Infectious Disease

Question 1

Meningitis

Answer 1

Ceftriaxone + Vanco x7-14 days +/- Dexamethasone

PCN Allergy: Quinolone + Vanco

Question 2

Infective Endocarditis

Answer 2

Strep or Enterococci- PCN or Ampicillin +/- Gentamicin
MSSA: Nafcillin or Cefazolin
MRSA: Vanco + Gentamicin

Question 3

Infective Endocarditis Dental PPX

Answer 3

Amoxicillin 2gm or Clinda or Azithromycin

Question 4

Otitis media

Answer 4

Amocillin 90mg/kg/day

PCN Allergy: Cephalosporin

Question 5

Pharyngitis

Answer 5

PCN or Amoxicillin or Azithromycin

Question 6

Acute Bronchitis

Answer 6

Usually Viral, supportive tx

Question 7

Chronic Bronchitis

Answer 7

Amox/Clav

Question 8

CAP

Answer 8

Macrolide +/- Beta Lactam OR Levofloxacin

Question 9

HAP Early Onset (

Answer 9

Macrolide +/- Beta Lactam OR Levofloxacin

Question 10

HAP Late Onset (>5 days)

Answer 10

2 Antipseudomonal + MRSA

Question 11

TB

Answer 11

Rifampin, Isoniazid, Pyrazinamide, Ethambutol

Question 12

Ethambutol SE

Answer 12

Optic Neuritis

Question 13

Pyrazinamide CI

Answer 13

Acute Gout and Hepatic Damage

Question 14

Traveler’s Diarrhea

Answer 14

Fluoroquinolone’s + Loperamide

Question 15

Syphillis

Answer 15

Pen G Benz 2.4 million units IM Once

Question 16

Gonorrhea

Answer 16

Ceftriaxone 250mg IM x1 + Azithromycin or Doxycline (NEVER mono therapy)

Question 17

Chlamydia

Answer 17

Azithromycin 1gm PO x1

Question 18

Trichomoniasis

Answer 18

Metronidazole 2gm or Tinidazole 2gm

Question 19

Rocky Mountain Fever

Answer 19

Doxycycline 100mg BID x5-7 days

Question 20

Typhus

Answer 20

Doxycycline 100mg BID x7 days

Question 21

Lyme Disease

Answer 21

Doxycycline 100mg BID x10-21 days