The Clinically Non-Responding Patient has a history of heart failure and is admitted for respiratory distress. He is diagnosed with pneumonia After 2 days, his oxygen requirements are but he is afebrile. Which is the MOST APPROPRIATE next action? How did others respond? Reveal the answer Best Answer: Evaluate fluid status Explanation: 👴🏼 has a …
MRSA Nasal Screening After Vancomycin has pneumonia and is on day 5 of vancomycin. He has a history of MRSA No respiratory cultures have been collected. Should a MRSA swab be collected now? How did others respond? Reveal the answer Best Answer: No Explanation: The utility of MRSA 👃 swabs after anti-MRSA therapy is questionable …
Carbapenem-Resistant Acinetobacter baumannii is in the for pneumonia from carbapenem-resistant Acinetobacter baumannii (CRAB). She is started on minocycline. The team wants to use combination therapy Which is NOT an appropriate second agent? How did others respond? Reveal the answer Best Answer: Tigecycline Explanation: Sulbactam-containing antibiotics are the cornerstone of treating CRAB infections & should …
MRSA Nasal Screening in Diabetic Foot Infection is started on empiric vancomycin for a diabetic foot infection (DFI). His MRSA nasal screening is & he has NO history of MRSA Can vancomycin be STOPPED? How did others respond? Reveal the answer Best Answer: Yes, stop 🛑 Explanation: A small study in patients with DFIs and …
MRSA Nasal Screen in Pneumonia 2 patients are admitted to the for pneumonia and started on empiric antibiotics including vancomycin. A MRSA screen is collected for both patients. Patient 1: CAP with septic shock and MRSA screen Patient 2: non-severe CAP and MRSA screen Which patient is the WORSE candidate for de-escalation off vancomycin? …
Fluoroquinolone Discordance is having a mild AECOPD and her sputum culture grows Pseudomonas aeruginosa Susceptibility is below: Levofloxacin = R Ciprofloxacin = S Cefepime = S Can ciprofloxacin be used for treatment? How did others respond? Reveal the answer Best Answer: Maybe 🤔 Explanation: Ciprofloxacin appears to have better intrinsic activity against P. aeruginosa than …
Actinomyces has a relapsing skin abscess that has been present > 1 month. A culture eventually grows Actinomyces spp. Which drug is first line for treatment of Actinomycosis? How did others respond? Reveal the answer Best Answer: Penicillin Explanation: Penicillin is considered the drug of choice to treat Actinomycosis 💊 Alternative agents which may be …
Antibiotic Lock Therapy has a S. epidermidis port infection and is receiving systemic and lock vancomycin. Your student asks when changing the locksolution if it should be pushed through the line to ensure the patient gets the full dose. You tell them… How did others respond? Reveal the answer Best Answer: No Explanation: Best practice …
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 …