More Antibiotics Tutoring Alaina Darby

URTI

PQ is a 2 YO WF with a sore throat, headache, and cough PQ is a 2 YO WF with a sore throat, headache, and cough. What should be administered? Penicillin V Azithromycin Amoxcillin Nothing D

ST is a 22 YO WF with a sore throat and headache. RADT is negative ST is a 22 YO WF with a sore throat and headache. RADT is negative. What should be done? Throat culture Redo RADT Nothing C

FT is a 2 YO WM (25 kg). RADT comes back negative but his throat culture is positive for GABHS. How should he be treated? Amoxcillin 1000 mg Q day Amoxcillin 100 mg BID x 10 days Penicillin V 500 mg BID x 10 days Benzathine PCN IM 600,000 units x 1 D… A is acceptable

FT is a 2 YO WM (25 kg). RADT comes back negative but his throat culture is positive for GABHS. How should he be treated if allergic to PCN? Cetriaxone IM x 1 Azithromycin PO x 10 days Clarithromycin PO x 5 days Cephalexin PO x 10 days D

FT is a 2 YO WM (25 kg). RADT comes back negative but his throat culture is positive for GABHS. What would not be an acceptable adjunctive therapy? Tylenol Aspirin Ibuprofen Analgesic throat spray B

Which of the following is not indicative of bacterial rhinosinusitis? Sneezing , rhinorrhea, and congestion recur after a week Headache, sore throat, and postnasal drip lasting two weeks Postnasal drip with green nasal discharge Fever of 103 F for the first 3 days of sickness C

JT (68 YO WM) has purulent nasal discharge that has been diagnosed as bacterial rhinosinusitis. He has a fever of 38 C and has a PCN allergy. How should he be treated? Ciprofloxacin Augmentin Doxycycline Azithromycin C

JT (68 YO WM) has purulent nasal discharge that has been diagnosed as bacterial rhinosinusitis. He has a fever of 38 C and has a PCN allergy. He does not respond to the doxycycline in 3 days. What would be the next choice? Bactrim Moxifloxacin Ceftriaxone Azithromycin B

Who should receive antibiotics? 5 yo with persistent cough and CF Cough lasting for 7 days 3 yo with persistent cough and asthma Cough lasting for 3 days A

CAP

JD is a 75 yo WF who has COPD from years of cigarette smoking JD is a 75 yo WF who has COPD from years of cigarette smoking. She is being treated for GERD and diabetes and currently lives in a nursing home. Which of the following increases the chances of pneumonia without increasing negative bacterial colonization? Age COPD GERD therapy Nursing home B

JD is a 75 yo WF who has COPD from years of cigarette smoking JD is a 75 yo WF who has COPD from years of cigarette smoking. She is being treated for GERD and diabetes and currently lives in a nursing home. Which of the following would be a symptom that would be most age-specific? High fever Chest pain Severe chill Lethargy D

JD is a 75 yo WF who has COPD from years of cigarette smoking JD is a 75 yo WF who has COPD from years of cigarette smoking. She is being treated for GERD and diabetes and currently lives in a nursing home. Which of the following lab values would you most expect to see for WBC’s? Increased bands Decreased segs WBC 4,000 WBC 12,000 A

JD is a 75 yo WF who has COPD from years of cigarette smoking JD is a 75 yo WF who has COPD from years of cigarette smoking. She is being treated for GERD and diabetes and currently lives in a nursing home. Which of the following lab values would be least likely to check? CXR PaO2 Blood culture Sputum culture C

FK is a college student who presents with an abrupt chill, chest pain, and a high fever. A sputum culture is taken, but nothing is cultured. What diagnosis is most likely? Klebsiella pneumonia Anaerobic pneumonia Mycoplasma pneumonia Probably not pneumonia… look for something else C

JD is an alcoholic who presents with an abrupt chill, chest pain, and bloody sputum. A sputum culture is taken, and red rods are present. What diagnosis is most likely? Klebsiella pneumonia Anaerobic pneumonia Mycoplasma pneumonia Probably not pneumonia… look for something else C

SO is a 55 yo WM who presents with pneumonia symptoms SO is a 55 yo WM who presents with pneumonia symptoms. The following are his relevant lab values: BUN 15 CrCl 75 RR 22 BG 155 (fasting) BP 85/65 HR 105 Which value is not considered when determining severity? BUN BP BG RR C

SO is a 55 yo WM who presents with pneumonia symptoms SO is a 55 yo WM who presents with pneumonia symptoms. The following are his relevant lab values: BUN 15 CrCl 75 RR 22 BG 155 (fasting) BP 85/65 HR 105 How should the patient be treated? Watch and wait Outpatient Inpatient (general ward) Inpatient (ICU) B

SO is a 55 yo WM who presents with pneumonia symptoms SO is a 55 yo WM who presents with pneumonia symptoms. The following are his relevant lab values: BUN 15 CrCl 75 RR 22 BG 155 (fasting) BP 85/65 HR 105 What if the patient was 75? Watch and wait Outpatient Inpatient (general ward) Inpatient (ICU) C

Remember the abbreviations!! CURB - 65 Confusion Uremia Respiratory Rate Blood Pressure 65 years or older Determines treatment... admit or no? SMART-COP Systolic BP Multilobar infiltrates Albumin Respiratory Rate Tachycardia Confusion O2 pH ICU admission?

Which of the following is the most frequesnt cause of CAP in outpatients? S. pneumonia H. influenza C. pneumonia Viruses D

Which of the following conditions is least likely to lead to a foul smelling, polymicrobial pneumonia? Alcoholism Aspiration COPD IV drug use C