C1: Macular Degeneration, Glaucoma, Pediatrics, Pregnancy
This class of medications are most effective at decreasing IOP in glaucoma.
BONUS (x300) if you can name 3 brand/generic combination
what is prostaglandin analogs
bimatoprost (Lumigan)
latanoprost (xalatan, xelpros)
travoprost (travatan Z)
This class of medications use porin channels in the cell membrane
Bonus (x300) if you name all 3 of them
what is carbapenems
ertapenem, meropenem, imipenem/cilastatin
The goal vancomycin trough level for pneumonia infections
what is 15-20 mcg/mL
The two most common pathogens in skin infections
what is staphylococcus aureus and streptococcus
Minimum treatment duration for osteomyelitis for all organisms
what is 6 weeks
The PO antibiotic given prophylactically to prevent endocarditis from dental procedures
amoxicillin
The unique symptom of COVID-19 when compared to flu/cold
what is change or loss of taste or smell
2 brand names of Hepatitis B vaccines
what is Energix or recombivax or Heplisav-B
Patients taking metronidazole should not use alcohol due to this adverse reaction
what is disulfiram reaction
The (TWO) first line pharmacologic options for N/V in pregnancy
what are vitamin B 6 (Pyridoxine) and doxylamine
Nitrofurantoin can only be used for this type of infection as it does not achieve adequate systemic levels
what is cystitis
3 treatment options for outpatient CAP in those without comorbidities
what is amoxicillin, doxycycline, or azithromycin/clarithromycin
Oral step down drug for pseudomonas HAP/VAP
Oral step down drug for MRSA HAP/VAP
what is levofloxacin and linezolid
Empiric treatment of osteomyelitis includes one antipseudomonal and vancomycin. Use this antipseudomonal if anaerobic coverage is needed.
what is meropenem
For patients weight greater than this much, give 3 g of cefazolin
120 kg
This influenza treatment option has no age restrictions and can be used in children
what is oseltamivir
Pressure in the portal vein of greater than ___ mmHg is diagnostic of portal HTN
what is 5
The side effect profile of H2RAs that land them on the Beer's List
what is dizziness, fatigue, somnolence sedation
Two classes of antihypertensive medications to be avoided in pregnant patients
And one treatment of choice
what are ACEi and ARBs
TOC: labetalol or nifedipine ER (Maybe methyldopa or amlodipine)
The antibiotic class that has excellent activity against atypical organisms
BONUS (x300) if you can name three drugs
what are macrolides
erythromycin, clarithromycin, and azithromycin
Describe how clearance of aminoglycosides differs in cystic fibrosis vs geriatric and neonates
CF increased clearance, need higher doses geriatric and neonates decreased clearance
An acceptable regimen to empirically treat a HAP/VAP patient with high risk of mortality or IV abx use in the past 90 days
what is two anti-pseudomonals (not two beta lactams) + vancomycin or linezolid
Three treatment options for uncomplicated cystitis
(BONUS x 300 if you can list one side effect from each medication)
Nitrofurantoin (brown colored urine, nausea, pulmonary fibrosis reported)
SMX/TMP (sun sensitivity, skin reactions, hyperkalemia, kidney stones)
Fosfomycin (nausea, back ache headache)
The class of medications that used for vaginal yeast infections
azoles
The off-label MPOX drug therapy that is approved for small pox
(No FDA approved options for MPOX)
what is tecovirimat
Two beta blockers used in primary and secondary prevention of portal hypertension
what is nadolol and propranolol or carvedilol
2 Black box warnings for PPIs
what is C.difficile associated diarrhea, and osteoporosis related bone fractures with long-term use and high doses
A 7 year old female is 24 kg and being treated with high dose amoxicillin 90 mg/kg/day in two divided doses. This amount of mL of 600mg/5mL should be given each dose
what is 9 mL per dose
List the groups that make up the Antimicrobial Stewardship Triad
what is ID clinicians/RPH, infection control, and microbiology
List the common organisms in penetrating meningitis
Staphylococcus aureus, coagulase negative staphylococci, aerobic gram negative bacilli (p. aeruginosa)
The antibiotic used to treat minor diabetic foot infection without previous MRSA, and the antibiotic used if previous MRSA
cephalexin and bactrim
Three treatment options for moderate to severe intra-abdominal infections
pip/tazo, cefepime+ metronidazole, levofloxacin + metronidazole
When is amoxicillin/clavulanate considered in AOM treatment?
treatment failure/not improved in 48-72 hrs or if used amoxicillin in past 30 days
Counseling points on how to take CFTRs and what to do if missed a dose
with or after high fat meal
up to 6 hours before next dose is due, take it; if less than 6 hours, omit
Three drug therapies used for treatment of HE
what is lactulose, rifaximin, and neomycin
List 3 counseling points/lifestyle management for GERD
weight loss, avoid meals before bed, short intervals, avoid tobacco smoking, trigger foods, elevate head of bed, PPI treatment 30-60 minutes before meals
This class of drugs treats wet age-related macular degeneration
BONUS (x1500 points if you can name 3 brand generic)
what is VEGF inhibitors
Bevacizumab (Avastin)
Ranibizumab (Lucentis)
Aflibercept (Eylea)
List at least 10 antibiotics that are available orally.
Penicillin VK, amoxicillin, oxacillin, dicloxacillin, cloxacillin, cephalexin, cefuozime, cefdinir, cefixime, cefpodoxime, ciprofloxacin, levofloxacin, moxifloxacin, azithromycin, clarithromycin, erythromycin, doxycycline, minocycline, bactrim, vancomycin for C.diff, linezolid, clindamycin, metronidazole, fidaxomicin, fosfomycin, nitrofurantoin
The three preferred antimicrobial therapy options for penetrating trauma meningitis
what is vancomycin + cefepime, vancomycin + ceftazidime, or vancomycin + meropenem
Four antibiotics that can be used to treat mild non-purulent infection
what is penicillin VK, cephalexin, dicloxacillin, or clindamycin
This class of antibiotics is ineffective for chlamydia treatment and thus one of three options can be used instead
what is beta lactams are ineffective
doxycycline azithromycin, or levofloxacin
List 5 antibiotics used in antibiotic prophylaxis for surgery.
BONUS (x100 for each additional antibiotic listed)
cefazolin, clindamycin, vancomycin, cefoxitin, ceftriaxone, metronidazole, ertapenem, levofloxacin, ampicillin/sulbactam
Two oral options for lyme disease and the one IV option for lyme disease
doxycycline, amoxicillin, or cefuroxime
ceftriaxone
This patient population should receive hepatitis A shot
routinely in children 12-23 months and 2-18 who have not yet had a vaccine
These TWO antacids accumulate with severe renal dysfunction
what is aluminum and magnesium