ID - ABx

Question 1

Penicillin covers?

Amoxicilin and ampicillin also cover?

Answer 1

#Strep
#Oral anaerobes
#Syphilis
#leptospira

HELPS
#H flu
#E coli
#Listeria
#Proteus
#Salmonella

Question 2

When to use Amoxicillin/ampicillin?

Answer 2

#Face - otitis media, dental infection
#Endocarditis PPX
#Lyme disease (limited to rash, joint, CN7)
#UTI in pregnancy
#Listeria
#Enterococcal infections

Question 3

penicillinase-resistant penicillins?

Use for?

Answer 3

Oxacillin, cloxacillin, dicloxacillin, nafcillin (never use methicillin)

#Skin  cellulitis, impetigo, erysipelas
#endocarditis, meningitis, staph bacteremia
#Osteomyelitis and septic arthritis if sensitive

Question 4

Bug covered by amoxicillin but not oxacillin/etc or cephalosporins?

Answer 4

Enterococcus

Question 5

Never use methicillin because?

Answer 5

renal failure from allergic interstitial nephirits

Question 6

Use Pipercillin, ticarcillin, azlocillin mezlocillin for?

Answer 6

Gram negatives, enterobacteria, pseudomonads

#Cholecystitis, ascending cholangitis
#Pyelo
#Bacteremia
#HCAP/VAP
#Neutropenic fever

Question 7

1st gen cephalosporins cover which bugs?

Use to treat?

Answer 7

PEKS

Proteus
E coli
Klebsiella
Strep (except enterococcus), MSSA,

#Osteomyelitis
#Septic Arthritis
#Endocarditis
#Cellulitis

Question 8

Use 2nd gen cephalosporins for? Adverse reactions?

Answer 8

#PID (with doxy)
#Bronchitis
#Otitis media
#Sinusitis

Disulfiram like reaction
Bleeding

Question 9

Gram staining Bugs resistant to all cephalosporins?

Answer 9

Listeria
MRSA
Enterococcus

Question 10

If pt gets rash to penicillins, give?

If prophylaxis?

Answer 10

cephalosporins

non-beta-lactam

Question 11

Use 3rd gen cephalosporins for?

Answer 11

#Meningitis
#CAP
#Gonorrhea
#Lyme involving heart/brain

Question 12

Avoid ceftriaxone in? because?

Use instead?

Answer 12

Neonates; impaired biliary metabolism

Cefotaxime

Question 13

Carbapenums used to treat?

Answer 13

#Resistant gram-negatives
#Anaerobes
#Strep/Staph

Question 14

All carbapenums cover pseudomonas expect?

Answer 14

Ertapenum

Question 15

Fluoroquinolones are used to treat?

Answer 15

CAP
Pseudomonas
Cystitis/Pyelo (Cipro)
Diverticulitis (with flagyl)

Question 16

Fluoroquinolones cover? Do not cover (exception)?

Answer 16

Gram-negative rods

Anaerobes (except moxifloxacin)

Question 17

Doxyclicine used to treat?

Answer 17

Chlamdia
Tick-bornes - Lyme/Rickettsia/Ehrlichia, Borrelia
MRSA
Syphilis (in those with allergies to penicillin)

Question 18

Adverse reactions of doxyclicine?

Answer 18

#tooth discoloration
#Fanconi (Type II RTA)
#Photosensitivity
#Esophagitis

Question 19

Bactrim adverse reactions?

Answer 19

#Rash
#Hemolysis with G6PD
#Bone marrow suppression

Question 20

Treatment of Anarobes above diaphragm?

Anaerobes below diaphragm?

Answer 20

Penicillins and Clindamycin (and Zosyn, Carbapenums, cephalosporins)

Metronidazole, Augmentin (etc), (and Zosyn, Carbapenums, cephalosporins)

Question 21

Treat Gram-negatives with?

Answer 21

#Aminoglycosides
#Aztreonam
#Carbapenums
#Cephalosporins
#Fluoroquinolones
#Zosyn