Podcast
Questions and Answers
A 45-year-old male presents with fever, productive cough with rusty sputum, and consolidation on chest X-ray consistent with community-acquired pneumonia. Vital signs are stable and he has no drug allergies. What is the most appropriate first-line antibiotic?
A 45-year-old male presents with fever, productive cough with rusty sputum, and consolidation on chest X-ray consistent with community-acquired pneumonia. Vital signs are stable and he has no drug allergies. What is the most appropriate first-line antibiotic?
- A) Amoxicillin
- B) Ciprofloxacin (correct)
A 6-year-old child presents with right ear pain, fever, and a bulging, erythematous tympanic membrane. What is the most appropriate antibiotic?
A 6-year-old child presents with right ear pain, fever, and a bulging, erythematous tympanic membrane. What is the most appropriate antibiotic?
- A) Ampicillin
- B) Amoxicillin-clavulanate (Augmentin) (correct)
PCN" = "Primarily Combats Nasty gram-positives"
PCN" = "Primarily Combats Nasty gram-positives"
- PCN" = Nasty gram-negatives"
- PCN" = NICE gram-positives" (correct)
Penicillin G/V: NARROW/BROAD spectrum, primarily Streptococcus
Penicillin G/V: NARROW/BROAD spectrum, primarily Streptococcus
Piperacillin-tazobactam: BROAD/NARROW spectrum with anti-pseudomonal activity
Piperacillin-tazobactam: BROAD/NARROW spectrum with anti-pseudomonal activity
A 24-year-old male presents with sore throat, fever, and tonsillar exudate. Rapid strep test is positive. The most appropriate antibiotic is:
A 24-year-old male presents with sore throat, fever, and tonsillar exudate. Rapid strep test is positive. The most appropriate antibiotic is:
A 6-year-old child presents with otitis media and has no drug allergies. After 3 days of amoxicillin therapy, symptoms have not improved. The most appropriate next step is:
A 6-year-old child presents with otitis media and has no drug allergies. After 3 days of amoxicillin therapy, symptoms have not improved. The most appropriate next step is:
A 72-year-old man with aspiration pneumonia requires IV antibiotics. The most appropriate penicillin-class antibiotic is:
A 72-year-old man with aspiration pneumonia requires IV antibiotics. The most appropriate penicillin-class antibiotic is:
A patient reports a history of "hives all over" after taking penicillin as a child. Which antibiotic should be avoided?
A patient reports a history of "hives all over" after taking penicillin as a child. Which antibiotic should be avoided?
A 35-year-old diabetic patient presents with a foot ulcer infected with MSSA (methicillin-sensitive Staphylococcus aureus). The most appropriate oral antibiotic is:
A 35-year-old diabetic patient presents with a foot ulcer infected with MSSA (methicillin-sensitive Staphylococcus aureus). The most appropriate oral antibiotic is:
A patient with severe hospital-acquired pneumonia in the ICU needs pseudomonal coverage. The most appropriate penicillin is:
A patient with severe hospital-acquired pneumonia in the ICU needs pseudomonal coverage. The most appropriate penicillin is:
A patient with a history of a non-severe, non-anaphylactic penicillin allergy needs treatment for community-acquired pneumonia. The safest first-line alternative is:
A patient with a history of a non-severe, non-anaphylactic penicillin allergy needs treatment for community-acquired pneumonia. The safest first-line alternative is:
A patient is prescribed amoxicillin-clavulanate (Augmentin). What side effect should they be warned about?
A patient is prescribed amoxicillin-clavulanate (Augmentin). What side effect should they be warned about?
A 4-year-old with sinusitis weighs 18 kg. The correct dose of amoxicillin is:
A 4-year-old with sinusitis weighs 18 kg. The correct dose of amoxicillin is:
A pregnant woman in the second trimester has a UTI. The safest penicillin to prescribe is:
A pregnant woman in the second trimester has a UTI. The safest penicillin to prescribe is:
A 65-year-old with renal insufficiency (CrCl 25 mL/min) is prescribed piperacillin-tazobactam. How should the dosing be adjusted?
A 65-year-old with renal insufficiency (CrCl 25 mL/min) is prescribed piperacillin-tazobactam. How should the dosing be adjusted?
A 28-year-old develops a maculopapular rash on day 7 of amoxicillin treatment for strep throat. The most likely cause is:
A 28-year-old develops a maculopapular rash on day 7 of amoxicillin treatment for strep throat. The most likely cause is:
Flashcards
Capital of France (example flashcard)
Capital of France (example flashcard)
Paris
