Required drugs and their doses

Question 1

Acute Cystitis Treatment

Answer 1

1st line -TMP-SMX (DS) 160/800 mg BIDx3days -Macrobid (Nitrofurantoin) 100 mg BIDx5days

Question 2

Acute Otitis Media

Answer 2

1st line -Adult: Amoxicillin 500 mg TID -Child: Watchful waiting if child >6 months for 48-72 hrs if signs & symptoms are mild. F/U must be ensured & analgesic information given. NO watchful waiting if severe sx (toxic, severe otalgia or fever >39 degrees Celsius). Treatment otherwise: Amoxicillin 80 mg/kg/day to a max of 1500 mg total. Treat for 10 days if 6 mo to 2 years. Treat for 5 days if >2 years.

Question 3

Acute sinusitis

Answer 3

Most cases of acute sinusitis are viral and resolve w/n 7 days w/o antibiotics. Consider treatment if symptoms of sinusitis have not improved/worsened after 7 days, or if symptoms such as PODS (facial pain/pressure/fullness, nasal obstruction, nasal discharge, loss of smell) Adult: Amoxicillin 500 mg TID for 5-10 days Child: 80 mg/kg divided BID or TID for 10-14 days

Question 4

Acute pharyngitis

Answer 4

Adult: Penicillin V 300 mg TID or 600 mg BID for 10 days (no resistance) If penicillin Allergic Erythromycin 250 mg QID for 10 days Child: Penicillin V 40 mg/kg/day divided BID-TID for 10 days max 740 mg/day (if >27 kg use adult dose) If penicillin Allergic Erythromycin estolate 40 mg/kg divided BID or TID for 10 days

Question 5

Chlamydia

Answer 5

Adult: Azithromycin 1 mg PO

Question 6

Gonorrhea

Answer 6

Adult: Ceftriaxone 250 mg IM

Question 7

Bacterial Vaginosis

Answer 7

Adult: 1st line is Metronidazole 500 PO BID for 7 days

Question 8

Yeast Vaginosis

Answer 8

Adult: Topical vaginal preparations of clotrimazole, miconazole, fluconazole 150 mg