Altered Mental Status and Bacteriuria presents with confusion . A urinalysis finds bacteria . Does she need antibiotics? Yes No Need more information How did others respond? Reveal the answer Best Answer Need more information Explanation: 2019 IDSA guidelines on asymptomatic bacteriuria (ASB) recommend to OBSERVE elderly patients OFF antibiotics if they do not have …
Duration of Therapy in Necrotizing Fasciitis presented with necrotizing fasciitis from Streptococcus pyogenes. After 3 debridements, no further surgery is planned. He is afebrile x 48 hours after his last surgery and improving He is on penicillin + clindamycin. What is the BEST antibiotic plan? A. No changeB. Stop clindamycin C. Stop penicillin D. Stop …
Group A Strep Necrotizing Fasciitis presents with necrotizing fasciitis. cultures grow Streptococcus pyogenes (Group A Streptococcus). The team orders penicillin + clindamycin. Your student asks why clindamycin is added since penicillin covers GAS. You tell them… Anti-toxin effect C. difficile risk Penicillin resistance No reason How did others respond? Reveal the answer Best Answer Anti-toxin …
Azole Spectrum of Activity is diagnosed with pulmonary aspergillosis Which azole antifungal would be the BEST to use for treatment? How did others respond? Reveal the answer Best Answer Voriconazole Explanation: Per IDSA guidelines, voriconazole is the drug of choice for Aspergillus spp. ✅ Fluconazole DOES NOT have activity against Aspergillus spp. & SHOULD NOT …
De-Escalation develops hospital-acquired pneumonia & started on empiric vancomycin + cefepime. Sputum cultures grow E. coli with the following susceptibilities: Ceftriaxone = S Cefepime = S Piperacillin/tazobactam = S How did others respond? Reveal the answer Best Answer: Ceftriaxone Explanation: Ceftriaxone will cover the E. coli 🦠 but does not unnecessarily cover Pseudomonas aeruginosa 🚫 …
Febrile Neutropenia Duration of Antibiotics has CLL. She is neutropenic, febrile at 101° F & admitted to the . Empiric antibiotics are started with an infectious workup . After 72 hours, she has been: Afebrile x 52 hours Stable Workup is negative What is the BEST antibiotic plan? A. Monitor off antibiotics B. Continue until …
S. pneumoniae Urinary Antigen A presents complaining of a productive cough , shortness of breath & fever. He has a positive S. pneumoniae urine antigen. What is the MOST LIKELY scenario? A. S. pneumoniae UTIB. S. pneumoniae CAPC. S. pneumoniae immunity How did others respond? Reveal the answer Best Answer S. pneumoniae community-acquired pneumonia (CAP) 🫁 Explanation: The patient …
Streptococcus anginosus Group A patient with Streptococcus anginosus bacteremia is discovered to have an abscess. Which of the following is the best empiric treatment option? A. Ampicillin/sulbactamB. CeftriaxoneC. Levofloxacin + flagyl How did others respond? Reveal the answer Best Answer 💉Ampicillin/sulbactam Streptococcus anginosus group (SAG) organisms are highly susceptible to penicillins, and the ➕ of …
Anti-pseudomonals A patient with osteomyelitis due to P. aeruginosa is going home with antibiotic therapy. Which antibiotic is NOT an option? Ertapenem Cefepime Ciprofloxacin How did others respond? Reveal the answer Best Answer Ertapenem Explanation: Ertapenem is not active 🛑 against Pseudomonas aeruginosa. Cefepime and ciprofloxacin are both options but remember quinolones are the ONLY …
Procalcitonin in AECOPD A patient presents to the hospital in an AECOPD. They have severe dyspnea, increased sputum volume, and purulence. Their procalcitonin is 0.06 ng/mL. Should this patient be started on antibiotics ? How did others respond? Reveal the answer Best Answer ✅ Yes Explanation: The GOLD guidelines recommend patients with the cardinal symptoms …