554 Exam 3 QUESTIONS AND
VERIFED CORRECT
ANSWERS 100%
GUARANTEED PASS
Can you use daptomycin for MRSA pneumonia? - CORRECT ANSWER-NONONONO will be
deactivated by the lungs
Clinical situations in which bactericidal action considered necessary - CORRECT ANSWER-
Endocarditis
Meningitis
Osteomyelitis
Neutropenia
Common misuses of ABX - CORRECT ANSWER-Treat too LONG
Prolonged empiric treatment without clear evidence of infection
Treatment of a positive clinical culture in the absence of disease
Failure to narrow therapy when a causative organism is identified
Bacteremia how to det. effectiveness - CORRECT ANSWER-check repeat blood cultures
document clearance [day 1 tx = day of first negative culture blood]
,Distinguish between contaminatino vs.. **bactermia** - CORRECT ANSWER-clinical scenario-
leukocytosis
number + culutres- more + more likely
final id bactera= not normal flora. Usually yeast, MRSA (coagulase-negative staff is normal and
pathogenic hmm)
management of bacteremia - CORRECT ANSWER-SOURCE CONTROL
MRSA: complicated or uncomplicated
MRSA: **uncomplicated** or complicated - CORRECT ANSWER-MEET ALL- **2 weeks*** MRSA
only
1) Follow-up blood cultures obtained 2 - 4 days after the initial set that do not grow MRSA
2) Defervescence within 72 hours of initiating effective therapy
3) No evidence of metastatic sites of infection
4) No implanted prostheses
5) Exclusion of endocarditis
complicted Duration = 4 weeks
Risks for bacteremia - CORRECT ANSWER-Hematologic malignancies
Immunosuppressing medications
Neutropenia
IV drug use
Chronic renal failure [especially if on hemodialysis]
IV catheters
Parenteral nutrition
, Risk factors for infective endocarditis - CORRECT ANSWER-Prosthetic valve
Previous endocarditis
IV drug use
duke criteria: definite vs. possible - CORRECT ANSWER-What is definite infective endocarditis?
2 major criteria
OR 1 major criteria and 3 minor criteria
OR 5 minor criteria
(1, 3, 5)
What is possible infective endocarditis?
1 major criterion and 1 minor criterion
OR 3 minor criteria
IE cause for IV drug use - CORRECT ANSWER-S. Aureaus (MRSA, MSSA)
IE cause for poor dental health, dental health - CORRECT ANSWER-Streptococci (viridans)
HACEK
IE cause for DM - CORRECT ANSWER-S. aureus
Beta hemolytic streptococci
S. pneumoniae
IE cause for GI - CORRECT ANSWER-Strep bovis
Enterrococcus
Clostridium speticum
VERIFED CORRECT
ANSWERS 100%
GUARANTEED PASS
Can you use daptomycin for MRSA pneumonia? - CORRECT ANSWER-NONONONO will be
deactivated by the lungs
Clinical situations in which bactericidal action considered necessary - CORRECT ANSWER-
Endocarditis
Meningitis
Osteomyelitis
Neutropenia
Common misuses of ABX - CORRECT ANSWER-Treat too LONG
Prolonged empiric treatment without clear evidence of infection
Treatment of a positive clinical culture in the absence of disease
Failure to narrow therapy when a causative organism is identified
Bacteremia how to det. effectiveness - CORRECT ANSWER-check repeat blood cultures
document clearance [day 1 tx = day of first negative culture blood]
,Distinguish between contaminatino vs.. **bactermia** - CORRECT ANSWER-clinical scenario-
leukocytosis
number + culutres- more + more likely
final id bactera= not normal flora. Usually yeast, MRSA (coagulase-negative staff is normal and
pathogenic hmm)
management of bacteremia - CORRECT ANSWER-SOURCE CONTROL
MRSA: complicated or uncomplicated
MRSA: **uncomplicated** or complicated - CORRECT ANSWER-MEET ALL- **2 weeks*** MRSA
only
1) Follow-up blood cultures obtained 2 - 4 days after the initial set that do not grow MRSA
2) Defervescence within 72 hours of initiating effective therapy
3) No evidence of metastatic sites of infection
4) No implanted prostheses
5) Exclusion of endocarditis
complicted Duration = 4 weeks
Risks for bacteremia - CORRECT ANSWER-Hematologic malignancies
Immunosuppressing medications
Neutropenia
IV drug use
Chronic renal failure [especially if on hemodialysis]
IV catheters
Parenteral nutrition
, Risk factors for infective endocarditis - CORRECT ANSWER-Prosthetic valve
Previous endocarditis
IV drug use
duke criteria: definite vs. possible - CORRECT ANSWER-What is definite infective endocarditis?
2 major criteria
OR 1 major criteria and 3 minor criteria
OR 5 minor criteria
(1, 3, 5)
What is possible infective endocarditis?
1 major criterion and 1 minor criterion
OR 3 minor criteria
IE cause for IV drug use - CORRECT ANSWER-S. Aureaus (MRSA, MSSA)
IE cause for poor dental health, dental health - CORRECT ANSWER-Streptococci (viridans)
HACEK
IE cause for DM - CORRECT ANSWER-S. aureus
Beta hemolytic streptococci
S. pneumoniae
IE cause for GI - CORRECT ANSWER-Strep bovis
Enterrococcus
Clostridium speticum
