First and Second Line Treatments

Question 1

Strep Pharyngitis

Answer 1

First: Pen G, Pen VK, Amoxicillin/Ampicillin

PCN allergy: Macrolides

Question 2

Lyme Disease

Answer 2

First: Doxycycline, Amoxicillin
Second: Pen G

Question 3

Otitis Media

Answer 3

First: Amoxicillin/Ampicillin

PCN allergy: Macrolides

Question 4

Sinusitis

Answer 4

First: Amoxicillin-clavulanate

Question 5

Impetigo

Answer 5

1st Generation Cephs

Cephalexin, Cefazolin, Cefadroxil

Question 6

MRSA

Answer 6

Ceftaroline (first line?)

Question 7

Outpatient CAP

Answer 7

First: Macrolides

Question 8

Legionella Pneumonia

Answer 8

Azithromycin or fluoroquinolone

Question 9

Chlamydia

Answer 9

Azithromycin or doxycycline

Question 10

Pertussis

Answer 10

First: Clarithromycin

Question 11

Diphtheria

Answer 11

First: Erythromycin

Question 12

RMSF

Answer 12

First: Doxycycline

Question 13

Vibrio cholerae

Answer 13

First: Doxycycline

Question 14

Inpatient CAP

Answer 14

First: Fluoroquinolones

Question 15

Outpatient CAP w/ comorbidities

Answer 15

First: Fluoroquinolones

Question 16

Acute pyelonephritis

Answer 16

First: Ciprofloxacin, Levofloxacin

Question 17

Traveler’s diarrhea

Answer 17

First: Fluoroquinolone

Question 18

CDAD

Answer 18

First: Metronidazole
Second: Vancomycin
Can be used: Fidaxomicin

Question 19

Leishmaniasis

Answer 19

Second: Amphotericin B

Question 20

Aspergillosis

Answer 20

First: Voriconazole
Second: Amphotericin B, Itraconazole

Question 21

Prophylaxis of Aspergillus and Candida infxns in immunocompromised pts

Answer 21

First: Posaconazole

Question 22

HPV External and Perianal Genital Warts

Answer 22

First: Imiquimod

First line alt: Podofilox

Question 23

Post Exposure Prophylaxis

Answer 23

• Raltegavir

- Dolutegravir/Emtricitabine/Tenofovir

Question 24

Beta Blocker OD Tx (Not responsive)

Answer 24

• IV Glucagon