

Question 25

H. Pylori: Quadruple Therapy

Answer 25

Bismuth, PPI (or H2), Tetracycline, Flagyl

Question 26

Diverticulitis (combo)

Answer 26

Cipro + Flagyl Or Augmentin

Question 27

C. Diff (1)

Answer 27

Oral Vanco

Question 28

Bacterial Gastroenteritis (2)

Answer 28

Fluoroquinolone or macrolide

Question 29

Giardia (1)

Answer 29

Flagyl

Question 30

Traveler's Diarrhea (1)

Answer 30

Cipro

Question 31

Uncomplicated UTI S/S < 7 days 1st line (2) and 2nd line (3)

Answer 31

1. Bactrim or Cipro x 3 days 2. Macrobid, Keflex, Augmentin

Question 32

Complicated UTI > 7 days (2) And PYELONEPHRITIS

Answer 32

Bactrim or Cipro x7-10 days

Question 33

UTI in pregnant patient (4)

Answer 33

CAMP Cephalosporins, Amoxicillin, Macrolide/Macrobid, PCN

Question 34

Pediatric UTI 1st line and 2nd line

Answer 34

1. Bactrim 2. Cephalosporin or Augmentin

Question 35

Chlamydia 1st line and 2nd line

Answer 35

1. Doxy 2. Azithromycin

Question 36

Gonorrhea (1)

Answer 36

Rocephin

Question 37

Trich/BV 1st line and 2nd line

Answer 37

1. Flagyl 2. Clindamycin

Question 38

Syphilis (1)

Answer 38

PCN G

Question 39

Prostatitis/Epidymitis < 35 (combo)

Answer 39

IM Rocephin and Doxy

Question 40

Prostatitis/Epididymitis > 35 (2)

Answer 40

Fluoroquinolone or Bactrim

Question 41

Concern with sulfa drugs

Answer 41

Steven Johnson syndrome

Question 42

Concern with Vanco

Answer 42

Red man Syndrome

Question 43

Tuberculosis

Answer 43

Rifampin Monitor LFTs, red pee

Question 44

Conjunctivitis

Answer 44

Erythromycin drops or ointment

Question 45

Cerumen impaction (cerumenosis)

Answer 45

Debrox drops aka carbamide peroxide

Question 46

Otitis Externa edu

Answer 46

Use aluminum acetate (swimmers ear drops)