CAP Antibiotic Spectrum A 44 year old is seen in clinic for a cough x 10 days & shortness of breath on exertion. He is diagnosed with community-acquired pneumonia and sent with amoxicillin What common cause of CAP is covered with his current therapy? A. M. pneumoniaeB. S. pneumoniaeC. C. pneumoniaeD. Legionella spp. How did others …
Group A Strep Testing A 2 year old presents to clinic with cough + sore throat + x 2 days. Her tonsils are red and swollen without exudate. The does NOT test for Group A Streptococcus. Is this appropriate? A. Yes, appropriateB. No, test for GASC. A peds question? HELP How did others respond? Reveal …
Uncomplicated diverticulitis A 35 year old presents to the ER with abdominal pain and diarrhea x 2 days. A CT shows diverticulitis but no abscess or other complications and WBC = 7. They are stable for discharge . Should antibiotics be prescribed? Yes or No How did others respond? Reveal the answer Best Answer No …
Most Active Antibiotic A 77 year old with a chronic urinary catheter has a mechanical fall and is in the for a broken hip. A urine culture is collected and grows Candida albicans. What is the best treatment option? A. FluconazoleB. MicafunginC. Amphotericin BD. Hold Antifungals How did others respond? Reveal the answer Best Answer …
Most Active Antibiotic A was seen in clinic and diagnosed with uncomplicated cystitis. A urine culture is now growing E. coli with the following susceptibility: Nitrofurantoin=S MIC <32Cephalexin=S MIC <2Ciprofloxacin=S MIC <1 Which antibiotic is the MOST active? A. NitrofurantoinB. CephalexinC. CiprofloxacinD. This is a trick question How did others …
Influenza A 67 year old presents to clinic with a cough, fever and body aches x 3 days. He tests for influenza. His vitals are stable and he is being sent to recover. What is the best outpatient treatment? A) Amoxicillin/clavulanate B) Oseltamivir C) Amox/clav + oseltamivirD) Supportive care only How did others respond? Reveal …
Daptomycin and Myopathy A is getting daptomycin outpatient for MRSA endocarditis. After 2 weeks, he has muscle pain and CK= 500. Daptomycin is stopped. What home medication could have increased his risk of myopathy and rhabdomyolysis? A) AmlodipineB) ApixabanC) AtorvastatinD) All of the above How did others respond? Reveal the answer Best Answer Atorvastatin Explanation: …
Linezolid Drug Interaction A 60 year old with a vancomycin-resistant Enterococcus infection is being discharged to finish a treatment course with linezolid Which of his home medications COULD interact with linezolid? A) Amlodipine B) Citalopram C) Dabigatran D) Rosuvastatin How did others respond? Reveal the answer Best Answer Citalopram Explanation: Linezolid has weak monoamine-oxidase inhibitor …
Aztreonam Spectrum of Activity A 45 year old is admitted to the with cough and a new infiltrate on chest X-ray She has a cephalosporin allergy and aztreonam is ordered Which possible pathogen does aztreonam NOT cover? Answer: A) H. influenzae B) M. catarrhalis C) S. pneumoniae D) P. aeruginosa How did others respond? Reveal the answer Best Answer S. pneumoniae Explanation: Aztreonam …
Antibiotic-Induced Confusion 82 year old with CKD is admitted to the 2/2 STEMI. She is intubated in the ICU and days later has a new fever Antibiotics are started to cover MRSA + Pseudomonas spp. 4 days later, she has new confusion. Which antibiotic is most likely causing ? A. Linezolid B. Vancomycin C. Cefepime …