Duration of Therapy in AECOPD has COPD with sputum production & purulence. He is prescribed doxycycline for an acute exacerbation of COPD (AECOPD). What is the MOST APPROPRIATE duration of therapy? How did others respond? Reveal the answer Best Answer: 5 days Explanation: 2024 GOLD guidelines recommend 5-7 days of antibiotics for AECOPD. A 2022 …
Vaccines in Asplenia was in a car accident which lacerated his spleen. He was admitted to trauma and underwent an emergent splenectomy. Which bacteria should he be vaccinated for post-splenectomy? How did others respond? Reveal the answer Best Answer: All of the above 🦠🦠🦠 Explanation: Patients with functional or anatomical asplenia should be vaccinated for …
Catheter Salvage has AML and a port in place for chemotherapy. Her blood culture is growing S. epidermidis. The team does NOT plan to remove her port. What is the BEST antibiotic plan? How did others respond? Reveal the answer Best Answer Vancomycin IV + lock Explanation: In catheter-related bloodstream infections (CRBSI) where catheter removal …
Duration of Therapy in Uncomplicated Intra-Abdominal Infections without Source Control A presents with non-ruptured appendicitis. The surgical team has decided NOT to operate and recommends a course of antibiotics . What is the MOST APPROPRIATE duration of therapy? A. 3 daysB. 5-7 daysC. 10-14 days How did others respond? Reveal the answer Best Answer: 5-7 …
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Oseltamivir in Pediatric Patients A 3 year old is seen in clinic with 4 days of worsening cough and fever His influenza test is positive Should he receive oseltamivir? How did others respond? Reveal the answer Best Answer: Yes 💊 Explanation: Ideally, oseltamivir is started within 48 hours of symptom onset. In HIGH RISK pediatric …
Anti-Enterococcal Antibiotics in Intra-Abdominal Infections is receiving chemotherapy for colon cancer and admitted to the ICU with septic shock from an intra-abdominal infection. Should coverage for Enterococcus spp. be considered? How did others respond? Reveal the answer Best Answer: Yes, cover Enterococcus 🦠 Explanation: Enterococcus spp, which is part of normal GI flora, rarely cause …
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Staphylococcus lugdunensis is admitted to the and had a skin abscess requiring I&D. A blood culture grows Staphylococcus lugdunensis (a coagulase-negative species) Is this likely a contaminant? How did others respond? Reveal the answer Best Answer: No Explanation: Unlike other coagulase-negative Staphylococcus spp., S. lugdunensis is very virulent and associated with ⬆️ mortality. Like S. …
Antibiotic Duration after Appendectomy presented to the with uncomplicated appendicitis. She had a laparoscopic appendectomy yesterday. When should antibiotics be stopped? A. 14 days totalB. 4 days post op C. 24-48 hours post op D. Now! How did others respond? Reveal the answer Best Answer: Now! 🛑 Explanation: 2017 Surgical Infection Society guidelines recommend stopping …
COVID-19 Management is admitted with COVID-19. His symptoms began 2 weeks ago. He is on high flow oxygen but NOT immunocompromised. What is the best treatment option? A. Baricitinib + steroidB. RemdesivirC. Remdesivir + steroidD. Azithromycin How did others respond? Reveal the answer Best Answer: Baricitinib + steroid Explanation: The archived NIH COVID-19 guidelines make …
Healthcare-Associated CNS Infection is admitted with head trauma and prescribed broad spectrum antibiotics for a healthcare-associated CNS infection. Which anti-pseudomonal agent SHOULD NOT be used? A. CefepimeB. Piperacillin/tazobactamC. Meropenem How did others respond? Reveal the answer Best Answer: Piperacillin/tazobactam Explanation: Why not? Pharmacokinetics! Tazobactam DOES NOT cross the blood brain barrier well and therefore is …