1. More Antibiotics Tutoring
Alaina Darby

2. URTI

3. PQ is a 2 YO WF with a sore throat, headache, and cough
PQ is a 2 YO WF with a sore throat, headache, and cough. What should be administered?
Penicillin V
Azithromycin
Amoxcillin
Nothing D

4. ST is a 22 YO WF with a sore throat and headache. RADT is negative
ST is a 22 YO WF with a sore throat and headache. RADT is negative. What should be done?
Throat culture
Redo RADT
Nothing C

5. FT is a 2 YO WM (25 kg). RADT comes back negative but his throat culture is positive for GABHS. How should he be treated?
Amoxcillin 1000 mg Q day
Amoxcillin 100 mg BID x 10 days
Penicillin V 500 mg BID x 10 days
Benzathine PCN IM 600,000 units x 1
D… A is acceptable

6. FT is a 2 YO WM (25 kg). RADT comes back negative but his throat culture is positive for GABHS. How should he be treated if allergic to PCN?
Cetriaxone IM x 1
Azithromycin PO x 10 days
Clarithromycin PO x 5 days
Cephalexin PO x 10 days D

7. FT is a 2 YO WM (25 kg). RADT comes back negative but his throat culture is positive for GABHS. What would not be an acceptable adjunctive therapy?
Tylenol
Aspirin
Ibuprofen
Analgesic throat spray B

8. Which of the following is not indicative of bacterial rhinosinusitis?
Sneezing , rhinorrhea, and congestion recur after a week
Headache, sore throat, and postnasal drip lasting two weeks
Postnasal drip with green nasal discharge
Fever of 103 F for the first 3 days of sickness C

9. JT (68 YO WM) has purulent nasal discharge that has been diagnosed as bacterial rhinosinusitis. He has a fever of 38 C and has a PCN allergy. How should he be treated?
Ciprofloxacin
Augmentin
Doxycycline
Azithromycin C

10. JT (68 YO WM) has purulent nasal discharge that has been diagnosed as bacterial rhinosinusitis. He has a fever of 38 C and has a PCN allergy. He does not respond to the doxycycline in 3 days. What would be the next choice?
Bactrim
Moxifloxacin
Ceftriaxone
Azithromycin B

11. Who should receive antibiotics?
5 yo with persistent cough and CF
Cough lasting for 7 days
3 yo with persistent cough and asthma
Cough lasting for 3 days A

12. CAP

13. JD is a 75 yo WF who has COPD from years of cigarette smoking
JD is a 75 yo WF who has COPD from years of cigarette smoking. She is being treated for GERD and diabetes and currently lives in a nursing home. Which of the following increases the chances of pneumonia without increasing negative bacterial colonization?
Age
COPD
GERD therapy
Nursing home B

14. JD is a 75 yo WF who has COPD from years of cigarette smoking
JD is a 75 yo WF who has COPD from years of cigarette smoking. She is being treated for GERD and diabetes and currently lives in a nursing home. Which of the following would be a symptom that would be most age-specific?
High fever
Chest pain
Severe chill
Lethargy D

15. JD is a 75 yo WF who has COPD from years of cigarette smoking
JD is a 75 yo WF who has COPD from years of cigarette smoking. She is being treated for GERD and diabetes and currently lives in a nursing home. Which of the following lab values would you most expect to see for WBC’s?
Increased bands
Decreased segs
WBC 4,000
WBC 12,000 A

16. JD is a 75 yo WF who has COPD from years of cigarette smoking
JD is a 75 yo WF who has COPD from years of cigarette smoking. She is being treated for GERD and diabetes and currently lives in a nursing home. Which of the following lab values would be least likely to check?
CXR
PaO2
Blood culture
Sputum culture C

17. FK is a college student who presents with an abrupt chill, chest pain, and a high fever. A sputum culture is taken, but nothing is cultured. What diagnosis is most likely?
Klebsiella pneumonia
Anaerobic pneumonia
Mycoplasma pneumonia
Probably not pneumonia… look for something else C

18. JD is an alcoholic who presents with an abrupt chill, chest pain, and bloody sputum. A sputum culture is taken, and red rods are present. What diagnosis is most likely?
Klebsiella pneumonia
Anaerobic pneumonia
Mycoplasma pneumonia
Probably not pneumonia… look for something else C

19. SO is a 55 yo WM who presents with pneumonia symptoms
SO is a 55 yo WM who presents with pneumonia symptoms. The following are his relevant lab values: BUN CrCl 75 RR BG 155 (fasting) BP 85/65 HR Which value is not considered when determining severity?
BUN BP BG RR C

20. SO is a 55 yo WM who presents with pneumonia symptoms
SO is a 55 yo WM who presents with pneumonia symptoms. The following are his relevant lab values: BUN CrCl 75 RR BG 155 (fasting) BP 85/65 HR How should the patient be treated?
Watch and wait
Outpatient
Inpatient (general ward)
Inpatient (ICU) B

21. SO is a 55 yo WM who presents with pneumonia symptoms
SO is a 55 yo WM who presents with pneumonia symptoms. The following are his relevant lab values: BUN CrCl 75 RR BG 155 (fasting) BP 85/65 HR What if the patient was 75?
Watch and wait
Outpatient
Inpatient (general ward)
Inpatient (ICU) C

22. Remember the abbreviations!!
CURB - 65
Confusion
Uremia
Respiratory Rate
Blood Pressure
65 years or older
Determines treatment... admit or no?
SMART-COP
Systolic BP
Multilobar infiltrates
Albumin
Respiratory Rate
Tachycardia
Confusion O2 pH
ICU admission?

23. Which of the following is the most frequesnt cause of CAP in outpatients?
S. pneumonia
H. influenza
C. pneumonia
Viruses D

24. Which of the following conditions is least likely to lead to a foul smelling, polymicrobial pneumonia?
Alcoholism
Aspiration
COPD
IV drug use C