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Empiric Therapy
Cephalosporins
Penicillins
Carbapenems
100
These are bacteria you would expect to see in an upper respiratory tract infection.
What are Streptococcus pneumoniae, H. influenzae, and M. catarrhalis.
100
Preferred medication for uncomplicated acute cystitis but not in acute pyelonephritis.
What is Nitrofurantoin.
100
Cephalosporins do not have activity against this gram positive bacteria?
What is Enterococcus.
100
Ampicillin/Amoxicillin are the drugs of choice for this bacteria.
What is Enterococcus
100
Bacteria not covered by ertapenem.
What is enterococcus, pseudomonas, acinetobacter.
200
These are the bacteria you would expect to see if a culture came back positive but it was suspected to be a contaminant.
What are Coagulase Negative Staphylococcus epidermidis and Streptococcus.
200
Preferred treatment for community acquired uncomplicated bacterial upper respiratory tract infection.
What is Amoxicillin.
200
The fourth generation and this third generation cephalosporin have pseudomonas coverage.
What are Cefepime and Ceftazidime.
200
What is the mechanism of action of clavulanic acid.
What is beta lactamase inhibitor; extends spectrum of penicillins.
200
Carbapenems are associated with this central nervous system adverse reaction.
What are seizures.
300
Bacteria you would expect to see if a patient has been hospitalized in the past six months and presents with a UTI and flank pain.
What are E. coli, Klebsiella, Proteus, Pseudomonas, and Enterococcus.
300
Empiric treatment for a 14-day old infant presenting with sepsis.
What is Ampicillin + (Gentamicin or Cefotaxime)
300
This cephalosporin has MRSA coverage.
What is ceftaroline.
300
Time difference to distinguish an allergic reaction from an adverse reaction to penicillin.
What is 72 hours, most anaphylactic reactions occur within 1 hour.
300
What unique bacteria covered by imipenem.
What is enterococcus faecalis.
400
The bacteria you would expect to be responsible for a patient presenting with an abdominal abscess.
What are E. coli, Klebsiella, Proteus, Anaerobes, and Enterococcus.
400
DAILY DOUBLE !!!!!
Name as many brands as you can for the following generics. Clindamycin Cefepime Ceftriaxone Cefazolin Tobramycin Meropenem Piperacillin-tazobactam Ampicillin-sulbactam Vancomycin Clarithromycin
400
For cephalosporins as the generation increases from first to fourth generation gram positive coverage ______ and gram negative coverage ______
What is decreases;increases.
400
This atypical bacteria affecting the extremes of age is covered by ampicillin.
What is Listeria.
400
The mechanism of cilastin in imipenem/cilastin?
What is blocks renal dehydropeptidase 1, an enzyme that inactivates imipenem.
500
Bacteria most likely responsible for a 14-day old infant with sepsis.
What are Group B Streptococcus, E. coli, and Listeria.
500
Empiric treatment options for a patient with an abdominal abscess and signs and symptoms of infection.
What are Imipenem-cilastin, meropenem, doripenem, piperacillin-tazobactam, ertapenem (cefepime OR ceftazidime OR ciprofloxacin OR levofloxacin) + metronidazole
500
Ceftriaxone can't be given to infants less than one month for this reason.
What is hyperbilirubinemia. Also if given with IV Ca supplementation can cause precipitates.
500
These penicillins cover pseudomonas.
What are piperacillin and ticarcillin.
500
Aside from their broad gram positive and negative coverage, is there any additional coverage carbapenems offer?
What is anaerobic.