CNS Infections

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​**ceftriaxone or cefotaxime

Multiple Choice

Which antibiotic achieves adequate concentrations within the CNS regardless of meningeal inflammation?

• Ceftriaxone (Rocephin®)

• Levofloxacin (Levaquin®)

• Meropenem (Merrem®)

• Piperacillin/tazobactam (Zosyn®)

Multiple Choice

A 44-year-old patient presents with suspected bacterial meningitis. Cultures from lumbar puncture grow numerous colonies of gram-negative cocci. Which is the most appropriate antibiotic therapy for this patient?

• Ceftriaxone (Rocephin®)

• Moxifloxacin (Avelox®)

• Penicillin G (Wycillin®)

• Penicillin G (Wycillin®) plus tobramycin (Nebcin®)

Multiple Choice

A 17-year-old presents with severe headache and neurological deficits. He has an erythematous rash across his trunk. Several weeks ago, he was deer hunting with his father and found 3 or 4 large ticks feeding on him. What is the best treatment for this patient?

• Acyclovir (Zovirax®)

• Ceftriaxone (Rocephin®)

• Foscarnet (Foscavir®)

• Penicillin G (Wycillin®)