Infectious Disease Test 2

Front 1

What primary preventions are for AOM?

Back 1

1) Prevnar
2) H.influenza type b
3)Annual influenza vaccine

Front 2

What is used to treat symptomatic pain for AOM?

Back 2

acetaminophen
ibuprofen

Front 3

What is the first line treatment for AOM?

Back 3

Amoxicillin

augmentin is 2nd line

Front 4

which antibiotics can be used for recurrent AOM?

Back 4

1) Augmentin
2) Azithromycin
3) ceftriaxone

Front 5

What organisms are responsible for AOM and sinusitis?

Back 5

1) S.pneumoniae
2) H.influenzae
3) M.catarrhalis

Front 6

When should antibiotics be started in sinusitis?

Back 6

1) wait 10days if not severe
2) if severe 3 days
3) may start earlier than 10days if worsening occurs

Front 7

If no antibiotic resistant, what antibiotic should be chosen for sinusitis?

Back 7

Augmentin for 5-7 days

Front 8

If antibiotic resistant, what antibiotic should be chosen?

Back 8

Doxycycline for 7-10 days

Front 9

Who is at risk for antibiotic resistance?

Back 9

1) age <2 or >65, daycare
2) prior antibiotic within the past month
3) prior hospitalization in past 5 days
4) comorbidities
5) immunocompromised

Front 10

What is first line treatment for sinusitis?

Back 10

Augmentin

2nd line- Doxycycline

Front 11

What therapy is recommended for children with sinusitis?

Back 11

2nd and 3rd generation CPH + clindamycin

Front 12

What is the first line therapy for pharyngitis?

Back 12

Penicillin/Amoxicillin

Erythromycin for PCN allergy

Front 13

If treatment fails for pharyngitis what antibiotic is recommended?

Back 13

Augmentin or 2nd/3rd generation CPH

Front 14

What treatment is recommended for folliculitis?

Back 14

1) warm compress
2) topical therapy(clindamycin, erythromycin, mupirocin, benzoyl peroxide)

Front 15

What treatment is recommended for furncles/carbuncles?

Back 15

if small- moist heat
if large- incision & drainage

antibiotics only if severe
(Dicloxacillin, Cephalexin, Clindamycin)

Front 16

What treatment is recommended for mild to moderate erysipelas?

Back 16

IM procaine Pen G
Pen VK for 7-10days
Clindamycin or Erythromycin if PCN allergy

Front 17

What treatment is recommended for severe erysipelas?

Back 17

Pen G IV x 48 hours then change to PO

Front 18

What treatment is recommend for Impetigo?

Back 18

Penicillinase resistant penicillin or 1st generation CPH (S.aureus)

Penicillin (S.pyogenes)

Front 19

What treatment is recommended for lymphangitis?

Back 19

PCN IV followed by Pen VK for total of 10days

Clindamycin for PCN allergy

Front 20

What treatment is recommended for cellulitis?

Back 20

Penicillinase resistant PCN or 1st generation CPH

Dicloxacillin/cephalexin

PCN if documented GABHS

Front 21

What treatment is recommended for severe cellulitis?

Back 21

IV cefazolin, nafcillin, oxacillin

if severe PCN allergy vancomycin

Front 22

What treatment is recommended for gram negative cellulitis infections?

Back 22

1st/2nd gen CPH

Front 23

What treatment is recommended for polymicrobial cellulitis infections?

Back 23

Cefoxitin or Cefotetan

beta-lactam/beta-lactamase inhibitor or carbapenem

Front 24

What treatment is recommended for community acquired MRSA?

Back 24

I & D primary treatment

initial therapy with bactrim

Front 25

What treatment is recommended for hospital acquired MRSA?

Back 25

Vancomycin required

Alt: Linezolid, Syncerid, Daptomycin and Tigecycline, televancin

Front 26

What monotherapy is recommended for diabetic foot infections?

Back 26

2nd or 3rd generation CPH
Carbapenem
PCN allergy aztreonam + clindamycin or quinolone + metronidazole
Add Vanco due to MRSA

Front 27

What treatment is recommended for animal bites?

Back 27

1) irrigate wound thoroughly
2)Augmentin
3) bactrim and Quinolones good vs. P.multocida
4) cefuroxime viable alternative
If IV needed beta lactam/beta lactamase inhibitor combo or cephamycin

Front 28

What prophylaxis treatment should be given for a human bite?

Back 28

1st gen CPH
macrolides
clindamycin
AMG
Augmentin
Clindamycin + Quinolone

if serious:
Unasyn, Mefoxin or Invanz

Front 29

What is the most common organism for CNS infections?

Back 29

S.pneumoniae

Front 30

How does the lab test detects if the CNS infection is bacterial?

Back 30

If glucose <50% of serum and protein >100 mg/dl

Front 31

If a patient is <1 month what treatment is recommended for a CNS infection?

Back 31

Ampicillin plus cefotaxime or ampicillin plus an aminoglycoside

Front 32

If a patient is between the age 1-23 months what treatment is recommended for a CNS infection?

Back 32

vancomycin + ceftriaxone or cefotaxime

Front 33

If a patient is 2-50years, what treatment is recommended for a CNS infection?

Back 33

Vancomycin + ceftriaxone or cefotaxime

Front 34

If a patient is >50 years old with a CNS infection, what treatment is recommended?

Back 34

Vancomycin + ampicillin + ceftriaxone or cefotaxime

Front 35

If a patient suffers a basilar skull fracture, what treatment is recommended?

Back 35

Vancomycin + ceftriaxone or cefotaxime

Front 36

If a patient suffers a penetrating trauma, what treatment is recommended?

Back 36

vancomycin + cefepime
vancomycin + ceftazidime
vancomycin + meropenem

Front 37

After postneurosurgery, what treatment is recommended?

Back 37

vancomycin + cefepime
vancomycin + ceftazidime
vancomycin + meropenem

Front 38

CSF shunt treatment

Back 38

vancomycin + cefepime
vancomycin + ceftazidime
vancomycin + meropenem

Front 39

What treatment is recommended for N.meningites

Back 39

PCN

Alternative: 3rd generation CPH(ceftriaxone,cefotaxime)
chloramphenicaol

Front 40

what prophylaxis treatment for close contact can be used?

Back 40

rifampin x 2 days
IM ceftriaxone
ciprofloxacin (adults and children >12)

Front 41

what treatment is recommended for s.pneumoniae?

Back 41

1st line- ceftriaxone or cefotaxime + vancomycin

merrem for 3 months and older is an alternative

Front 42

What treatment is recommended for H.influenzae?

Back 42

3rd generation CPH are recommended until sensitivities available

cefepime, quinolones and meropenem are alternatives

Front 43

What treatment is recommended for Listeria?

Back 43

Ampicillin + AMG

bactrim alternative agent

Front 44

Steroid use is recommended for what?

Back 44

H.influenzae in kids
s.pneumoniae in adults
mycobacterium tuberculosis

Front 45

What treatment is recommended for cryptococcus neoformans?

Back 45

amphotericin B + flucytosine

azole therapy is an alternative

Front 46

What is the drug of choice for HSV encephalitis?

Back 46

Acyclovir (10mg/kg q8h x 2-3 weeks)

Foscarnet is an alternative

Front 47

What treatment is recommended for St. Louis, Lacrosse, Eastern and Western Equine?

Back 47

supportive treatment including treatment for seizures and increased ICP