Category: Patient Cases

Discordant Results : Amoxicillin-Clavulanate and Ampicillin-Sulbactam A with a drained intra-abdominal abscess was sent with amoxicillin/clavulanate   An operative culture grows E. coli with this susceptibility: Ampicillin = RAmoxicillin/clavulanate = SAmpicillin/sulbactam = R Should antibiotics be changed? How did others respond? Reveal the answer Best Answer No, therapy is active ✅ Explanation: Discordant susceptibility between …

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Anaerobes in Aspiration Pneumonia A is admitted to the with fever and hypoxia with a new infiltrate on Staff at his nursing home note concern for aspiration. The patient is currently on ceftriaxone and azithromycin.  Is empiric anaerobic coverage needed? Yes! Cover anaerobesNo, not needed How did others respond? Reveal the answer Best Answer No, …

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Empiric Antibiotics – Antibiogram A with pyelonephritis has a urine culture growing E. coli A local antibiogram shows the following activity against E. coli A. Ampicillin 54%B. Cefazolin 70%C. Ceftriaxone 90%D. Meropenem 98% Which antibiotic is OPTIMAL for empiric coverage of E. coli? How did others respond? Reveal the answer Best Answer Ceftriaxone Explanation: All …

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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 …

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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 …

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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 …

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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 …

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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 …

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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 …

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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: …

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