NAPLEX Infectious Disease Best Exam
Questions With 100% Complete
Solutions Graded A+
Empiric treatment for Meningitis for newborn to 1 month - CORRECT ANSWER-
ampicillin plus either cefotaxime or an AG
empiric treatment for meningitis for 1 month old to 50 year old - CORRECT ANSWER-
vanco + ceftriaxone or cefotaxime
empiric treatment for meningitis 50 y/o or older - CORRECT ANSWER-vanco +
ampicillin + ceftriaxone or cefotaxime
what is bacterial organism that causes meningitis is not treated with single therapy of
ceftriaxone, cefotaxime, ampicillin or pen G (i.e. none of those drugs are rec'd trx))? -
CORRECT ANSWER-strep pneumoniae
Which two organisms that cause meningitis have a recommended treatment with
ampicillin or pen G? - CORRECT ANSWER-listeria monocytogenes and streptococcus
agalactiae
what is the recommended therapy for meningitis caused by neisseria meningitidis, H.
influenza, or E. coli? - CORRECT ANSWER-ceftriaxone or cefotaxime
what is the preferred treatment for MRSA meningitis? - CORRECT ANSWER-
vancomycin with possible add of rifampin (consider 25-30 mg/kg LD of vanc). alternative
can use linezolid or TMP-SMX
what is the empiric initial treatment for endocarditis? - CORRECT ANSWER-
vancomycin, to cover MRSA unless the MIC of s. aureus is > 2mg/dL -> use daptomycin
, is Linezolid a good choice for catheter-related infections? - CORRECT ANSWER-no,
only as secondary trx for VRE catheter infections
name some reasons a pt should get empiric coverage of CAnddia for endocarditis? -
CORRECT ANSWER-femoral catheter, TPN use, prolonged abx use, hematologic
malignancy, transplant, or colonization of candida
how long should treatment of uncomplicated catheter related infections last? -
CORRECT ANSWER-coag-neg staph is 5-7 days, but all others are 7-14 day therapy
courses
ANC equation - CORRECT ANSWER-ANC= (%bands + % segs) x WBC
what ANC defines neutropenia? - CORRECT ANSWER-< 500 cells/mL, fever may be
the only symptom
diagnostic criteria for febrile neutropenia - CORRECT ANSWER-ANC < 500 with either
a single temp >/= 38.3C (100.9F), or temp >/= 38C (100.4) for over 1 hour.
initial treatment for low risk febrile neutropenia - CORRECT ANSWER-oral cipro +
amox-clav
initial treatment for high risk febrile neutropenia - CORRECT ANSWER-cefepime,
pip/tazo, or a carbapenem
what are some things that make a patient high risk febrile neutropenia (MASCC < 21)? -
CORRECT ANSWER-since you won't remember everything, just guess that if a patient
is >60 and had moderate symptoms, hypotension, COPD, a solid tumor, and is
dehydrated or an inpatient - that means they are a high risk FN
what types of bronchitis require treatment? - CORRECT ANSWER-acute bronchitis
caused by B. pertussis & acute exacerbations of chronic bronchitis. simple acute
bronchitis does NOT warrant abx trx.
Questions With 100% Complete
Solutions Graded A+
Empiric treatment for Meningitis for newborn to 1 month - CORRECT ANSWER-
ampicillin plus either cefotaxime or an AG
empiric treatment for meningitis for 1 month old to 50 year old - CORRECT ANSWER-
vanco + ceftriaxone or cefotaxime
empiric treatment for meningitis 50 y/o or older - CORRECT ANSWER-vanco +
ampicillin + ceftriaxone or cefotaxime
what is bacterial organism that causes meningitis is not treated with single therapy of
ceftriaxone, cefotaxime, ampicillin or pen G (i.e. none of those drugs are rec'd trx))? -
CORRECT ANSWER-strep pneumoniae
Which two organisms that cause meningitis have a recommended treatment with
ampicillin or pen G? - CORRECT ANSWER-listeria monocytogenes and streptococcus
agalactiae
what is the recommended therapy for meningitis caused by neisseria meningitidis, H.
influenza, or E. coli? - CORRECT ANSWER-ceftriaxone or cefotaxime
what is the preferred treatment for MRSA meningitis? - CORRECT ANSWER-
vancomycin with possible add of rifampin (consider 25-30 mg/kg LD of vanc). alternative
can use linezolid or TMP-SMX
what is the empiric initial treatment for endocarditis? - CORRECT ANSWER-
vancomycin, to cover MRSA unless the MIC of s. aureus is > 2mg/dL -> use daptomycin
, is Linezolid a good choice for catheter-related infections? - CORRECT ANSWER-no,
only as secondary trx for VRE catheter infections
name some reasons a pt should get empiric coverage of CAnddia for endocarditis? -
CORRECT ANSWER-femoral catheter, TPN use, prolonged abx use, hematologic
malignancy, transplant, or colonization of candida
how long should treatment of uncomplicated catheter related infections last? -
CORRECT ANSWER-coag-neg staph is 5-7 days, but all others are 7-14 day therapy
courses
ANC equation - CORRECT ANSWER-ANC= (%bands + % segs) x WBC
what ANC defines neutropenia? - CORRECT ANSWER-< 500 cells/mL, fever may be
the only symptom
diagnostic criteria for febrile neutropenia - CORRECT ANSWER-ANC < 500 with either
a single temp >/= 38.3C (100.9F), or temp >/= 38C (100.4) for over 1 hour.
initial treatment for low risk febrile neutropenia - CORRECT ANSWER-oral cipro +
amox-clav
initial treatment for high risk febrile neutropenia - CORRECT ANSWER-cefepime,
pip/tazo, or a carbapenem
what are some things that make a patient high risk febrile neutropenia (MASCC < 21)? -
CORRECT ANSWER-since you won't remember everything, just guess that if a patient
is >60 and had moderate symptoms, hypotension, COPD, a solid tumor, and is
dehydrated or an inpatient - that means they are a high risk FN
what types of bronchitis require treatment? - CORRECT ANSWER-acute bronchitis
caused by B. pertussis & acute exacerbations of chronic bronchitis. simple acute
bronchitis does NOT warrant abx trx.
