Preferred Antibiotics

Question 1

peritonsilar abscess

Answer 1

clindamycin or amoxicillin

Question 2

bacterial rhinosinusitis

Answer 2

Augmentin => Alt: respiratory fluoriquinolone

Question 3

acute otitis media

Answer 3

kids: amoxicillin
Alt (penicillin allergy): Z-pack or clarithromycin (Biaxin)
Tx failure: Augmentin or cefdinir

adults: Augmentin

Question 4

strep pharyngitis

Answer 4

penicillin VK => Alt: Z-pack or clarithromycin

Question 5

endocarditis

Answer 5

vancomycin IV + ampicillin (+ gentamycin)

Question 6

osteomylitis

Answer 6

vancomycin IV + ciprofloxacin IV => Alt: piperacillin/tazobactam IV

Question 7

septic arthritis

Answer 7

vancomycin IV

Question 8

septic arthritis (gonoccocal)

Answer 8

ceftriaxone (Rocephin)

Question 9

community acquired pneumonia (no prior Abx)

Answer 9

macrolide (clarithromycin/azithromycin/erythromycin) or tetracycline (doxycycline)

Question 10

community acquired pneumonia (prior Abx in past 3 months - suggests drug resistant Strep pneumoniaea)

Answer 10

respiratory fluroquinolone (moxicycline or levofloxacin) or high dose amoxicillin

Question 11

active TB

Answer 11

RIPE: rifampin, isoniazid, pyrazinamide, ethambutol

Question 12

latent TB

Answer 12

isoniazid 9 months

Question 13

pertussis

Answer 13

azithromycin (Z-pack)

Question 14

acute prostatitis

Answer 14

non-respiratory fluroquinolone (ciprofloxacin)

Question 15

C diff

Answer 15

metronidazole (Flagyl)

Question 16

atypical pneumonia

Answer 16

macrolides (clarithromycin/azithromycin/erythromycin)

Question 17

bacterial meningitis

Answer 17

vancomycin IV + ceftriaxone

Question 18

bacterial meningitis (in immune compromised)

Answer 18

vancomycin IV + ampicillin + cefepime (coverage for pseudomonas)

Question 19

diarrhea

Answer 19

fluroquinolones => Alt: azithromycin

Question 20

mastitis

Answer 20

Augmentin

Question 21

bacterial vaginosis

Answer 21

metronidazole (Flagyl)

Question 22

trichomoniasis

Answer 22

metronidazole (Flagyl)

Question 23

gonorrhea

Answer 23

ceftriaxone (Rocephin)

Question 24

chlamydia

Answer 24

azithromycin (Zithromax)

Question 25

UTI

Answer 25

3 days for uncomplicated/7-10 days for complicated (males, immunocompromised, diabetics, pregnancy, recurrent, children/elderly) - increase fluid intake and Abx: nitrofurantoin (Macrobid) or Bactrim/Septra => Alt: fluoroquinolones (ciprofloxacin or levofloxacin) or Augmentin - if sulfa allergies

Question 26

toxic shock

Answer 26

metronidazole (Flagyl) or tetracycline (Doxycycline)

Question 27

pyelonephritis

Answer 27

Bactrim or fluoroquinolones (ciprofloxacin or levofloxacin)

Question 28

diverticulitis

Answer 28

ciprofloxacin plus metronidazole (Flagyl)

Question 29

Lyme disease

Answer 29

doxycycline

Question 30

Rocky Mountain Spotted Fever

Answer 30

doxycycline

Question 31

inhalation anthrax

Answer 31

ciprofloxacin