Correct 100%
CAP causative agents - ANSWER strep pneumo, atypical bacteria (mycoplasma pneumo) and viruses
(influenza, RSV)
most likely pathogen causing CAP in cystic fibrosis - ANSWER psuedomonas aeruginosa
Chlamydial pneumo treatment - ANSWER macrolides (azithromycin) then tetracycline and
fluoroquinolones
when to use narrow spectrum - ANSWER when causative agent is known
Renal dose adjustment for sulfonamides crcl <15 - ANSWER stop drug immediately
SEVERE penicillin allergy what do you prescribe - ANSWER vancomycin, erythromycin and/or
clindamycin
Broad spectrum abx - ANSWER ampicillin, 3rd gen cephalosporins, tetracyclines, carbapenems,
trimethoprim, sulfonamides, fluoroquinolones
when to prescribe fluoroquinolone for CAP - ANSWER if tx with antimicrobial w/in last 90 days r/f
drug resistance
Most likely pathogen causing CAP in gen. population - ANSWER strep pneumo, atypical bacteria
and/or viruses
allergic to sulfa drugs - ANSWER PCN, cephalosporin or macrolide
CDIFF treatment - ANSWER oral vanco and flagyl (stop abx that might be causing it)