Infectious Disease

Question 1

Abdominal infection organisms and Abx

Answer 1

3rd gen ceph and flagyl

Question 2

aspiaration pneumonia organisms and Abx

Answer 2

mouth and throat anaerobes

3rd gen ceph plus flagyl or clinda

Question 3

bites organisms and Abx

Answer 3

GNR and anaerobes

amox and clavulonic acid

Question 4

Brain abscesses

Answer 4

GPC, GNR, anaerobes

3rd gen ceph + flagyl +/- vanc

Question 5

Bronchitis organisms and Abx

Answer 5

S pneumo
H flu
M catarrhalis
viruses

NONE or TMp-SMX or amox

Question 6

CAP organisms and Abx

Answer 6

S pneumo, H flu, m catarhalis, mycoplasma, chlamydophila pneumoniae, chlamydia psittaci, legionella

3rd gen ceph + macrolide OR fluoroquinolone

Question 7

Cellulitis organisms and Abx

Answer 7

S aureus, group A strep, strep

clinda, cefzol + bactrim or vanc

Question 8

cholangitis organisms and Abx

Answer 8

GNR, anerobes

3rd gen ceph + flagyl

Question 9

Dental infection organisms and Abx

Answer 9

Mouth anaerobes

Clinda

Question 10

Diabetic foot organisms and Abx

Answer 10

GNR, anaerobes, +/- Staph aureus

3rd g ceph + Flagyl OR amp/sulbactam +/- Vanc

Question 11

Endocarditis organisms and Abx

Answer 11

S aureus, viridans group strep, HACEK, coag neg staph

3r gen ceph + vanc + oxacillin

Question 12

Epididymitis and prostatitis organisms and Abx

Answer 12

< 35- N gonorrhea (3g ceph)

> 35 GNRs (3g ceph or FQ)

Question 13

Nec Fasc organisms and Abx

Answer 13

Group A strep, clostridium, community MRSA

PCN or 3g ceph + clinda + vanc

Question 14

GI organisms and Abx

Answer 14

GNR

FQ or 3g ceph

Question 15

Urethritis organisms and Abx

Answer 15

N gonorrhoeae, chlamydia trachomatis

3g ceph + doxy

Question 16

Liver abscess organisms and Abx

Answer 16

GNR, anaerobes or entamoeba histolytica

3g ceph + flagyl OR flagyl

Question 17

Lung abscesses organisms and Abx

Answer 17

mouth and throat anaerobes

3g ceph + flagyl or clinda

Question 18

Meningitis ADULT organisms and Abx

Answer 18

s pneumo, HiB, N. meningitidis, listeria

3g ceph + vanc, add amp if elderly, immunocompromised or pregnant for listeria

Question 19

Meningitis PEDIATRIC organisms and Abx

Answer 19

E coli, listeria, s pneumo, n meningitidis

3g ceph/amp/vanc

Question 20

Neutropenic Fever organisms and Abx

Answer 20

GNR, GPC
Ceftazidime or Cefepime or imipenem or pip-tazo
+/- gent
+/- vanc

Question 21

Noscomial pneumonia

Answer 21

GNR, s aureus
Ceftazidime or cefepime or imipenem or pip-tazo or cipro
+ vanc

Question 22

Osteomyelitis

Answer 22

GPC, GNR

3g ceph + vanc

Question 23

Pharyngitis

Answer 23

Group A strep

PCN

Question 24

PID

Answer 24

GNR, anaerobes, NG/CT

clinda+ gent + doxy

Question 25

Pyelo

Answer 25

GNR

3g ceph + gent

Question 26

Spontaneous bacterial peritonitis

Answer 26

GNR, S pneumo

3g ceph

Question 27

Septic arthritis

Answer 27

S aureus, strep spp, GNR

Vanc + 3g ceph

Question 28

Septic Shock

Answer 28

GPC, GNR
Vanc + 3g ceph or pip-tazo or imipenem
+/- FQ
+/- Flagyl

Question 29

Bell’s Palsy

Answer 29

HSV, other

Val/acyclovir

Question 30

Herpes Zoster

Answer 30

VZV

Val/acyclovir

Question 31

Retinitis in HIV

Answer 31

CMV

Val/gancyclovir

Question 32

Encephalitis

Answer 32

HSV, other

Acyclovir IV

Question 33

Oral thrush

Answer 33

Candida
Nystatin swish and swallow if just oral
Fluconazole if esophageal dz