Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Clin Med 1B > Infectious Disease: Bacterial Infection Treatments > Flashcards

Infectious Disease: Bacterial Infection Treatments Flashcards

1
Q

How would you treat a staphylococcus skin infection outpatient with low risk of MRSA?

A

Cephalexin, dicloxacillin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How would you treat a staphylococcus skin infection outpatient with a high risk of MRSA?

A

Clindamycin, tetracyclines (doxycycline, minocycline), or sulfamethoxazole/trimethoprim

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How would you treat a staphylococcus skin infection inpatient?

A

Vancomycin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How would you treat an inpatient staphylococcal skin infection if allergy to vancomycin?

A

Clindamycin, cefazolin, Nafcillin or oxacillin, linezolid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How would you empirically treat staphylococcal osteomyelitis?

A

Vancomycin + 3rd or 4th generation cephalosporin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How would you treat staphylococcal osteomyelitis with MSSA on culture?

A

Nafcillin, oxacillin, or cefazolin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How would you treat staphylococcal osteomyelitis with MRSA on culture?

A

Vancomycin IV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How would you treat toxic shock syndrome empirically?

A

Vancomycin plus clindamycin plus pip/taz or cefepime or carbapenem (meropenem, doripenem, imepenem)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How would you treat scalded skin syndrome with MSSA?

A

Supportive measures: fluid management, skin care, Nafcillin or oxacillin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How would you treat scalded skin syndrome with a high risk of MRSA?

A

Vancomycin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How would you treat staphylococcal food poisoning?

A

No treatment, self limiting and typically resolves within 12 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How would you treat a coagulase negative staphylococcal infection (s. Epidermidis, s. Saprophyticus, s. Lugdunensis)

A

Vancomycin and prosthetic device removal if infected

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How would you treat strep pyogenes pharyngitis?

A

Benzathine PCN G, Penicillin VK or amoxicillin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How would you treat strep pyogenes pharyngitis with a allergy to penicillin?

A

Cephalosporin such as cephalexin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How would you treat scarlet fever?

A

Benzathine PCN G, penicillin VK or amoxicillin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How would you treat impetigo without suspected MRSA?

A

Topical mupirocin, cephalexin, dicloxacillin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

How would you treat impetigo with suspected MRSA?

A

Sulfamethoxazole/trimethoprim, doxycycline, clindamycin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

How would you treat outpatient erysipelas?

A

penicillin, amoxicillin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are alternatives to penicillin, amoxicillin in treatment of outpatient erysipelas?

A

Dicloxacillin, cephalexin, clindamycin/erythromycin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

How do you treat erysipelas inpatient?

A

Vancomycin if severe and s. Aureus suspected, cefazolin, ceftriaxone, clindamycin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

How would you treat cellulitis outpatient?

A

Empiric treatment directed at both organisms depending on severity

Dicloxacillin, cephalexin, penicillin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

How would you treat cellulitis with MRSA outpatient?

A

Clindamycin, doxycycline/minocycline, bactrim

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

How would you treat cellulitis inpatient?

A

Vancomycin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

How do you treat other GABHS infections: necrotizing fasciitis, streptococcal toxic shock syndrome, arthritis?

A

Penicillin or ampicillin and clindamycin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

How do you treat strep agalactiae prophylactively?

A

PCN G or ampicillin, cefazolin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What is alternative treatment for strep agalactiae?

A

Clindamycin or vancomycin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

How would you treat otitis media?

A

Amoxicillin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

How would you treat otitis media if allergy to penicillin?

A

Omnicef (cefdinir)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

If otitis media is still present after 2 weeks of treatment, how would you treat?

A

Augmentin or omnicef

30
Q

If otitis media is still not better after 4 weeks, how would you treat?

A

Referral to ENT and rocephin

31
Q

How would you treat acute sinusitis?

A

Augmentin

32
Q

What are alternatives to augmentin for treatment of acute sinusitis?

A

Doxycycline or clindamycin

33
Q

What are treatments for outpatient pneumococcal pneumoniae?

A

Amoxicillin, doxycycline, azithromycin (only in areas <25% resistance)

34
Q

How would you treat pneumococcal pneumoniae outpatient in patients who have COPD/comorbidities?

A

Levofloxacin, (amoxicillin/clavulanate (augmentin) or cephalosporin) + (zmax or doxycycline)

35
Q

How would you treat pneumococcal pneumoniae inpatient?

A

Levofloxacin or macrolide + beta-lactam

36
Q

How would you treat endocarditis?

A

Ampicillin + gentamicin

37
Q

How would you treat mild or complicated skin/wound/UTI infection due to enterococcus?

A

Ampicillin or vancomycin

38
Q

How would you treat complicated skin/wound/UTI infections due to enterococcus?

A

Ampicillin or vancomycin

39
Q

How would you treat vancomycin resistant skin/wound/UTI enterococcus infection?

A

Linezolid or Daptomycin

40
Q

How would you treat bacillus anthracis?

