University:
West Coast University
Course:
PHAR 837 | IPC Infectious Diseases I
Academic year:

2024
Views:

63

Pages:

13
Author:

Asal A.

Question 1 FLAG QUESTION > When treating a community-acquired UTI in a treatment naive patient who has never had a UTI before, which of the following organisms should be most highly suspected and targeted when choosing antibiotic therapy? Answers: A-D A Escherichia Coli B Proteus mirabilis C Staphylococcus saprophyticus D Enterococcus faecalis Question 2 FLAG QUESTION > A 20 year old woman is diagnosed with uncomplicated cystitis. She has no known drug allergies. Based on the 2010 IDSA Guidelines, which of the following regimens would be the most appropriate treatment for this patient? Answers: A-D A Amoxicillin 500 mg orally four times daily for 3 days B Trimethoprim-sulfamethoxazole double strength, i tablet orally, 1 dose C Nitrofurantoin 100 mg orally twice daily for 5 days D Ciprofloxacin 500 mg orally twice daily for 3 days Question 3 FLAG QUESTION > MO is a 22 YOF who presented to a family practice clinic with chief complaints of dysuria, frequency of urination, and urgency to urinate She was seen in the clinic 3 days ago with the same complaints and started on Trimethoprim/Sulfamethoxazole (TMP/SMX) DS 1 tablet twice daily. MH: Diagnosed with 4 UTIs over the last year, treated with TMP/SMX SH: Sexually active (multiple partners), uses spermicide-coated condoms Meds: Ortho-Novum 1 TPO Qday NKDA PE: not significant Urine analysis: Yellow, cloudy, pH 5.0, WBC 10-15 cells/mm3, trace blood, leukoesterase (+), many bacteria, nitrite positive Urine culture not done. What is MO's diagnosis? Answers: A-D A Complicated pyelonephritis B uncomplicated urinary tract infection Question 4 FLAG QUESTION > Which of the following would be categorized as an uncomplicated urinary tract infection? Answers: A-D A An acute infection with involvement of the kidneys of a 24 year old male B An acute recurrent infection involving the lower urinary tract of a 65 year old female C An acute infection with involvement of the kidneys of an 75 year old male D An acute infection involving the lower urinary tract of a 17 year old girl Question 5 FLAG QUESTION > A 31 year-old female who is 32 weeks pregnant presents to regular check-up. She denies nausea/vomiting, abdominal pain, back pain, fever, vaginal discharge, or any difficulty during urination. Her exam shows her to be afebrile with neither costovertebral nor abdominal tenderness. Urinalysis shows (+) nitrite and 2+ leukocytes. Appropriate therapy for this pregnant woman is Answers: A-E A Sumycin 500 TID x 7 days B Send the urine for culture and start Keflex® 500 mg TID for 7 days C Bactrim DS BID x 3 days D. No treatment needed because this is asymptomatic. E Cipro 250 mg BID x 3 days Question 6 FLAG QUESTION > RP is an 85 YOF (50 kg, 5'2", serum creatinine 1.8) who is admitted to a community hospital. She is known to have a penicillin allergy, but the detailed reactivity or response to penicillin is not known. Her PMH is significant for stroke, dementia, and spinal fracture. Her Physical Exam was not significant and vital signs were normal. She reported burning sensation and itching during urination. Her laboratory results were within normal limits including normal CBC: Urime samples were collected through her Foley Catheter. Serisitivity Results of E.coli INT MIC TRIMETH/SULFA RESIST >320 ERTAPENEM SUSC 0.5 GENTAMICIN SUSC NITROFURANTOIN SUSC 16 AMP/SULBACTAM RESIST 32 CEFTRIAXONE SUSC 1 CEFTAZIDIME SUSC SUSC 1 IMIPENEM SUSC 0.25 LEVOFLOXACIN SUSC 32 AZTREONAM NEG ESBL What would you choose for his infection? Answers: A-D