More Antibiotics Tutoring Alaina Darby

UTI

HF is a 22 YO WF with no symptoms, but whose initial urine cultures come back with 110,000 CFUs. How should she be diagnosed? Complicated UTI Uncomplicated UTI Bacteriuria only She can’t be diagnosed yet D

HF is a 22 YO WF with no symptoms with urine cultures come back with 110,000 CFUs on each. How should she be diagnosed? Complicated UTI Uncomplicated UTI Bacteriuria only She can’t be diagnosed yet C

HF is a 22 YO WF with no symptoms with urine cultures come back with 110,000 CFUs on each. She is diagnosed with asymptomatic bacteriuria. When would a regimen of Augmentin be an appropriate treatment? Catheterized Recurrent UTI Pregnancy Asymptomatic bacteriuria is never treated C

HF is a 22 YO WF with hematuria and whose initial urine cultures come back with 50 CFUs. How should she be diagnosed? Complicated UTI Uncomplicated UTI Bacteriuria only She can’t be diagnosed yet D

HF is a 22 YO WF with painful urination and increased frequency and whose initial urine cultures come back with 1,100 CFUs. How should she be diagnosed? Complicated UTI Uncomplicated UTI Bacteriuria only She can’t be diagnosed yet B

JR is a 55 YO AAF with no structural abnormalities and symptoms of dysuria and urgency. Urinalysis: neg for WBC casts, positive for nitrites, and cloudy. How should she be diagnosed? Complicated, most likely E. coli Uncomplicated, most likely E. coli Complicated, most likely S. saprophyticus Uncomplicated, most likely S. saprophyticus A

JR is a 55 YO AAF with no structural abnormalities and symptoms of dysuria and urgency. Urinalysis: neg for WBC casts, positive for nitrites, and cloudy. How should she be treated? Bactrim DS BID x 10 days Nitrofurantoin 100 mg BID x 5 days Fosfomycin 3 mg x 1 Augmentin 500 mg BID x 10 days A

JD is a 25 YO WM symptoms of dysuria and urgency JD is a 25 YO WM symptoms of dysuria and urgency. How should he be treated? Bactrim DS BID x 3 days Nitrofurantoin 100 mg BID x 5 days Levofloxacin 250 mg BID x 7 days Nitrofurantoin 100 mg BID x 14 days C

On the urinalysis, the pH is increased On the urinalysis, the pH is increased. Which of the following is most likely? E. coli Proteus Enterococcus Candida B

Your 24 YO WF patient has compliance issues and comes to you with a prescription for Augmentin 500 mg TID x 7 days. You know that she has compliance issues. What might you suggest as the best alternative? Cipro because it is BID instead of TID Fosfomycin because it is dosed once Nitrofurantoin because it is dosed once Bactrim because it is dosed for 3 days instead of 7 B

Your 23 YO WF patient an uncomplicated UTI Your 23 YO WF patient an uncomplicated UTI. This is her 5th UTI this year. How would you treat her? Augmentin 500 mg TID x 14 days Augmenting 500 mg TID x 7 days Bactrim DS BID chronically Bactrim ½ SS QD chronically A

Which of the following is not a viable option for prophylaxis? Cephalexin 250 mg Trimethoprim 100 mg Bactrim DS Nitrofurantoin 100 mg C

Remember… You don’t ‘One’NT a UTI, so you use prophylaxis! ONE: 1st generation cephalosporin (cephalexin) N: nitrofurantoin or norfloxacin T: TMP or TMP/SMX

BR is a WM who has experienced recurrent UTI’s BR is a WM who has experienced recurrent UTI’s. He presents to you with low back pain and has some trouble voiding. How would he be best treated? Ciprofloxacin x 8 weeks Levofloxacin x 4 weeks Bactrim x 8 weeks Bactrim x 4 weeks B

URTI

CK is a 8 week old WM whose mother is worried about his risk of ear infections, since his older brother and sister have had many ear infections in the past. What would not be a step that would be beneficial in reducing his risk? Proper immunizations Pacifier use Breastfeeding Not smoking B

When CK is 4 months old, he develops ear pain When CK is 4 months old, he develops ear pain. The tympanic membrane is moderately bulging. How should he be diagnosed? Definitively AOM Possibly AOM Not AOM A

OME AOM! Fluid ONLY Fluid + Infection ROM 3 in 6 mo 4+ in 12 mo Definite: Moderate/severe bulging OR New onset of fluid drainage Maybe: Mild bulging + 48 hours or less ROM 3 in 6 mo 4+ in 12 mo

When CK is 4 months old (10 kg), he develops ear pain When CK is 4 months old (10 kg), he develops ear pain. The tympanic membrane is moderately bulging. His ear pain is moderate and has lasted for almost 24 hours. It is present in one ears. His temperature is 102F. How would you treat him? Watchful waiting Augmentin 900/64 mg PO BID Amoxcillin 450 mg PO BID Ceftriaxone 500 mg IM Q day C

If CK fails the amoxicillin after 48 hours, how should you treat him? Augmentin 450/32 mg PO BID Clindamycin 100 mg PO TID Ceftriaxone 500 mg IM Q day Clindamycin + Ceftriaxone A

When is prophylaxis recommended? Pneumovax for 4 mo and high risk Pneumovax for 3 yo and high risk Amoxcillin for 4 mo with 3 episodes in 6 months Amoxcillin for 3 yo with 3 episodes in 6 months B

BR (5 month old WM) starts having middle ear effusion 2 months after his last ear infection. What should be done? Watchful waiting x 1 month Watchful waiting x 3 months Watchful waiting x 6 months Treat ASAP D

BR (18 month old WM) starts having middle ear effusion 2 months after his last ear infection. What should be done? Watchful waiting x 1 month Watchful waiting x 3 months Watchful waiting x 6 months Treat ASAP B