A

Ciprofloxacin for 7-10 days if cutaneous, up to 60 days if inhalation, multiple antibiotics can be used

41
Q

What can you use for bacillus anthracis instead of ciprofloxacin?

A

Doxycycline

42
Q

How can you treat bacillus cereus?

A

Supportive treatment: fluids and rest

43
Q

How would you treat listeriosis inpatient?

A

Ampicillin and gentamicin

44
Q

How would you treat listeriosis outpatient?

A

Amoxicillin

45
Q

How would you treat corynebacterium diphtheria?

A

Diphtheria equine antitoxin (obtained from CDC, for all suspected causes of diphtheria), PCN or erythromycin

46
Q

How would you treat contacts of patients with corynebacterium diphtheria?

A

Erythromycin

47
Q

How would you treat meningococcal meningitis?

A

PCN G (if susceptible to penicillin) or
Ceftriaxone for coverage of other agents

48
Q

How would you treat close contacts of a patient with meningococcal meningitis?

A

PCN G or ceftriaxone

49
Q

How would you treat a patient with OE/UTI/RESP infection due to pseudomonas outpatient?

A

Ciprofloxacin or levofloxacin (oral)
Tobramycin (inhaled)

50
Q

How would you treat a patient with OE/UTI/Resp infection due to pseudomonas inpatient?

A

Pip/taz, ceftazidime, cefepime, meropenem, aztreonam

“You’re CCAMP(ing) indoors

51
Q

How would you treat whooping cough (bordetella pertussis)?

A

Supportive care, azithromycin

52
Q

How would you treat whooping cough if patient can’t take azithromycin?

A

Bactrim

53
Q

How would you treat haemophilus influenzae?

A

Empiric antibiotic treatment depending on area of infection

54
Q

How would you treat legionnaires?

A

Macrolide (azithromycin, clarithromycin), fluoroquinolone (levaquin) typically for 10-14 days/21 day course of therapy for immunocompromised patients

55
Q

How would you treat klebsiella (klebsiella pneumoniae)?

A

Susceptibility testing required due to resistance, empiric treatment with respiratory fluoroquinolone, carbapenem

56
Q

How would you treat traveler’s diarrhea (E Coli)?

A

Tends to resolve itself, but if does not improve: antimotility agents/antidiarrheals: loperamide, etc.
Bismuth subsalicylate

57
Q

How would you treat severe traveler’s diarrhea (E Coli)?

A

Antimotility agents/antidiarrheals, bismuth subsalicylate, antibiotics for severe symptoms: ciprofloxacin for 3-5 day course

58
Q

How would you treat campylobacter jejuni?

A

Ciprofloxacin empiric treatment, azithromycin

59
Q

How would you treat shigellosis?

A

Rehydration to treat hypotension in severe cases, ciprofloxacin (single dose), bactrim

60
Q

How would you treat cholera (vibrio cholerae)?

A

Tetracycline/doxycycline, bactrim, azithromycin, quinolones (cipro), susceptibility testing to decide

Note: this little girly is out drinking river water with cholera so you gotta tell her: get BACT over here!!! (B)actrim (A)zithromycin (C)ipromycin (T)etracyclines (doxycycline)”

61
Q

How would you treat non-cholerae vibrio infections?

A

Doxycycline or ciprofloxacin

62
Q

How would you treat typhoid fever (salmonella)?

A

Ciprofloxacin/levofloxacin, ceftriaxone, azithromycin

63
Q

How would you treat enterocolitis?

A

Supportive care

64
Q

How would you treat complicated enterocolitis with severe illness?

A

Supportive care, ciprofloxacin, ceftriaxone, azithromycin, bactrim

65
Q

How would you treat UTI/uncomplicated cystitis?

A

Bactrim, nitrofurantoin (furadentin, macrodantin, macrobid), fosfomycin, cephalosporins, ciprofloxacin

66
Q

Who could you not give bismuth subsalicylate for traveler’s diarrhea?

A

Children, pregnant women or ASA allergy

67
Q

Who would you not give nitrofurantoin for uncomplicated cystitis?

A

Last trimester of pregnancy

68
Q

How would you treat bubonic plague?

A

Streptomycin x 10 days or gentamicin x 10 days or doxycycline x 10 days or fluoroquinolone (cipro, levo, moxi), respiratory isolation

69
Q

How would you prophylactically treat someone exposed to bubonic plague?

A

Doxycycline and ciprofloxacin x 7 days

70
Q

How would you treat tularemia?

A

Streptomycin, gentamicin, doxycycline, fluoroquinolones

71
Q

How would you treat a fever of unknown origin?

A

No empiric treatment, treatment towards etiology once determined, referral if etiology cannot be determined

72
Q

How would you treat sepsis?

A

Antibiotic therapy initiated within 1 hr of suspected diagnosis, multiple empiric antibiotics used, IV fluids, vasopressors, central lines, other means of organ perfusion

Clin Med 1B (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions