URTI

Question 1

acute bronchitis symptoms

Answer 1

cold symptoms, usually respiratory

Question 2

acute bronchitis tx

Answer 2

no antibiotics

Question 3

acute exacerbation of chronic bronchitis presentation

Answer 3

chronic cough with productive sputum on most days for > 3 consecutive months for 2 consecutive years

Question 4

hallmark signs of acute exacerbation chronic bronchitis

Answer 4

increased sputum purulence
increased sputum volume
increased cough or SOB

Question 5

most common organisms for acute exacerbation of chronic bronchitis

Answer 5

strep pneumo
h. flu
moraxella catarr
pts with frequent antibiotic use:
- enterobacterales
- pseudomonas aeruginosa

Question 6

acute exacerbation of chronic bronchitis treatment first line and second line

Answer 6

amoxicillin/clav
cefuroxime
cefpodoxime

2nd
doxycycline
TMP/SMX
azithromycin

Question 7

acute exacerbation of chronic bronchitis treatment pseudomonas risk

Answer 7

levofloxacin 750 mg daily

Question 8

acute pharyngitis common pathogens

Answer 8

respiratory viruses
streptococcus pyogenes (Group A)

Question 9

acute pharyngitis symptoms

Answer 9

strep throat (pain)
redness and swollen mouth
fever
otitis media
rhiosinusitis
others

Question 10

testing used for acute pharyngitis

Answer 10

rapid antigen detection test (RADT)
- chance for false negative
- if negative, backup culture or PCR needed

Question 11

treatment of acute pharyngitis

Answer 11

penicillin VK
amoxicillin
if allergy:
- cephalexin
- cefadroxil
- cefuroxime
- cefpodoxime
if anaphylaxis:
- azithromycin
- clindamycin

Question 12

treatment duration for acute exacerbation of chronic bronchitis

Answer 12

5-7 days

Question 13

treatment duration for acute pharyngitis

Answer 13

10 days

Question 14

acute bacterial rhinosinusitis (ARBS) symptoms and presentation

Answer 14

persistent symptoms (>10 days)
severe symptoms (fever, face pain, purulent)
worsening symptoms (after initial improvement)

Question 15

common pathogens of acute bacterial rhinosinusitis

Answer 15

strep pneumo
h. flu
moraxella cat

pts w frequent antibiotic use
- MRSA
-pseudomonas

Question 16

acute bacterial rhinosinusitis treatment

Answer 16

amox/clav
amox /clav 2000/125 (higher dose if recent use or resistance risk to penicillins)

doxycycline
levofloxacin 500 mg
moxifloxacin

if MRSA risk
- linezolid
- TMP-SMX
- doxycycline
- clindamycin
if pseudomonas risk
- levofloxacin 750mg